2024 Rate Increases
Beginning July 1, 2024, the Medicaid maximum payment rates are increasing for Homemaker/Personal Care (HPC), Shared Living, Participant-Directed Homemaker/Personal Care (PD-HPC), Adult Day Supports, Vocational Habilitation, Non-Medical Transportation, and regular HPC Transportation. The new rates for these services are listed under the tabs below.
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.
7/1/2024 and 1/1/2024 rates are listed on the tabs below.
7/1/2024 Residential/HPC/OSL
Homemaker/Personal Care
Independent provider base rates
(Service codes APC, FPC)
Group Size |
||||
CODB |
1 |
2 |
3 |
4 |
1 |
$7.15 |
$7.65 |
$8.36 |
$9.29 |
2 |
$7.22 |
$7.73 |
$8.45 |
$9.38 |
3 |
$7.29 |
$7.81 |
$8.54 |
$9.48 |
4 |
$7.37 |
$7.89 |
$8.62 |
$9.58 |
5 |
$7.43 |
$7.95 |
$8.70 |
$9.66 |
6 |
$7.51 |
$8.03 |
$8.78 |
$9.76 |
7 |
$7.58 |
$8.11 |
$8.87 |
$9.86 |
8 |
$7.65 |
$8.19 |
$8.96 |
$9.95 |
On-Site/On-Call
Independent provider base rates
(Service codes AOC, FOC)
Group Size |
||||
CODB |
1 |
2 |
3 |
4 |
1 |
$4.19 |
$4.48 |
$4.91 |
$5.45 |
2 |
$4.24 |
$4.53 |
$4.96 |
$5.50 |
3 |
$4.28 |
$4.58 |
$5.01 |
$5.56 |
4 |
$4.32 |
$4.62 |
$5.06 |
$5.62 |
5 |
$4.36 |
$4.66 |
$5.10 |
$5.66 |
6 |
$4.40 |
$4.70 |
$5.15 |
$5.72 |
7 |
$4.44 |
$4.75 |
$5.20 |
$5.78 |
8 |
$4.49 |
$4.80 |
$5.25 |
$5.83 |
Participant-Directed Homemaker/Personal Care
Common law maximum negotiated unit rate (without add-ons)
(Service codes ADC, FDC, SDD)
|
$7.65 |
Participant-Directed Homemaker/Personal Care
On-Site/On-Call maximum unit rate
(Service codes AZC, FZC, SZD)
|
Group Size |
|
|||
|
|
1 |
2 |
3 |
|
|
|
$4.49 |
$3.37 |
3.37 |
|
Shared Living Services
Independent provider base rates
(Service Code ASP)
CODB Category |
ODDP Range |
Independent Provider Daily Rate |
1 |
1 |
$143.31 |
2 |
$143.31 |
|
3 |
$178.55 |
|
4 |
$178.55 |
|
5 |
$178.55 |
|
6 |
$237.28 |
|
7 |
$237.28 |
|
8 |
$237.28 |
|
9 |
$237.28 |
|
2 |
1 |
$144.71 |
2 |
$144.71 |
|
3 |
$180.30 |
|
4 |
$180.30 |
|
5 |
$180.30 |
|
6 |
$239.60 |
|
7 |
$239.60 |
|
8 |
$239.60 |
|
9 |
$239.60 |
|
3 |
1 |
$146.46 |
2 |
$146.46 |
|
3 |
$182.48 |
|
4 |
$182.48 |
|
5 |
$182.48 |
|
6 |
$242.51 |
|
7 |
$242.51 |
|
8 |
$242.51 |
|
9 |
$242.51 |
|
4 |
1 |
$147.87 |
2 |
$147.87 |
|
3 |
$184.23 |
|
4 |
$184.23 |
|
5 |
$184.23 |
|
6 |
$244.83 |
|
7 |
$244.83 |
|
8 |
$244.83 |
|
9 |
$244.83 |
|
5 |
1 |
$149.27 |
2 |
$149.27 |
|
3 |
$185.97 |
|
4 |
$185.97 |
|
5 |
$185.97 |
|
6 |
$247.15 |
|
7 |
$247.15 |
|
8 |
$247.15 |
|
9 |
$247.15 |
|
6 |
1 |
$150.67 |
2 |
$150.67 |
|
3 |
$187.72 |
|
4 |
$187.72 |
|
5 |
$187.72 |
|
6 |
$249.47 |
|
7 |
$249.47 |
|
8 |
$249.47 |
|
9 |
$249.47 |
|
7 |
1 |
$152.42 |
2 |
$152.42 |
|
3 |
$189.90 |
|
4 |
$189.90 |
|
5 |
$189.90 |
|
6 |
$252.37 |
|
7 |
$252.37 |
|
8 |
$252.37 |
|
9 |
$252.37 |
|
8 |
1 |
$153.82 |
2 |
$153.82 |
|
3 |
$191.65 |
|
4 |
$191.65 |
|
5 |
$191.65 |
|
6 |
$254.69 |
|
7 |
$254.69 |
|
8 |
$254.69 |
|
9 |
$254.69 |
7/1/2024 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 |
$8.09 |
$8.66 |
$9.46 |
$10.51 |
2 |
$8.18 |
$8.75 |
$9.56 |
$10.62 |
3 |
$8.26 |
$8.84 |
$9.66 |
$10.73 |
4 |
$8.34 |
$8.93 |
$9.76 |
$10.84 |
5 |
$8.42 |
$9.01 |
$9.84 |
$10.94 |
6 |
$8.50 |
$9.10 |
$9.94 |
$11.05 |
7 |
$8.58 |
$9.19 |
$10.04 |
$11.16 |
8 |
$8.67 |
$9.28 |
$10.14 |
$11.27 |
On-Site/On-Call
Agency provider base rates
(Staff size 1, Service codes AOC, FOC)
|
Group Size |
|||
CODB |
1 |
2 |
3 |
4 |
1 |
$5.53 |
$5.92 |
$6.47 |
$7.19 |
2 |
$5.59 |
$5.98 |
$6.54 |
$7.27 |
3 |
$5.65 |
$6.04 |
$6.60 |
$7.34 |
4 |
$5.71 |
$6.10 |
$6.67 |
$7.42 |
5 |
$5.75 |
$6.16 |
$6.73 |
$7.48 |
6 |
$5.81 |
$6.22 |
$6.80 |
$7.56 |
7 |
$5.87 |
$6.28 |
$6.86 |
$7.63 |
8 |
$5.93 |
$6.34 |
$6.93 |
$7.71 |
Participant-Directed Homemaker/Personal Care
Agency with choice maximum unit rate (without add-ons)
(Service code SDC)
|
Group Size |
|
||||
|
|
1 |
2 |
3 |
|
|
|
|
$8.67 |
$6.50 |
$6.50 |
|
|
|
|
|
|
|
|
|
Participant-Directed Homemaker/Personal Care
On-Site/On-Call maximum unit rate
(Service code SZC)
|
Group Size |
|
|||
|
|
1 |
2 |
3 |
|
|
|
$5.93 |
$4.45 |
$4.45 |
|
Shared Living Services
Agency provider base rates
(Service Code ASA)
CODB Category |
ODDP Range |
Agency Provider Daily Rate |
1 |
1 |
$163.28 |
2 |
$163.28 |
|
3 |
$203.43 |
|
4 |
$203.43 |
|
5 |
$203.43 |
|
6 |
$270.35 |
|
7 |
$270.35 |
|
8 |
$270.35 |
|
9 |
$270.35 |
|
2 |
1 |
$165.03 |
2 |
$165.03 |
|
3 |
$205.62 |
|
4 |
$205.62 |
|
5 |
$205.62 |
|
6 |
$273.25 |
|
7 |
$273.25 |
|
8 |
$273.25 |
|
9 |
$273.25 |
|
3 |
1 |
$166.79 |
2 |
$166.79 |
|
3 |
$207.80 |
|
4 |
$207.80 |
|
5 |
$207.80 |
|
6 |
$276.15 |
|
7 |
$276.15 |
|
8 |
$276.15 |
|
9 |
$276.15 |
|
4 |
1 |
$168.54 |
2 |
$168.54 |
|
3 |
$209.98 |
|
4 |
$209.98 |
|
5 |
$209.98 |
|
6 |
$279.06 |
|
7 |
$279.06 |
|
8 |
$279.06 |
|
9 |
$279.06 |
|
5 |
1 |
$169.94 |
2 |
$169.94 |
|
3 |
$211.73 |
|
4 |
$211.73 |
|
5 |
$211.73 |
|
6 |
$281.38 |
|
7 |
$281.38 |
|
8 |
$281.38 |
|
9 |
$281.38 |
|
6 |
1 |
$171.69 |
2 |
$171.69 |
|
3 |
$213.91 |
|
4 |
$213.91 |
|
5 |
$213.91 |
|
6 |
$284.28 |
|
7 |
$284.28 |
|
8 |
$284.28 |
|
9 |
$284.28 |
|
7 |
1 |
$173.44 |
2 |
$173.44 |
|
3 |
$216.09 |
|
4 |
$216.09 |
|
5 |
$216.09 |
|
6 |
$287.18 |
|
7 |
$287.18 |
|
8 |
$287.18 |
|
9 |
$287.18 |
|
8 |
1 |
$175.20 |
2 |
$175.20 |
|
3 |
$218.28 |
|
4 |
$218.28 |
|
5 |
$218.28 |
|
6 |
$290.08 |
|
7 |
$290.08 |
|
8 |
$290.08 |
|
9 |
$290.08 |
New 2024 Transportation Rates
Transportation in Miles
(Service code ATN and for modified ATO)
Group Size |
|
|||
|
1 |
2-3 |
4 or more |
|
Modified Vehichle |
$1.44 |
$0.72 |
$0.55 |
|
Non-Modified Vehicle |
$0.83 |
$0.42 |
$0.32 |
|
7/1/2024 Adult Day
Adult Day Waiver services (adult day support and vocational habilitation) are determined by the Cost of Doing Business Categories (CODB). The below grid indicates what counties are in each CODB category.
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 |
|
|
|
Appendices (billing codes and Medicaid maximum rates): Adult Day Support ; Vocational Habilitation
“New Adult Day Waiver Services Budget Limitations for 2024”)
click to expand
The new Budget Limitations for the Adult Day Waiver Services based on the Adult Acuity Instrument scoring and Cost of Doing Business Category.
CODB Category |
A Acuity |
A1 Acuity |
B Acuity |
C Acuity |
1 |
$14,755.00 |
$14,755.00 |
$26,520.00 |
$44,135.00 |
2 |
$14,885.00 |
$14,885.00 |
$26,780.00 |
$44,590.00 |
3 |
$15,015.00 |
$15,015.00 |
$27,040.00 |
$45,045.00 |
4 |
$15,210.00 |
$15,210.00 |
$27,300.00 |
$45,565.00 |
5 |
$15,340.00 |
$15,340.00 |
$27,560.00 |
$45,955.00 |
6 |
$15,470.00 |
$15,470.00 |
$27,820.00 |
$46,475.00 |
7 |
$15,665.00 |
$15,665.00 |
$28,080.00 |
$46,930.00 |
8 |
$15,795.00 |
$15,795.00 |
$28,340.00 |
$47,385.00 |
“NEW 2024 Adult Day Waiver Services Rates”)
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Adult Day Support not provided in a group of 4 or fewer individuals
Daily Billing codes:
ADS, FDS, SDS, AGD, FGD, SGD
CODB Category |
A1 Acuity |
A Acuity |
B Acuity |
C Acuity |
1 |
$42.50 |
$56.75 |
$102.00 |
$169.75 |
2 |
$43.00 |
$57.25 |
$103.00 |
$171.50 |
3 |
$43.25 |
$57.75 |
$104.00 |
$173.25 |
4 |
$43.75 |
$58.50 |
$105.00 |
$175.25 |
5 |
$44.25 |
$59.00 |
$106.00 |
$176.75 |
6 |
$44.75 |
$59.50 |
$107.00 |
$178.75 |
7 |
$45.00 |
$60.25 |
$108.00 |
$180.50 |
8 |
$45.50 |
$60.75 |
$109.00 |
$182.25 |
Fifteen-minute unit codes for regular and virtual service:
ADF, FDF, SDF, AGF, FGF, SGF, ADW, FDW, SDW
CODB Category |
A1 Acuity |
A Acuity |
B Acuity |
C Acuity |
1 |
$1.70 |
$2.27 |
$4.08 |
$6.79 |
2 |
$1.72 |
$2.29 |
$4.12 |
$6.86 |
3 |
$1.73 |
$2.32 |
$4.16 |
$6.93 |
4 |
$1.75 |
$2.34 |
$4.20 |
$7.01 |
5 |
$1.77 |
$2.36 |
$4.24 |
$7.07 |
6 |
$1.79 |
$2.38 |
$4.28 |
$7.15 |
7 |
$1.80 |
$2.41 |
$4.32 |
$7.22 |
8 |
$1.82 |
$2.43 |
$4.36 |
$7.29 |
Note these rates are prior to any applicable add-ons.
Adult Day Support provided in a group of 4 or fewer individuals in the community
Daily Billing codes
ADU, FDU, SDU
CODB Category 1 |
$169.75 |
CODB Category 2 |
$171.50 |
CODB Category 3 |
$173.25 |
CODB Category 4 |
$175.25 |
CODB Category 5 |
$176.75 |
CODB Category 6 |
$178.75 |
CODB Category 7 |
$180.50 |
CODB Category 8 |
$182.25 |
Fifteen-minute unit codes
ADF, FDF, SDF, AGE, FGE, SGE
CODB Category 1 |
$6.79 |
CODB Category 2 |
$6.86 |
CODB Category 3 |
$6.93 |
CODB Category 4 |
$7.01 |
CODB Category 5 |
$7.07 |
CODB Category 6 |
$7.15 |
CODB Category 7 |
$7.22 |
CODB Category 8 |
$7.29 |
Note these rates are prior to any applicable add-ons.
Vocational Habilitation not provided in a group of 4 or fewer individuals
Daily Billing codes
AVH, FVH, SVD
CODB Category |
A1 Acuity |
A Acuity |
B Acuity |
C Acuity |
1 |
$42.50 |
$56.75 |
$102.00 |
$169.75 |
2 |
$43.00 |
$57.25 |
$103.00 |
$171.50 |
3 |
$43.25 |
$57.75 |
$104.00 |
$173.25 |
4 |
$43.75 |
$58.50 |
$105.00 |
$175.25 |
5 |
$44.25 |
$59.00 |
$106.00 |
$176.75 |
6 |
$44.75 |
$59.50 |
$107.00 |
$178.75 |
7 |
$45.00 |
$60.25 |
$108.00 |
$180.50 |
8 |
$45.50 |
$60.75 |
$109.00 |
$182.25 |
Fifteen-minute unit codes for regular and virtual service:
AVF, FVF, SVF, AVW, FVW, SVW
CODB Category |
A Acuity |
A1 Acuity |
B Acuity |
C Acuity |
1 |
$1.70 |
$2.27 |
$4.08 |
$6.79 |
2 |
$1.72 |
$2.29 |
$4.12 |
$6.86 |
3 |
$1.73 |
$2.32 |
$4.16 |
$6.93 |
4 |
$1.75 |
$2.34 |
$4.20 |
$7.01 |
5 |
$1.77 |
$2.36 |
$4.24 |
$7.07 |
6 |
$1.79 |
$2.38 |
$4.28 |
$7.15 |
7 |
$1.80 |
$2.41 |
$4.32 |
$7.22 |
8 |
$1.82 |
$2.43 |
$4.36 |
$7.29 |
Note these rates are prior to any applicable add-ons.
Vocational Habilitation provided in a group of 4 or fewer individuals in the community
Daily Billing codes
AVU, FVU, SVU
CODB Category 1 |
$169.75 |
CODB Category 2 |
$171.50 |
CODB Category 3 |
$173.25 |
CODB Category 4 |
$175.25 |
CODB Category 5 |
$176.75 |
CODB Category 6 |
$178.75 |
CODB Category 7 |
$180.50 |
CODB Category 8 |
$182.25 |
Fifteen-minute unit codes:
AVT, FVT, SVT
CODB Category 1 |
$6.79 |
CODB Category 2 |
$6.86 |
CODB Category 3 |
$6.93 |
CODB Category 4 |
$7.01 |
CODB Category 5 |
$7.07 |
CODB Category 6 |
$7.15 |
CODB Category 7 |
$7.22 |
CODB Category 8 |
$7.29 |
Note these rates are prior to any applicable add-ons.
Non-Medical Transportation
Trip Rates
Codes ATB, FTB, STB
COBD One-way trip in vehicle
1 |
$26.91 |
2 |
$27.19 |
3 |
$27.47 |
4 |
$27.75 |
5 |
$28.01 |
6 |
$28.29 |
7 |
$28.57 |
8 |
$28.85 |
Transportation in Miles
(Service code ATW and for modified vehicle ATX)
Group Size
1 2-3 4 or more
Modified Vehicle $1.44 $0.72 $0.55
Non-Modified Vehicle $0.83 $0.42 $0.32
1/1/2024 Adult Day
Adult Day Waiver services (adult day support and vocational habilitation) are determined by the Cost of Doing Business Categories (CODB). The below grid indicates what counties are in each CODB category.
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 |
|
|
|
Appendices (billing codes and Medicaid maximum rates): Adult Day Support ; Vocational Habilitation
“New Adult Day Waiver Services Budget Limitations for 2024”)
click to expand
The new Budget Limitations for the Adult Day Waiver Services based on the Adult Acuity Instrument scoring and Cost of Doing Business Category.
CODB Category |
A Acuity |
A1 Acuity |
B Acuity |
C Acuity |
1 |
$14,755.00 |
$14,755.00 |
$26,520.00 |
$44,135.00 |
2 |
$14,885.00 |
$14,885.00 |
$26,780.00 |
$44,590.00 |
3 |
$15,015.00 |
$15,015.00 |
$27,040.00 |
$45,045.00 |
4 |
$15,210.00 |
$15,210.00 |
$27,300.00 |
$45,565.00 |
5 |
$15,340.00 |
$15,340.00 |
$27,560.00 |
$45,955.00 |
6 |
$15,470.00 |
$15,470.00 |
$27,820.00 |
$46,475.00 |
7 |
$15,665.00 |
$15,665.00 |
$28,080.00 |
$46,930.00 |
8 |
$15,795.00 |
$15,795.00 |
$28,340.00 |
$47,385.00 |
“NEW 2024 Adult Day Waiver Services Rates”)
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Adult Day Support not provided in a group of 4 or fewer individuals
Daily Billing codes:
ADS, FDS, SDS, AGD, FGD, SGD
CODB Category |
A1 Acuity |
A Acuity |
B Acuity |
C Acuity |
1 |
$40.25 |
$53.75 |
$96.50 |
$160.75 |
2 |
$40.75 |
$54.25 |
$97.50 |
$162.50 |
3 |
$41.00 |
$54.75 |
$98.50 |
$164.25 |
4 |
$41.50 |
$55.25 |
$99.50 |
$165.75 |
5 |
$42.00 |
$55.75 |
$100.50 |
$167.75 |
6 |
$42.50 |
$56.25 |
$101.50 |
$169.25 |
7 |
$42.75 |
$56.75 |
$102.50 |
$171.00 |
8 |
$43.25 |
$57.25 |
$103.50 |
$172.75 |
Fifteen-minute unit codes for regular and virtual service:
ADF, FDF, SDF, AGF, FGF, SGF, ADW, FDW, SDW
CODB Category |
A1 Acuity |
A Acuity |
B Acuity |
C Acuity |
1 |
$1.61 |
$2.15 |
$3.86 |
$6.43 |
2 |
$1.63 |
$2.17 |
$3.90 |
$6.50 |
3 |
$1.64 |
$2.19 |
$3.94 |
$6.57 |
4 |
$1.66 |
$2.21 |
$3.98 |
$6.63 |
5 |
$1.68 |
$2.23 |
$4.02 |
$6.71 |
6 |
$1.70 |
$2.25 |
$4.06 |
$6.77 |
7 |
$1.71 |
$2.27 |
$4.10 |
$6.84 |
8 |
$1.73 |
$2.29 |
$4.14 |
$6.91 |
Note these rates are prior to any applicable add-ons.
Adult Day Support provided in a group of 4 or fewer individuals in the community
Daily Billing codes
ADU, FDU, SDU
CODB Category 1 |
$160.75 |
CODB Category 2 |
$162.50 |
CODB Category 3 |
$164.25 |
CODB Category 4 |
$165.75 |
CODB Category 5 |
$167.75 |
CODB Category 6 |
$169.25 |
CODB Category 7 |
$171.00 |
CODB Category 8 |
$172.75 |
Fifteen-minute unit codes
ADF, FDF, SDF, AGE, FGE, SGE
CODB Category 1 |
$6.43 |
CODB Category 2 |
$6.50 |
CODB Category 3 |
$6.57 |
CODB Category 4 |
$6.63 |
CODB Category 5 |
$6.71 |
CODB Category 6 |
$6.77 |
CODB Category 7 |
$6.84 |
CODB Category 8 |
$6.91 |
Note these rates are prior to any applicable add-ons.
Vocational Habilitation not provided in a group of 4 or fewer individuals
Daily Billing codes
AVH, FVH, SVD
CODB Category |
A1 Acuity |
A Acuity |
B Acuity |
C Acuity |
1 |
$40.25 |
$53.75 |
$96.50 |
$160.75 |
2 |
$40.75 |
$54.25 |
$97.50 |
$162.50 |
3 |
$41.00 |
$54.75 |
$98.50 |
$164.25 |
4 |
$41.50 |
$55.25 |
$99.50 |
$165.75 |
5 |
$42.00 |
$55.75 |
$100.50 |
$167.75 |
6 |
$42.50 |
$56.25 |
$101.50 |
$169.25 |
7 |
$42.75 |
$56.75 |
$102.50 |
$171.00 |
8 |
$43.25 |
$57.25 |
$103.50 |
$172.75 |
Fifteen-minute unit codes for regular and virtual service:
AVF, FVF, SVF, AVW, FVW, SVW
CODB Category |
A1 Acuity |
A Acuity |
B Acuity |
C Acuity |
1 |
$1.61 |
$2.15 |
$3.86 |
$6.43 |
2 |
$1.63 |
$2.17 |
$3.90 |
$6.50 |
3 |
$1.64 |
$2.19 |
$3.94 |
$6.57 |
4 |
$1.66 |
$2.21 |
$3.98 |
$6.63 |
5 |
$1.68 |
$2.23 |
$4.02 |
$6.71 |
6 |
$1.70 |
$2.25 |
$4.06 |
$6.77 |
7 |
$1.71 |
$2.27 |
$4.10 |
$6.84 |
8 |
$1.73 |
$2.29 |
$4.14 |
$6.91 |
Note these rates are prior to any applicable add-ons.
Vocational Habilitation provided in a group of 4 or fewer individuals in the community
Daily Billing codes
AVU, FVU, SVU
CODB Category 1 |
$160.75 |
CODB Category 2 |
$162.50 |
CODB Category 3 |
$164.25 |
CODB Category 4 |
$165.75 |
CODB Category 5 |
$167.75 |
CODB Category 6 |
$169.25 |
CODB Category 7 |
$171.00 |
CODB Category 8 |
$172.75 |
Fifteen-minute unit codes:
AVT, FVT, SVT
CODB Category 1 |
$6.43 |
CODB Category 2 |
$6.50 |
CODB Category 3 |
$6.57 |
CODB Category 4 |
$6.63 |
CODB Category 5 |
$6.71 |
CODB Category 6 |
$6.77 |
CODB Category 7 |
$6.84 |
CODB Category 8 |
$6.91 |
Note these rates are prior to any applicable add-ons.
Non-Medical Transportation
Trip Rates
Codes ATB, FTB, STB
COBD One-way trip in vehicle
1 |
$25.49 |
2 |
$25.76 |
3 |
$26.02 |
4 |
$26.29 |
5 |
$26.53 |
6 |
$26.80 |
7 |
$27.06 |
8 |
$27.33 |
Transportation in Miles
(Service code ATW and for modified vehicle ATX)
Group Size |
1 |
2-3 |
4 or more |
Modified Vehicle |
$1.36 |
$0.68 |
$0.52 |
Non-Modified Vehicle |
$0.78 |
$0.38 |
$0.30 |
1/1/2024 Residential/HPC/OSL
Residential Waiver Service are determined by the Cost of Doing Business Categories (CODB). The below grid indicates what counties are in each CODB category.
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 2024 Rates for Independent providers
Homemaker/Personal Care
Independent provider base rates
(Service codes APC, FPC)
Group Size |
||||
CODB |
1 |
2 |
3 |
4 |
1 |
$6.77 |
$7.24 |
$7.92 |
$8.80 |
2 |
$6.84 |
$7.32 |
$8.00 |
$8.89 |
3 |
$6.91 |
$7.39 |
$8.08 |
$8.98 |
4 |
$6.98 |
$7.47 |
$8.16 |
$9.07 |
5 |
$7.04 |
$7.53 |
$8.24 |
$9.15 |
6 |
$7.11 |
$7.61 |
$8.32 |
$9.28 |
7 |
$7.18 |
$7.69 |
$8.44 |
$9.51 |
8 |
$7.25 |
$7.76 |
$8.61 |
$9.84 |
On-site/On-call
Independent provider base rates
(Service codes AOC, FOC)
Group Size |
||||
CODB |
1 |
2 |
3 |
4 |
1 |
$3.97 |
$4.25 |
$4.65 |
$5.16 |
2 |
$4.01 |
$4.29 |
$4.69 |
$5.21 |
3 |
$4.05 |
$4.34 |
$4.74 |
$5.26 |
4 |
$4.09 |
$4.38 |
$4.79 |
$5.32 |
5 |
$4.13 |
$4.42 |
$4.83 |
$5.36 |
6 |
$4.17 |
$4.46 |
$4.88 |
$5.42 |
7 |
$4.21 |
$4.51 |
$4.93 |
$5.47 |
8 |
$4.25 |
$4.55 |
$4.97 |
$5.52 |
Participant-Directed Homemaker/Personal Care
Common law maximum negotiated unit rate (without add-ons)
(Service codes ADC, FDC, SDD)
|
$7.25 |
Participant-Directed Homemaker/Personal Care
On-Site/On-Call maximum unit rate
(Service codes AZC, FZC, SZD)
Group Size |
||
1 |
2 |
3 |
$4.25 |
$3.19 |
3.19 |
Shared Living Services
Independent provider base rates
(Service Code ASP)
CODB Category |
ODDP Range |
Independent Provider Daily Rate |
1 |
1 |
$135.76 |
2 |
$135.76 |
|
3 |
$169.15 |
|
4 |
$169.15 |
|
5 |
$169.15 |
|
6 |
$224.79 |
|
7 |
$224.79 |
|
8 |
$224.79 |
|
9 |
$224.79 |
|
2 |
1 |
$137.09 |
2 |
$137.09 |
|
3 |
$170.80 |
|
4 |
$170.80 |
|
5 |
$170.80 |
|
6 |
$226.99 |
|
7 |
$226.99 |
|
8 |
$226.99 |
|
9 |
$226.99 |
|
3 |
1 |
$138.75 |
2 |
$138.75 |
|
3 |
$172.87 |
|
4 |
$172.87 |
|
5 |
$172.87 |
|
6 |
$229.74 |
|
7 |
$229.74 |
|
8 |
$229.74 |
|
9 |
$229.74 |
|
4 |
1 |
$140.08 |
2 |
$140.08 |
|
3 |
$174.53 |
|
4 |
$174.53 |
|
5 |
$174.53 |
|
6 |
$231.94 |
|
7 |
$231.94 |
|
8 |
$231.94 |
|
9 |
$231.94 |
|
5 |
1 |
$141.41 |
2 |
$141.41 |
|
3 |
$176.18 |
|
4 |
$176.18 |
|
5 |
$176.18 |
|
6 |
$234.13 |
|
7 |
$234.13 |
|
8 |
$234.13 |
|
9 |
$234.13 |
|
6 |
1 |
$142.74 |
2 |
$142.74 |
|
3 |
$177.83 |
|
4 |
$177.83 |
|
5 |
$177.83 |
|
6 |
$236.33 |
|
7 |
$236.33 |
|
8 |
$236.33 |
|
9 |
$236.33 |
|
7 |
1 |
$144.40 |
2 |
$144.40 |
|
3 |
$179.90 |
|
4 |
$179.90 |
|
5 |
$179.90 |
|
6 |
$239.08 |
|
7 |
$239.08 |
|
8 |
$239.08 |
|
9 |
$239.08 |
|
8 |
1 |
$145.72 |
2 |
$145.72 |
|
3 |
$181.56 |
|
4 |
$181.56 |
|
5 |
$181.56 |
|
6 |
$241.28 |
|
7 |
$241.28 |
|
8 |
$241.28 |
|
9 |
$241.28 |
New 2024 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 |
$7.67 |
$8.21 |
$8.97 |
$9.96 |
2 |
$7.75 |
$8.29 |
$9.06 |
$10.07 |
3 |
$7.83 |
$8.38 |
$9.16 |
$10.17 |
4 |
$7.91 |
$8.46 |
$9.25 |
$10.27 |
5 |
$7.97 |
$8.54 |
$9.33 |
$10.37 |
6 |
$8.05 |
$8.62 |
$9.42 |
$10.47 |
7 |
$8.13 |
$8.71 |
$9.52 |
$10.57 |
8 |
$8.21 |
$8.79 |
$9.61 |
$10.68 |
On-Site/On-Call
Agency provider base rates
(Staff size 1, Service codes AOC, FOC)
Group Size |
||||
CODB |
1 |
2 |
3 |
4 |
1 |
$5.24 |
$5.60 |
$6.12 |
$6.81 |
2 |
$5.29 |
$5.66 |
$6.19 |
$6.88 |
3 |
$5.34 |
$5.72 |
$6.25 |
$6.95 |
4 |
$5.40 |
$5.78 |
$6.31 |
$7.02 |
5 |
$5.44 |
$5.82 |
$6.37 |
$7.08 |
6 |
$5.50 |
$5.88 |
$6.43 |
$7.15 |
7 |
$5.55 |
$5.94 |
$6.49 |
$7.22 |
8 |
$5.60 |
$6.00 |
$6.56 |
$7.29 |
Participant-Directed Homemaker/Personal Care
Agency with choice maximum unit rate (without add-ons)
(Service code SDC)
Group Size |
||
1 |
2 |
3 |
$8.21 |
$8.18 |
$8.18 |
Participant-Directed Homemaker/Personal Care
On-Site/On-Call maximum unit rate
(Service code SZC)
Group Size |
||
1 |
2 |
3 |
$5.60 |
$4.20 |
$4.20 |
Shared Living Services
Agency provider base rates
(Service Code ASA)
CODB Category |
ODDP Range |
Agency Provider Daily Rate |
1 |
1 |
$154.69 |
2 |
$154.69 |
|
3 |
$192.72 |
|
4 |
$192.72 |
|
5 |
$192.72 |
|
6 |
$256.12 |
|
7 |
$256.12 |
|
8 |
$256.12 |
|
9 |
$256.12 |
|
2 |
1 |
$156.35 |
2 |
$156.35 |
|
3 |
$194.79 |
|
4 |
$194.79 |
|
5 |
$194.79 |
|
6 |
$258.87 |
|
7 |
$258.87 |
|
8 |
$258.87 |
|
9 |
$258.87 |
|
3 |
1 |
$158.01 |
2 |
$158.01 |
|
3 |
$196.86 |
|
4 |
$196.86 |
|
5 |
$196.86 |
|
6 |
$261.61 |
|
7 |
$261.61 |
|
8 |
$261.61 |
|
9 |
$261.61 |
|
4 |
1 |
$159.66 |
2 |
$159.66 |
|
3 |
$198.93 |
|
4 |
$198.93 |
|
5 |
$198.93 |
|
6 |
$264.36 |
|
7 |
$264.36 |
|
8 |
$264.36 |
|
9 |
$264.36 |
|
5 |
1 |
$160.99 |
2 |
$160.99 |
|
3 |
$200.58 |
|
4 |
$200.58 |
|
5 |
$200.58 |
|
6 |
$266.56 |
|
7 |
$266.56 |
|
8 |
$266.56 |
|
9 |
$266.56 |
|
6 |
1 |
$162.65 |
2 |
$162.65 |
|
3 |
$202.65 |
|
4 |
$202.65 |
|
5 |
$202.65 |
|
6 |
$269.31 |
|
7 |
$269.31 |
|
8 |
$269.31 |
|
9 |
$269.31 |
|
7 |
1 |
$164.31 |
2 |
$164.31 |
|
3 |
$204.72 |
|
4 |
$204.72 |
|
5 |
$204.72 |
|
6 |
$272.06 |
|
7 |
$272.06 |
|
8 |
$272.06 |
|
9 |
$272.06 |
|
8 |
1 |
$165.97 |
2 |
$165.97 |
|
3 |
$206.78 |
|
4 |
$206.78 |
|
5 |
$206.78 |
|
6 |
$274.81 |
|
7 |
$274.81 |
|
8 |
$274.81 |
|
9 |
$274.81 |
New 2024 Transportation Rates
Transportation in Miles
(Service code ATN and for modified ATO)
Group Size |
|||
|
1 |
2-3 |
4 or more |
Modified Vehicle |
$1.36 |
$0.68 |
$0.52 |
Non-Modified Vehicle |
$0.78 |
$0.38 |
$0.30 |