Our Mission

The Ohio HCBS Coalition advocates for a strong home and community-based supports system that provides all Ohioans the opportunity to thrive and stay connected and engaged in our homes and communities.

Our Goals


Maintain and expand home and community-based services and supports in the next biennium budget across all populations and systems


Leverage current state and federal funding to ensure access to quality providers in the home and community and prevent a reduction in services


Expand transitions out of long-term care facilities and into the community through programs like HOME Choice


Identify those most at-risk of institutionalization and provide care coordination to prevent placement in a long-term care facility by increasing support to transition coordinators


Increase reimbursement rates for providers across all systems, ensuring individuals are able to receive care in their homes and community 


Ensure providers, specifically home health and personal care aides, access to PPE without putting a financial burden on those providers


Ensure additional funding to providers to offset additional costs incurred during this pandemic


Increase access to providers in the community, ensuring the expansion of system capacity


Ensure individuals have access to safe, affordable, and accessible housing including home modification 

Why an increase for providers?

The Ohio HCBS Coalition is advocating for an additional 1% for 2022 and 5% for 2023 in provider rates for home and community-based services and supports to support provider agencies and wages for direct care workers[1]

  • Older adults and people with disabilities need the direct care workforce to stay independent in their communities and prevent unnecessary institutionalization

  • This workforce is not paid enough and is disproportionately women who are Black, Indigenous, and people of color (BIPOC). Specifically, BIPOC individuals make up 18% of Ohio’s population, but 42% of the home health and personal care workers are BIPOC individuals

  • Women are also overly represented in this workforce, making up 88% of direct care workers even though women are only 51% of Ohio’s total population

  • Home health and personal care providers make a median hourly wage of $12.10 an hour or $16,200 each year

  • In Ohio, the lowest wage for someone to meet their basic needs—like rent, food, and healthcare—is $13.16 an hour

  • Because this workforce can’t meet their basic needs, 53% of direct care workers receive public assistance with 39% on Medicaid

  • Low wages for this essential workforce push these individuals into other industries that pay more per hour. For example, retail workers make an average of $12.14 an hour, and office clerks make an average of $16.37 an hour. Recently, COSTCO employees began making at least $16 an hour

  • Not paying a livable wage to this workforce makes inequalities in the state worse and hurts people who get services in the HCBS system

  • In the US, the annual turnover rate—the percentage of workers who leave each year— for direct care workers is 51.3%, which is 14 times higher than the average turnover for all industries

  • In the next 10 years, the Bureau of Labor Statistics predicts that the need for this workforce will increase 34%—one of the fastest-growing jobs in the US, but Ohio will be unable to support this need if wages do not meet demand

  • It is very important the state help these workers because they are the foundation of our home and community-based services systems

  • A lot of the time, Older adults and people with disabilities can’t find direct care workers, so they are forced into costly institutional settings

  • Ohioans would rather live in their communities than an institutional setting. The state has an obligation to support this service system. This includes giving more funding to increase the pay for this skilled workforce.


[1] "Direct Care Workforce" is comprised of personal care aides, home health aides, and nursing assistants


  1. Median and 10th percentile wage statistics come from the Bureau of Labor Statistics’ Occupational Employment Statistics data: https://data.bls.gov/oes/#/geoOcc/Multiple%20occupations%20for%20one%20geographical%20area

  2. MIT Living Wage Calculations: https://livingwage.mit.edu/states/39

  3. Median pay per occupation according to the Bureau of Labor Statistics’ Occupational Employment Statistics entries for Office Clerks, Retail Sales Workers, Animal Care Workers, and Home Care Providers

  4. National Survey of DSPs in 2020: https://www.ancor.org/newsroom/news/nci-survey-direct-support-professional-turnovernowavailable#:~:text=The%20newest%20National%20Core%20Indicators,(DSPs)%20 is%2051.3%20percent

  5. Bureau of Labor Statistics in a 2020 report: https://www.bls.gov/news.release/pdf/jolts.pdf

  6. PHI. “Workforce Data Center.” Last modified September 14, 2020. https://phinational.org/policy-research/workforce-data-center/.

  7. United States Census Bureau. Ohio Quick Facts. https://www.census.gov/quickfacts/OH