Provider Enrollment

PCG is responsible for ensuring that waiver provider enrollment requirements are met and that provider applications are completed in a timely and compliant manner. PCG verifies that the provider applicant is compliant with the provider qualifications and service requirements outlined in the Ohio Administrative Code. PCG is here to assist those wishing to become providers with information requests regarding provider requirements and eligibility and to verify that each applicant satisfactorily meets the requirements for the relevant provider type.  

To be enrolled to provide Ohio Home Care Waiver services as a Registered Nurse, Licensed Practical Nurse, Home Health Agency, Non-Agency Personal Care Aide, or Home Care Attendant, or to enroll to perform services such as Home Modifications, Supplemental Transportation or Out-of-Home Respite, applicants must submit an application via the Medicaid Information Technology System (MITS) portal.

MITS Provider Portal

Online Application Tutorial - If you are unable to view/download the powerpoint, please click here for the PDF version.

Check the Status of a Submitted Application

Additional Enrollment Information:

Updated NPI Reference Guide

Documentation Required for Provider Enrollment
Licensure / Certification / Competency

Provider Background Check

Waiver Services Provider Applicant Forms