Southern Ohio home care service areas

Find In-Home Care Near You

SILK provides family-owned, non-medical home care across Ross, Jackson, Gallia, Pike, and Vinton Counties through Medicaid/PASSPORT and private pay—while also evaluating private-pay requests in Athens, Scioto, Washington, and nearby Southern Ohio communities.

Medicaid/PASSPORT counties Private pay available Rural addresses evaluated Direct owner access
Ross CountyChillicothe • Bainbridge • Frankfort
Pike CountyWaverly • Piketon • Beaver
Vinton CountyMcArthur • Hamden • Zaleski
Gallia CountyGallipolis • Rio Grande • Vinton
Five core counties. Click any county marker for local services, communities, payment guidance, FAQs, and verified resources.
Five Medicaid/PASSPORT countiesRoss, Jackson, Gallia, Pike, and Vinton
Private pay across the regionAdditional Southern Ohio requests evaluated individually
Exact address mattersTravel, roads, schedule, and staffing shape availability
Speak with Susan or EhrenSusan or Ehren will give you a direct, realistic answer
One region. Five core counties. Hundreds of different roads home. SILK’s service-area planning reflects the forests, river communities, farms, hills, villages, and long rural drives that shape care across Southern Ohio.
Wooded historic rail tunnel surrounded by Southern Ohio forest
Forest and rail-country character
Waterfall and wooded rock formations in Ross County, Ohio
Ross County’s wooded landscapes
Ohio River at sunset with a working barge near Southern Ohio
Gallia County and Ohio River country
Rural Southern Ohio farm at sunrise among wooded hills
Rural homes beyond the town limits

Medicaid/PASSPORT + private pay

Explore SILK’s five core service counties.

Each county page is built as a practical local guide—not a copied paragraph with a county name swapped in. Use the page for your county to review communities, services, payment options, rural availability, local resources, and next steps.

Why a map cannot promise care

Availability is determined address by address.

A county boundary tells you whether a request may fall inside SILK’s service area. It does not tell you whether a specific schedule can be staffed safely and dependably.

Exact location

Town, road, distance, drive time, weather, and whether the home is practical for reliable arrival all matter.

Care needs

Personal care, mobility, dementia concerns, household tasks, supervision, and risk level shape caregiver matching.

Requested schedule

Days, hours, shift length, urgency, overnight needs, and whether continuity is required affect availability.

Payment and authorization

Medicaid/PASSPORT services require eligibility and authorization; private pay follows a different start-up path.

Additional private-pay requests

Private pay allows a wider Southern Ohio conversation.

Beyond SILK’s five core Medicaid/PASSPORT counties, we also evaluate private-pay requests in Athens County, Scioto County, Washington County, and nearby communities.

Private pay can offer more flexibility in scheduling and services because it does not require Medicaid program authorization. It still depends on the exact address, requested hours, care needs, travel, caregiver availability, and whether the schedule can be supported responsibly.

Private pay does not mean automatic availability. We will discuss the real location and schedule before making a commitment.

Two different payment paths

Medicaid/PASSPORT and private pay should not be blurred together.

Both can support care at home, but the approval process, scheduling flexibility, and decisions involved are different.

Ohio Medicaid / PASSPORT

SILK serves eligible clients in Ross, Jackson, Gallia, Pike, and Vinton Counties when the appropriate assessment, enrollment, authorization, approved service, and staffing requirements are met.

  • Eligibility and enrollment are determined by the administering agencies.
  • Authorized services and hours depend on assessment and approval.
  • SILK does not decide eligibility or approved hours.
  • Care still depends on location, needs, schedule, and caregiver fit.

Private-Pay Home Care

Private pay allows families to arrange care directly, without waiting for Medicaid program authorization. It can provide more flexibility, but service must still be practical and staffable.

  • The family and SILK define the requested care plan directly.
  • Scheduling can be more flexible than an authorized program plan.
  • Current rates and minimums should be confirmed by phone.
  • Distance, hours, care needs, and staffing still determine availability.

Service-area FAQ

Answers before you call.

These answers are general. The fastest way to know whether SILK can help is to share the exact address, requested schedule, care needs, and payment source.

Which counties does SILK serve through Medicaid or PASSPORT?

SILK’s core approved Medicaid/PASSPORT service counties are Ross, Jackson, Gallia, Pike, and Vinton Counties. Eligibility, enrollment, authorized services, and approved hours are determined by the appropriate administering agencies. Service also depends on the address, care needs, requested schedule, authorization, caregiver availability, travel, and caregiver fit.

Does SILK accept private-pay clients outside those five counties?

SILK evaluates private-pay requests in additional Southern Ohio areas, including Athens, Scioto, and Washington Counties. Availability depends on the exact address, requested schedule, care needs, travel, caregiver availability, and the ability to staff the plan responsibly.

Does listing a town mean care is immediately available there?

No. A listed town means SILK evaluates requests in that area. It is not a promise that every address, schedule, or care plan can begin immediately. Availability must be confirmed after reviewing the exact location, needs, requested hours, payment source, and staffing.

Why does SILK ask for the exact address?

Southern Ohio includes cities, villages, township roads, hills, river corridors, and rural homes. A mailing address or town name may not reflect the actual drive. Reliable care requires realistic planning around distance, roads, weather, shift length, and caregiver travel.

Can SILK provide care in a very rural area?

Possibly. Rural requests are evaluated individually. Longer shifts, reasonable schedules, caregiver availability, route conditions, and the ability to maintain dependable coverage can all affect whether the plan is practical.

Can I request care in a town that is not listed?

Yes. Call SILK with the exact address. Not every community is listed on this page, and a nearby town may still fall within an area SILK can evaluate.

Does SILK provide both Medicaid/PASSPORT and private-pay care in Ross County?

Yes. SILK provides Medicaid/PASSPORT and private-pay home care in Ross County, subject to eligibility, authorization, care needs, location, requested schedule, caregiver availability, and caregiver fit.

Can I speak directly with Susan or Ehren about a service area?

Yes. Susan or Ehren can discuss the address, care needs, schedule, payment source, timing, and whether the request appears practical for SILK to evaluate further.