Important Updates

New Services are being added to Ohio Home Care Waiver

Effective July 1, 2019, three new home and community-based services (HCBS) will be available to individuals enrolled on the Ohio Home Care Waiver. The new services are Community Integration, Community Transition and Home Maintenance/Chore. To find out more about the services and determine if or how you can become a provider. Click here for more information.

Attention Waiver Services Provider Applicants!

Prior to submitting an application, waiver provider should contact the following for enrollment requirements and assistance:

  • For the Ohio Home Care Waiver (ODM) – Visit: http://ohiohcbs.pcgus.com/index.html for application and enrollment information or contact PCG at (877) 908-1746.  Note: Bureau of Criminal identification & Investigation (BCI&I) reports for initial provider enrollments ONLY should be sent to:  The Ohio Department of Medicaid, Attention: BCII Coordinator, P.O. Box 183017, Columbus, Ohio 43218-3017

Change in background checks for Ohio Home Care Waiver providers
Ohio Department of Medicaid (ODM) is moving to a new system that will eliminate the need for Ohio Home Care Waiver non-agency providers to do an annual criminal records check. Over the next several months, we will be switching to RAPBACK or Retained Applicant Fingerprint Database. This new process will provide ODM continuous information about a person’s criminal history. As a result, providers will no longer have to pay for a background check. ODM will automatically enroll providers into RAPBACK and there is no cost to the provider. There are a few people that will have to complete one more background check before they can be enrolled in RAPBACK. If you have any questions, please contact the Provider Hotline at 1-800-686-1516.

Providers Subject to On-Site Screening Visits

Federal and state laws require some providers to have pre- and post-enrollment on-site screening visits to ensure program integrity. (See OAC 5160-1-17.8 – formerly OAC 5101:3-1-17.8 for additional information about provider screening requirements).

In Ohio, the Public Consulting Group, Inc. (PCG) will conduct these visits for providers that are not already screened by another state or federal agency.   On-site screening visits are conducted without prior notification or appointment.  The PCG representatives will have a business card and a letter of introduction, for your verification.

When the PCG representatives arrive at your office, please take a few moments to answer their questions and allow them access to your facility.  This will help to complete your on-site visit smoothly.   During your site visit, the PCG representatives will review various aspects of your business.  Failure to answer their questions and cooperate with the PCG representatives could affect your enrollment or current provider status with Ohio Medicaid.


Provider Disclosure Requirements
Federal and state regulations require all Medicaid providers to disclose full and complete information regarding individuals or entities that own, control, represent or manage them. This requirement applies to all provider types that are either enrolling or revalidation as an Ohio Medicaid provider – regardless of business structure (large corporation, partnership, non-profit or other type of business organization). Providers must disclose the information for owners (direct and indirect), members of Boards of Director and managing employees – this information includes an individual’s Social Security number and date of birth. Ohio Department of Medicaid disclosure requirements are outlined in OAC 5160-1-17-3. Warning: Do not try to bypass this requirement by entering in a fake Social Security number, because the computer system will automatically reject the application
Direct Deposit

To receive payments via direct deposit, please complete the Direct Deposit Authorization Agreement, which can be found by clicking on the "Medicaid Provider" tab.

For additional information please contact:
Provider Enrollment Unit
P.O. Box 1461
Columbus, Ohio 43216-1461