Ohio aims to provide in-home care services – and other non-institutional care – to prevent or reduce more costly care in assisted living facilities and nursing homes. The state has specific requirements and definitions for independent providers or agency direct-care services given to people in their homes.

Home Health & Home Care Services
This usually refers to skilled care provided by for-profit and non-profit agencies based on a medical plan and supervised by a health care professional. Many home health agencies are private-pay so the Ohio Department of Health doesn’t regulate them. There is neither state licensure nor registration for home health agencies in Ohio. All home health agencies certified to participate in the Medicare program must provide skilled nursing care and certain therapeutic services. Home health care can include assistance with medications, wound care and intravenous (IV) therapy, plus help with essential daily activities. Other services may include therapy and rehabilitation by registered nurses, physical therapists and occupational and speech therapists. In-home skilled nursing also is available through Medicaid under strict guidelines, and by Medicare for a limited time.

Personal care services An individual or agency helps seniors with activities essential to daily living — eating, dressing, bathing, toileting, transferring from one place to another in the home and walking. These services can help manage the household, handle personal affairs and self-administer medications. Personal care also includes respite care.

Homemaker services These providers help with preparing meals, light routine housekeeping, laundry, shopping and errands.
Home care attendant service Home attendants provide support for someone with impaired physical or cognitive functioning. They include personal care; general household help including meals and grooming, yard care; heavy household chores like washing floors; transportation and help with money management and correspondence under the direction of the senior.

Home-delivered nutrition program Nutritious meals are delivered to the home through programs, such as Meals on Wheels or other food services.

Adult day service These services, usually provided during business hours, are typically held at a center where people with moderate physical or cognitive impairments can get supervision, health services, meal and recreational and social activities. Some adult day centers provide transportation. Adult day can be combined with in-home care to provide more service.

Chore service A chore service will do such jobs as heavy household cleaning, simple interior maintenance, pest control, garbage and recycling and seasonal outside tasks like cleaning gutters, snow removal, mowing and removing leaves.

Respite Short-term, in-home help for caregivers who take care of an older person. Trained professionals or volunteers care for the older person so the caregiver gets personal time.

Hospice The terminally ill receive home health aide services, nursing care, medical social services, pain management, physician’s services, homemaker services, medical supplies, crisis help and grief counseling to the dying and their families. These licensed programs try to keep patients at home as long as possible, with short-term inpatient care if necessary.

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