Starting an HCBS Agency in Ohio

What You Need to Know About Starting a Specific HCBS Agency in Ohio


These videos give an overview of the various Home and Community-Based Services (HCBS) available in Ohio for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Ohio. Explore each section to find the service that best matches your goals or area of interest.

Out of Home Respite

Out-of-Home Respite Services in Ohio offer temporary care for individuals with disabilities, chronic conditions, or age-related needs outside of their primary residence. These services are designed to give family caregivers a break while ensuring that their loved one receives high-quality support in a licensed, structured environment. Out-of-Home Respite Services are authorized under Ohio’s Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Residential Care

Residential Services in Ohio provide individuals with disabilities or chronic health conditions a structured, supportive, and safe living environment in the community. These services include supervision, personal care, skill development, and community inclusion activities. Residential Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs. 

 

Supported Employment

Supported Employment Services in Ohio assist individuals with intellectual and developmental disabilities (IDD) or other qualifying conditions in preparing for, obtaining, and maintaining paid employment within their communities. Services are designed to promote independence, self-sufficiency, and social inclusion through personalized, long-term job support. Supported Employment Services are authorized under Ohio’s Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Personal Assistance

Personal Assistance Services in Ohio help individuals with disabilities, chronic illnesses, or age-related limitations maintain their independence by providing support with daily tasks. These services ensure individuals can live safely and comfortably in their own homes and communities. Personal Assistance Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Adaptive Equipment

Adaptive Equipment Services in Ohio provide individuals with disabilities or medical conditions with specialized tools and devices that improve mobility, safety, communication, and participation in daily activities. These services help individuals achieve greater independence in their homes and communities. Adaptive Equipment Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Community Respite

Community Respite Services in Ohio offer temporary relief for primary caregivers by providing supervised care for individuals with disabilities, chronic health conditions, or aging-related needs in a non-residential, community-based setting. These services ensure safety, engagement, and meaningful activities for the individual, while allowing caregivers to rest or manage personal responsibilities. Community Respite Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Transition & Support

Transition and Support Services in Ohio help individuals with disabilities, chronic conditions, or age-related needs move from institutional or restrictive settings—such as nursing homes, hospitals, or intermediate care facilities—into home or community-based settings. These services are designed to ensure safe, successful transitions and reduce the risk of re-institutionalization. Transition and Support Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Assistive Technology

Assistive Technology Services in Ohio help individuals with disabilities or age-related impairments access tools and equipment that enhance communication, mobility, safety, and daily functioning. These services include assessment, acquisition, customization, and training on the use of assistive devices that support independence and community integration. Assistive Technology Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Behavioral Health

Behavioral Health Services in Ohio provide individuals with mental health conditions, developmental disabilities, or co-occurring disorders access to professional counseling, therapeutic supports, and behavioral interventions. These services are vital to improving functioning, reducing crisis episodes, and enabling individuals to thrive in home and community settings. Behavioral Health Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs and state plan behavioral health programs.

 
 

Home Modification

Home Modification Services in Ohio help individuals with disabilities, chronic conditions, or aging-related mobility limitations by adapting their living environments to improve accessibility, safety, and independence. These modifications are tailored to meet the individual’s functional needs and are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Interpreter Service

Interpreter Services in Ohio help individuals with disabilities—such as hearing, speech, or cognitive impairments—access services, participate in community life, and communicate effectively with caregivers, providers, and peers. These services are essential for ensuring equal access, autonomy, and compliance with federal accessibility requirements. Interpreter Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Therapy Service

Therapy Services in Ohio offer individuals with disabilities, chronic health conditions, or developmental delays access to clinically prescribed interventions such as physical, occupational, and speech therapies. These services aim to improve functional abilities, promote independence, and support community living goals. Therapy Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs and Medicaid State Plan benefits.

 
 

Homemaker 

Homemaker Services in Ohio help individuals with disabilities, chronic illnesses, or age-related limitations by assisting with routine household tasks they are unable to perform independently. These services help individuals remain in their homes safely and comfortably, promoting independence and reducing the risk of institutional placement. Homemaker Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Support Brokerage

Support Brokerage Services in Ohio assists individuals enrolled in self-directed Medicaid waiver programs by helping them manage their services, hire support staff, and navigate person-centered planning. Support brokers empower participants to make informed choices about their care, ensuring services align with personal goals, preferences, and community living objectives. These services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs—especially the SELF Waiver.

 
 

Non-Medical Transportation

Non-Medical Transportation Services in Ohio assist individuals with disabilities, chronic conditions, or age-related needs in accessing community resources, employment, education, and social opportunities. These services play a crucial role in promoting independence and inclusion for waiver participants. Non-Medical Transportation Services are authorized under Ohio’s Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Home Health

Home Health Care Services in Ohio offer skilled nursing, therapy, and personal care assistance to individuals with medical or chronic conditions who require healthcare services in their homes. These services support recovery, maintain health, and reduce the need for institutionalization. Home Health Care Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs and the Medicaid State Plan.

 
 

Meal & Nutrition

Meal and Nutrition Services in Ohio assist individuals with disabilities, chronic conditions, or aging-related limitations by ensuring access to regular, healthy, and diet-appropriate meals. These services are critical to helping individuals maintain their health, independence, and quality of life in home and community settings. Meal and Nutrition Services are authorized under Ohio’s Medicaid Home and Community-Based Services (HCBS) Waiver programs.

 
 

Family Stability Assistance

Family Stability Assistance Services in Ohio provide targeted support to families caring for individuals with disabilities or complex needs. These services help prevent caregiver burnout, reduce the risk of out-of-home placement, and ensure that families have access to the tools and resources they need to sustain safe and supportive home environments. Family Stability Assistance is authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs and supplemental support mechanisms.

 
 

Career Planning

Career Planning Services in Ohio help individuals with disabilities explore employment options, set career goals, and develop strategies for achieving competitive, integrated employment. These services are person-centered and tailored to the individual's strengths, interests, and support needs. Career Planning Services are authorized under Ohio Medicaid Home and Community-Based Services (HCBS) Waiver programs, particularly under the Individual Options (IO), Level One, and SELF waivers.

 
 

 

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.