Provider Enrollment

• Ohio Home Care Providers
  To be enrolled to provide waiver services as an RN, LPN, Independent Daily Living Aide, or Independent Daily Living Non-Aide, or to enroll to perform services with the Ohio Home Care waiver program such as Home Modifications, Supplemental Transportation, Out of Home Respite, please contact your county's Case Management Agency office.

• Consumer-specific training option form

• Long-Term Care
  For information regarding provider agreements for Nursing Facilities and ICFs-MR, please contact the Facility Contracting Section at (614) 466-6467.

• Electronic Data Interchange (EDI) Enrollment

• Direct Deposit Authorization Agreement
• Individual Practitioners 
• Practitioner Groups 
• Organizations 

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