Medicaid and home- and community-based services in Ohio

Ohio policymakers have recently been exploring issues related to the prevention, identification and elimination of fraud, waste and abuse in the Ohio Medicaid program.

Medicaid provides heathcare coverage for about a quarter of Ohioans (26%, or 3 million people, in 2024). The Medicaid line item, which includes federal funds, state general funds and other sources, is the largest line in the state budget.

Given the size and scope of Ohio Medicaid, state leaders have a responsibility to hold the program to high accountability standards, while also maintaining access to needed services for Ohioans eligible for the program.

This data snapshot provides an overview of home- and community-based services, which have been a specific area of focus in recent legislative discussions.

Recent HPIO work related to Medicaid in Ohio

• Ohio Medicaid Basics 2025
• Policy explainer: Changes to Medicaid financing in Ohio
• Policy explainer: Medicaid Work Requirements in Ohio
• HPIO Healthcare Access and Affordability project
• All HPIO work related to Medicaid, healthcare access and coverage