2022 Rate Increase
For service dates beginning January 1, 2022, the Medicaid maximum payment rates are increasing for Homemaker/Personal Care (HPC), Participant-Directed Homemaker/Personal Care (PD-HPC).
Only providers who bill DODD claims with a rate that is at least the new maximum payment rate will receive higher payments.
Providers who bill DODD claims with a lower rate than the maximum will be paid at that lower rate.
Details about the new rates are provided below.
Information about transportation rates is available here.
Additional information about overtime rates is available here.
Rates are based on cost of doing business category (CODB), which is determined by the county of service. Providers can find their cost of doing business county and look up new rates here, or view in the tables below.
Cost of Doing Business County
|
CODB 1 |
CODB 2 |
CODB 3 |
CODB 4 |
CODB 5 |
CODB 6 |
CODB 7 |
CODB 8 |
|
1 -Adams |
10 -Carroll |
2 -Allen |
3 -Ashland |
4 -Ashtabula |
13 -Clermont |
9 -Butler |
31 -Hamilton |
|
5 -Athens |
17 -Crawford |
6 -Auglaize |
19 -Darke |
11 -Champaign |
25 -Franklin |
18 -Cuyahoga |
|
|
7 -Belmont |
20 -Defiance |
8 -Brown |
22 -Erie |
12 -Clark |
28 -Geauga |
83 -Warren |
|
|
27 -Gallia |
36 -Highland |
14 -Clinton |
23 -Fairfield |
21 -Delaware |
43 -Lake |
||
|
30 -Guernsey |
37 -Hocking |
15 -Columbiana |
26 -Fulton |
29 -Greene |
47 -Lorain |
||
|
34 -Harrison |
40 -Jackson |
16 -Coshocton |
33 -Hardin |
48 -Lucas |
52 -Medina |
||
|
41 -Jefferson |
44 -Lawrence |
24 -Fayette |
35 -Henry |
49 -Madison |
67 -Portage |
||
|
53 -Meigs |
54 -Mercer |
32 -Hancock |
39 -Huron |
55 -Miami |
77 -Summit |
||
|
56 -Monroe |
58 -Morgan |
38 -Holmes |
45 -Licking |
57 -Montgomery |
|||
|
66 -Pike |
60 -Muskingum |
42 -Knox |
46 -Logan |
62 -Ottawa |
|||
|
71 -Ross |
61 -Noble |
51 -Marion |
50 -Mahoning |
68 -Preble |
|||
|
73 -Scioto |
63 -Paulding |
59 -Morrow |
65 -Pickaway |
80 -Union |
|||
|
79 -Tuscarawas |
64 -Perry |
69 -Putnam |
72 -Sandusky |
85 -Wayne |
|||
|
82 -Vinton |
81 -Van Wert |
70 -Richland |
76 -Stark |
||||
|
84 -Washington |
88 -Wyandot |
74 -Seneca |
78 -Trumbull |
||||
|
75 -Shelby |
87 -Wood |
||||||
|
86 -Williams |
New 2022 Rates for Independent providers
Homemaker/Personal Care
Independent provider base rates
(Service codes APC, FPC)
|
Group Size |
||||
|
CODB |
1 |
2 |
3 |
4 |
|
1 |
$5.18 |
$5.54 |
$6.06 |
$6.73 |
|
2 |
$5.23 |
$5.60 |
$6.12 |
$6.80 |
|
3 |
$5.28 |
$5.66 |
$6.18 |
$6.87 |
|
4 |
$5.34 |
$5.72 |
$6.24 |
$6.94 |
|
5 |
$5.38 |
$5.76 |
$6.30 |
$7.00 |
|
6 |
$5.44 |
$5.82 |
$6.36 |
$7.07 |
|
7 |
$5.49 |
$5.88 |
$6.42 |
$7.14 |
|
8 |
$5.54 |
$5.94 |
$6.48 |
$7.21 |
Homemaker/Personal Care
Independent provider base rates
(Service codes AOC, FOC)
|
Group Size |
||||
|
CODB |
1 |
2 |
3 |
4 |
|
1 |
$3.04 |
$3.25 |
$3.55 |
$3.94 |
|
2 |
$3.07 |
$3.28 |
$3.58 |
$3.98 |
|
3 |
$3.10 |
$3.31 |
$3.62 |
$4.02 |
|
4 |
$3.13 |
$3.35 |
$3.66 |
$4.06 |
|
5 |
$3.15 |
$3.37 |
$3.68 |
$4.10 |
|
6 |
$3.18 |
$3.41 |
$3.72 |
$4.14 |
|
7 |
$3.21 |
$3.44 |
$3.76 |
$4.18 |
|
8 |
$3.24 |
$3.47 |
$3.79 |
$4.22 |
Participant-Directed Homemaker/Personal Care
Common law maximum negotiated unit rate (without add-ons)
(Service codes ADC, FDC, SDD)
|
|
$5.54 |
Participant-Directed Homemaker/Personal Care
On-Site/On-Call maximum unit rate
(Service codes AZC, FZC, SZD)
|
|
Group Size |
|
|||
|
|
|
1 |
2 |
3 |
|
|
|
|
$3.24 |
$2.43 |
2.43 |
|
New 2022 Rates for Agency Providers
Homemaker/Personal Care
Agency provider base rates
(Staff size 1, Service codes APC, FPC)
|
|
Group Size |
|||
|
CODB |
1 |
2 |
3 |
4 |
|
1 |
$5.86 |
$6.27 |
$6.86 |
$7.62 |
|
2 |
$5.92 |
$6.33 |
$6.93 |
$7.70 |
|
3 |
$5.98 |
$6.40 |
$7.00 |
$7.78 |
|
4 |
$6.04 |
$6.24 |
$6.81 |
$7.56 |
|
5 |
$6.10 |
$6.52 |
$7.13 |
$7.92 |
|
6 |
$6.16 |
$6.58 |
$7.20 |
$8.00 |
|
7 |
$6.22 |
$6.65 |
$7.27 |
$8.08 |
|
8 |
$6.28 |
$6.71 |
$7.34 |
$8.16 |
On-Site/On-Call
Agency provider base rates
(Staff size 1, Service codes AOC, FOC)
|
|
Group Size |
|||
|
CODB |
1 |
2 |
3 |
4 |
|
1 |
$4.01 |
$4.29 |
$4.69 |
$5.22 |
|
2 |
$4.05 |
$4.33 |
$4.74 |
$5.27 |
|
3 |
$4.09 |
$4.38 |
$4.79 |
$5.32 |
|
4 |
$4.13 |
$4.42 |
$4.84 |
$5.38 |
|
5 |
$4.17 |
$4.46 |
$4.88 |
$5.42 |
|
6 |
$4.21 |
$4.50 |
$4.93 |
$5.48 |
|
7 |
$4.25 |
$4.55 |
$4.98 |
$5.53 |
|
8 |
$4.29 |
$4.59 |
$5.03 |
$5.58 |
Additional group/staff size agency rates are available here.
Participant-Directed Homemaker/Personal Care
Agency with choice maximum unit rate (without add-ons)
(Service code SDC)
|
|
Group Size |
|
||||
|
|
|
1 |
2 |
3 |
|
|
|
|
|
$6.28 |
$4.71 |
$4.71 |
|
|
|
|
|
|
|
|
|
|
Participant-Directed Homemaker/Personal Care
On-Site/On-Call maximum unit rate
(Service code SZC)
|
|
Group Size |
|
|||
|
|
|
1 |
2 |
3 |
|
|
|
|
$4.29 |
$3.22 |
3.22 |
|