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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