Ohio Medicaid Billing for Home Care Agencies
Ohio’s Medicaid system is large and well-funded, but navigating its eight HCBS waivers across three state agencies can be complex. Paradigm helps you automate claims, prevent denials, and reconcile payments so you get paid on time with no hassle.
Frequently Asked Questions
Home health in Ohio uses a base rate plus unit rate structure. For example, RN services pay $68.44 for the first hour (35–60 minutes) and $9.25 for each additional 15-minute unit (~$37/hr).
PASSPORT uses a closed billing model. Claims are submitted after month-end via the DDE portal in the PASSPORT Administrative Agency system; many agencies batch and submit monthly.
Ohio began EVV claims validation on March 1, 2025 and expanded it on June 1, 2025. All EVV-covered services will require matching visit data by Q1 2026 or claims will be denied.
How Paradigm can Help
Paradigm offers a combination of tech and highly skilled people to bridge the gaps in:
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
& Eligibility
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
Credentialling
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
We don’t stop at submission. We scrub claims, verify all documentation, manage denials, and post payments so your team can stay focused on care.
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"Paradigm handles all of our current billing; our claims are submitted timely and correct. Most importantly, we're being paid quickly and accurately for our work!"
