Medicaid Waiver Provider Information
Application Fee Required Beginning April 15, 2016
In accordance with federal requirements described in 42 CFR 445.460 and per Ohio Administrative Code 5160-1-17.8, the Ohio Department of Aging (ODA) will begin collecting a Medicaid application fee. The fee is currently $560 per application and is non-refundable. The fee applies to agency and assisted living applicants only. The fee will not be required if the agency or assisted living applicant has paid the fee to either Medicare or another state’s Medicaid provider enrollment program (such as the Ohio Department of Medicaid, the Ohio Department of Developmental Disabilities, or outside of Ohio) within the past two years. However, ODA requires the agency or assisted living applicant submit proof of payment with their application.
The Medicaid application fee does not apply to individual or non-agency applicants.
Prior to applying for certification, please read and understand the conditions of participation and service requirements for which you are seeking certification. View this information as well as all the current effective rules.
Please review each of the options below and select the appropriate provider type for which you would like to apply for certification. To review certification instructions and the link to our online application, click on a provider type below.
Consumer-Directed Providers - Department of Labor Update
On Tuesday, October 6, 2015, Chief Justice John Roberts of the United States Supreme Court denied an application that would have stayed implementation of the US Department of Labor's Home Care Final Rule. The rule applies minimum wage and overtime protections to domestic service workers.
This change is applicable to non-agency waiver nurses, non-agency home care attendants, choices home care attendant and consumer-directed personal care providers effective Jan. 1, 2016.
ODA has issued guidance to non-agency waiver nurses and home care attendants and Choices home care attendants and consumer-directed personal care service providers regarding overtime billing.
A person who will be the employee of the PASSPORT consumer and is directly supervised by the PASSPORT consumer.
- Choices Home Care Attendant
This type of provider will furnish specific activities to support the needs of an individual consumer. (Example: general household assistance, etc.)
- Consumer-Directed Personal Care Provider
This type of provider will furnish personal care services and homemaking tasks appropriate to a consumer’s need. Education requirements apply.
Long-Term Care Agency Providers:
- Long-Term Care Agency Provider
This type of provider is a legally-organized entity which employs staff to perform the type of services the agency is seeking to be certified. (Example: Agency provides personal care service – employees include home health aides, nurse, etc.)
Long-Term Care Non-Agency Providers:
Assisted Living Waiver Provider: