fbpixel Ohio Home Care Medicaid Eligibility & Guidelines

Everything You Want To Know

Medicaid / Ohio

Medicaid for Home Care in Ohio

Medicaid Certified Home Care Agency in Ohio

It is important for homecare service providers to get a certification as a Home Health Agency (HHA) to file Medicaid claims in Ohio. As per the state’s regulations, emphasis should be given to the certifications and license of the agency to ensure quality services. Agencies could check their eligibility-related details provided by the state’s Department of Human Services.

Governing Body: Ohio Medicaid


In Ohio, Medicaid is also called as Medical Assistance (MA) and aims to provide coverage to low-income individuals with separate programs for seniors, pregnant women, parents, children, disabled people, and caregivers.

Medicaid Programs:

  • Alien Emergency Medical Assistance
  • Refugee Medical Assistance
  • Behavioral Health Redesign
  • PASSPORT Waiver
  • Assisted Living Waiver
  • MyCare Ohio Plan (MCOP)

Income Requirements:

  • For individuals from 19 to 64 years, an income of up to 133% of the FPL ($1,337 per month)
  • For a family of four, income up to $2,727 per month
  • For pregnant women, income up to 200% of the FPL ($2,010 per month)

Application Process:

The application process for accessing Medicaid for Ohio residents is easy, and anyone can apply online for the available Medicaid programs.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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