KodaComplyHome care rules, state by state, in plain EnglishDocuments collected September 22, 2026

Ohio home care rules

The Ohio Department of Health (ODH) licenses agencies that provide skilled or nonmedical home health services, and nonmedical covers personal care. Medicaid pays for home care through the PASSPORT waiver (run by the Ohio Department of Aging, ODA), the Ohio Home Care Waiver (run by the Ohio Department of Medicaid, ODM) and, for people with both Medicare and Medicaid, four Next Generation MyCare plans: Anthem, Buckeye, CareSource and Molina. EVV claims matching is now live: waiver claims for services that need EVV are denied if there is no matching verified visit.

123 official documents·collected September 22, 2026·checked against them September 22, 2026
License for non-medical home care?YesNonmedical home health services license from ODH · 3 years · $250. Covers personal care and home health aide services.
License for home health?YesSkilled home health services license from ODH. Medicaid home health is limited to Medicare-certified agencies.
EVVClaims must matchWaiver claims for services that need EVV are denied without a matching verified visit (OHCW and PASSPORT for dates of service from Jan. 1, 2026; MyCare since March 1, 2026)
Medicaid health plans4 MyCare plansAnthem, CareSource and Molina statewide; Buckeye is not open to new MyCare members in 2026

What changed, and what to do about it

Red means act now, amber means read it this month, grey is for the record.

Act nowOHCW and PASSPORT dates of service from Jan. 1, 2026 · MyCare since March 1, 2026

Waiver claims without a matching EVV visit are being denied

For services that need EVV, the claim must match a visit in Verified status in Sandata. Claims that don't match are denied, and so are claims that bill more units than the visit shows. This covers Ohio Home Care Waiver and PASSPORT dates of service from January 1, 2026, and MyCare claims from March 1, 2026.

What to do: Check your remittance advice for EVV errors each billing cycle. Make sure every visit is Verified before you bill, and that the procedure code and Medicaid IDs match.
Read this monthLast counties added Aug. 1, 2026 · FAQ updated August 2026

Next Generation MyCare is now statewide

MyCare now covers all 88 Ohio counties. People on the Ohio Home Care, Assisted Living or PASSPORT waiver who were enrolled in Next Generation MyCare moved to the MyCare Ohio Waiver. Providers must enroll with ODM and contract with each plan; a plan may offer a single case agreement instead. Buckeye is not an option for new members in plan year 2026.

What to do: Check which of your clients moved to a MyCare plan, and confirm you have a contract or single case agreement with that plan.
Read this monthResource updated Feb. 17, 2026

ODM updated its list of which EVV services need a co-signature

OHCW personal care aide, home care attendant and waiver nursing, PASSPORT waiver nursing, and state plan RN assessment and consultation need the recipient's (or authorized representative's) co-signature. PASSPORT personal care aide, home care attendant and enhanced community living need a signature or unique identifier. EVV does not collect these signatures; service documentation is kept separately.

What to do: Compare your visit notes with the table and make sure each required signature is being collected.
For the recordEffective Sept. 3, 2026

A new version of the Medicaid home health provider rule took effect

OAC 5160-12-03 says Medicaid home health services come from Medicare-certified home health agencies licensed by ODH. Give 30 days' written notice before ending services, except in listed cases.

What to do: Read the rule if you bill Medicaid home health, and check your discharge notice process.
For the recordPosted Aug. 17, 2026 · comments closed Sept. 7, 2026

ODA proposed service-verification items for structured family caregiving

ODA proposes to amend rule 173-39-02.25 to list the records a provider keeps to verify each day of structured family caregiving, including the activities provided. It says it will keep half-day and full-day units and will not require clock-in and clock-out times.

What to do: Nothing yet. If you provide this service for PASSPORT, watch for the final rule.