The short answer Ohio historically had no home care licensure, but under ORC Chapter 3740 and OAC Chapter 3701-60 the Ohio Department of Health now licenses both skilled home health and nonmedical home services (agencies and non-agency providers). Nonmedical personnel training is competency/agency-based with no fixed statewide hour minimum; skilled/Medicare aides follow the federal 75-hour standard.
What Ohio requires
Ohio
New licensure regime. OAC Chapter 3701-60 implements Ohio's home health licensure law: providers must hold an ODH license for nonmedical home health services (home health aide and personal care services) or skilled home health services; a skilled license also covers nonmedical services.
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Nonmedical license application. ODH's nonmedical home health services license applies to agencies and to non-agency (self-employed) providers; training for nonmedical personnel is established through agency policies and competency rather than a fixed statewide hour requirement.
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Skilled/Medicare aides. Home health aides at Medicare-certified Ohio agencies must meet the federal 75-hour training/competency requirement (16 hours supervised practical) and 12 hours of annual in-service under 42 CFR 484.80.
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Medicaid aide training. Ohio Medicaid and Department of Aging waiver rules impose their own aide requirements — e.g., ODA PASSPORT personal care rules (OAC 173-39-02.11) and ODM HCBS rules require documented training such as STNA certification, a Medicare competency evaluation program, or an equivalent program.
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The federal baseline (applies in every state)
Federal
75-hour HHA training standard. Under 42 CFR 484.80(b), home health aides at Medicare-certified home health agencies must complete a training program of at least 75 hours, including at least 16 hours of classroom training completed before beginning at least 16 hours of supervised practical (hands-on) training.
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Competency evaluation / CNA pathway. 42 CFR 484.80(a) allows aides to qualify by completing the 75-hour training and competency evaluation program, by passing a competency evaluation alone, or by completing a state nurse aide training and competency evaluation program (CNA) and being in good standing on the state nurse aide registry.
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12-hour annual in-service. 42 CFR 484.80(d) requires home health aides to receive at least 12 hours of in-service training during each 12-month period, which may occur while the aide is furnishing care and must be supervised by a registered nurse.
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RN trainer requirements. Under 42 CFR 484.80(b)(3) and (c)(2), classroom and supervised practical training must be performed by or under the general supervision of a registered nurse with at least 2 years of nursing experience, at least 1 year of which must be in home health care; competency evaluations must likewise be performed by an RN in consultation with other professionals.
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Primary sources for this page
- https://codes.ohio.gov/ohio-administrative-code/chapter-3701-60
- https://odh.ohio.gov/know-our-programs/home-health-agencies/home-health-agency-licensure/non-medical-home-health-services-license-application
- https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-B/section-484.80
- https://codes.ohio.gov/ohio-administrative-code/rule-173-39-02.11