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National question: Can a family caregiver get paid? Official programs decide eligibility.

Ohio Medicaid Self-Direction (Ohio Home Care and MyCare Waivers)

Ohio Medicaid self-direction is available through Ohio Home Care Waiver and MyCare Waiver services. Available self-directed services differ by waiver and include caregiver-delivered services such as Choices Home Care Attendant, Home Care Attendant, Personal Care Aide, and Waiver Nursing, depending on waiver and service rules.

Ohio Medicaid self-direction is available through the Ohio Home Care Waiver and MyCare Waiver. Available self-directed services vary by waiver and may include Choices Home Care Attendant, Home Care Attendant, Personal Care Aide, Waiver Nursing, alternative meals, home maintenance/chores, home medical equipment and supplies, home modifications, and self-directed goods and services. The old Medicaid HCBS URL is no longer valid; family/spouse payment specifics need a current official source before recommendation.

Some details for this program are still being verified. Check the official source for the most current information.

Eligibility

  • Care recipient must have a qualifying disability
  • Relationship: spouse, parent, child, sibling, grandparent, other relative, non relative

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in Ohio? — Residency is usually the first thing a program checks.
  • Does your relationship to the person — spouse, parent, child, sibling, grandparent, other relative, or non relative — count for this program?
  • What counts as a qualifying disability or level of care need, and what documentation shows it?
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

What this record does not yet say

  • family member payment rules
  • spouse payment rules
  • official public program page blocks agent fetch

Services

Ohio Medicaid self-direction is available through the Ohio Home Care Waiver and MyCare Waiver. Available self-directed services vary by waiver and may include Choices Home Care Attendant, Home Care Attendant, Personal Care Aide, Waiver Nursing, alternative meals, home maintenance/chores, home medical equipment and supplies, home modifications, and self-directed goods and services. The old Medicaid HCBS URL is no longer valid; family/spouse payment specifics need a current official source before recommendation.

How to apply

  • Individuals already enrolled on the Ohio Home Care Waiver or MyCare Waiver speak with their care manager about self-direction; new caregivers get a referral from the waiver case manager to enroll with the state's FMS vendor (PPL).