Find & Ask Ohio › this rule

Rule 5160-46-04 | Ohio home care waiver: personal care aide service

OhioregulationOhio Department of Medicaid (ODM)· effective 2025-09-22

What this rule requires your agency to do

  • 1Providers must maintain a clinical record for each individual containing identifying information, medical history, PCSPs, documentation of tasks performed with arrival/departure times and dated signatures, progress notes, and a discharge summary.(Rule 5160-46-04 | Ohio home care waiver: personal care aide service)
  • 2Non-agency personal care aides must complete six hours of in-service continuing education annually, on or before the anniversary date of their enrollment as a Medicaid personal care aide provider.(Rule 5160-46-04 | Ohio home care waiver: personal care aide service)
  • 3Non-agency personal care aides must have obtained a competency-evaluation certificate within the last twenty-four months before commencing service delivery, covering personal care services, basic home safety, and universal precautions.(Rule 5160-46-04 | Ohio home care waiver: personal care aide service)
  • 4Agency personal care aides must obtain a certificate of completion of an ODH-approved competency evaluation program (or the Medicare home health aide competency program under 42 CFR 484.80) before commencing service delivery.(Rule 5160-46-04 | Ohio home care waiver: personal care aide service)
  • 5Agency personal care aides must complete eight hours of in-service continuing education within each twelve-month period (excluding orientation), completed annually.(Rule 5160-46-04 | Ohio home care waiver: personal care aide service)
  • 6Personal care aides must obtain and maintain first aid certification from a class that is not solely internet-based and includes hands-on training and a successful return demonstration.(Rule 5160-46-04 | Ohio home care waiver: personal care aide service)
  • 7A provider may serve only one individual, or up to three individuals in a group setting, during a face-to-face visit.(Rule 5160-46-04 | Ohio home care waiver: personal care aide service)
  • 8A supervising RN or LPN must conduct a face-to-face home visit at least every sixty days while the aide is present providing care, and document each visit in the individual's record.(Rule 5160-46-04 | Ohio home care waiver: personal care aide service)

Applies to: personal care

Defines Ohio home care waiver personal care aide services and sets aide qualification, training, supervision, and clinical-record requirements for agency and non-agency providers.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.