If you have questions about enrollment or need help, call 1-800-686-1516. The links listed below are intended to help you quickly navigate to the right place to perform these common tasks:
Attention Waiver Providers with Ohio Departments of Developmental Disabilities and Aging
The Ohio Department of Developmental Disabilities (DODD), the Ohio Department of Aging (ODA), and providers of state plan services through the Ohio Department of Medicaid (ODM) are required to obtain a National Provider Identifier (NPI) and keep it on file with ODM – in accordance with Ohio Administrative Code 5160-1-17.
Federal law requires that an NPI be used to identify providers on any standard transaction (such as a claim) for health care services. Since waiver services are paid in part using federal Medicaid funds, you must obtain an NPI and update your records with ODM to include your NPI.
To assist waiver providers in complying with this requirement, please review the following documents found atop this page.
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:
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.
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.
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