Ohio has 838 Medicare-certified home health agencies, distributed across its major metropolitan areas — Columbus, Cleveland, Cincinnati, and Toledo — as well as a large rural footprint. Ohio's market is notable for a relatively high proportion of hospital-affiliated and non-profit agencies compared to Sun Belt states, and average star ratings tend to be higher than the national mean.
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Ohio's home health sector reflects the state's combination of large urban centers and substantial rural populations. Cuyahoga County (Cleveland), Franklin County (Columbus), and Hamilton County (Cincinnati) have the highest agency concentrations. Hospital-affiliated agencies, often operated as non-profits under major health systems like Cleveland Clinic, OhioHealth, and TriHealth, have a significant market presence and tend to maintain higher star ratings.
Ohio agencies have above-average CMS star ratings relative to the national distribution. This is partly attributable to the state's higher proportion of hospital-affiliated agencies, which benefit from integrated care coordination and more stable staffing. For referral coordinators in Ohio, star ratings are useful for comparing independent agencies — hospital-affiliated providers typically have reputations established through the health system relationship.
Ohio home health agencies must be licensed by the Ohio Department of Health (ODH) in addition to Medicare certification. ODH conducts surveys and publishes inspection histories. Ohio has a Certificate of Need (CON) requirement for certain home health services, which has historically limited market entry and contributed to a more consolidated agency landscape compared to states like Texas or Florida.
How many Medicare home health agencies are in Ohio?
As of April 2026, Ohio has 838 active Medicare-certified home health agencies.
Does Ohio require a Certificate of Need for home health agencies?
Ohio has CON requirements for certain home health services, which can limit new agency entry. Check with the Ohio Department of Health for current CON requirements.
Download the full Ohio dataset — 838 agencies with star ratings, contact info, ownership type, and certification dates — as CSV or JSON.
Get Full Access →Data sourced from CMS CASPER (dataset 6jpm-sxkc). Updated monthly. Not affiliated with Medicare or CMS. Official source