Ohio Home Care Waiver (OHCW)


The Ohio Home Care Waiver Program is a long-term care program that meets the needs of financially eligible children and adults who have significant disabilities and/or mental health needs. Without the services available through this waiver, these individuals are at risk of hospital or nursing home placement. The Ohio Home Care Waiver supports the consumer’s independence in their own home by giving them control and choice over the in-home care they receive.

The program is administered by the Ohio Department of Medicaid. CareSource was selected as one of the case management agencies and has delegated this responsibility to the Central Ohio Area Agency on Aging (COAAA) for eight Central Ohio counties which includes Delaware, Fairfield, Fayette, Franklin, Licking, Madison, Pickaway and Union counties.

COAAA manages the assessments and case management for the central Ohio region. COAAA case managers will work with eligible individuals, their families, and others involved in delivering care to determine a care plan to meet their specific needs. Individuals must meet certain requirements to receive services through the Ohio Home Care Waiver.


The requirements are:

  • Must be 59 years of age or younger
  • Financially eligible for Medicaid
  • In need of skilled or intermediate care-nursing services, personal care assistance services and/or skilled therapy services and waiver specific services such as home modifications, home delivered meals, adult day health care, respite care, transportation, adaptive/assistive devices, and emergency response systems. A physician must certify the level of care needed.


The goal of the Ohio Home Care Waiver is to help eligible individuals receive services at home as an alternative to a hospital or nursing facility setting.

How do I apply?

In order to apply for the Ohio Home Care Waiver, contact your county’s Department of Job and Family Services (JFS). JFS will initiate the process of your application and will notify COAAA of your approval. COAAA will then contact you to schedule an assessment for the program.

Visit the Department of Job and Family Service’s directory page to find your county's JFS contact information.

Ready to get help? Call COAAA at (800) 589-7277.