Tools & Resources

PCG is committed to supporting and growing the in-home service provider workforce through dedicated education and resources. Access tools and resources that support your success as an in-home service provider below.

Provider Toolkit

No more searching for forms or trying to create your own! The Provider Toolkit contains forms you need to maintain your required provider documentation. All forms are approved for use by the Ohio Department of Medicaid (ODM). Every provider is responsible for maintaining documentation that complies with Medicaid regulations and searching for or creating compliant forms can be a time-consuming and difficult barrier for many providers. We hope that you find this resource to be valuable.

Click Here to Access the Toolkit

You will be notified by email whenever toolkit forms are updated, or new forms become available. For your convenience, a Toolkit is available for each service provider type. See the contents of each toolkit below.

- Waiver Provider Reference Guide 2022
- Personal Care Aide Facesheet
- Personal Care Aide Visit Documentation
- Personal Care Aide Visit Documentation—Two Visits Per Day
- Discharge Summary
- 30-Day Service Termination Letter
- Request to Waive 30-Day Requirement to Provide Services
- Tax Affidavit
- Waiver Provider Reference Guide 2022
- Home Care Attendant Facesheet
- Home Care Attendant Documentation
- Medication Administration Record
- 30-Day Service Termination Letter
- Request to Waive 30-Day Requirement to Provide Services
- Tax Affidavit
- LPN/HCA Supervisory Visit Note
- Waiver Provider Reference Guide 2022
- Nursing Facesheet
- Nursing Progress Note-Abbreviated Version
- Nursing Progress Note-Extended Version
- Plan of Care
- Medication Administration Record (MAR)
- 30-Day Service Termination Letter
- Request to Waive 30-Day Requirement to Provide Services
- Tax Affidavit
- LPN/HCA Supervisory Visit Note

Have A Question?

Have a question about structural reviews, Ohio Administrative Code (OAC) rules, enrollment, or something else? We're here to help! Fill out the form below, and someone from our team will be in touch.

Monthly Bulletin

From October 2022 to March 2026, PCG sent a monthly bulletin via email titled Our Healthcare Journey: A Monthly Bulletin for Ohio Medicaid's In-Home Service Providers. The bulletin contained information about upcoming events, training opportunities, rule changes, and content to support your success and career growth. All issues of the bulletin are available on this web page for download.