Ohio Homemaker Services Policy Manual

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The Ohio Homemaker Services Policy Manual provides a comprehensive and standardized framework for the delivery of homemaker services under Ohio’s Medicaid Home and Community-Based Services (HCBS) Waiver programs. Designed to ensure compliance with Ohio Administrative Code 173-39-02.8 and other applicable federal and state regulations, the manual supports agencies in delivering essential non-medical assistance to individuals in their homes, enabling them to maintain their independence, health, and safety.
The manual outlines critical administrative, operational, clinical, and service delivery protocols that align with the Centers for Medicare & Medicaid Services (CMS) requirements, the Americans with Disabilities Act (ADA), and HIPAA guidelines. It covers core service components such as meal preparation, housekeeping, errands, personal care assistance, and supportive tasks tailored to each client’s individualized service plan.
This policy manual also establishes procedures for staff training, risk management, emergency preparedness, quality assurance, client rights, and care coordination. Through detailed policies on intake, eligibility, assessment, and safety, the manual serves as a tool for agencies to implement best practices and promote client-centered, culturally competent, and outcome-driven services.
By adhering to this policy manual, provider agencies ensure that homemaker services are delivered effectively, ethically, and in full regulatory compliance—enhancing the quality of life for older adults and individuals with disabilities in Ohio.