Just a few words of warning if you decide to go this route. You will be paid on a 1099 by the state of Ohio through Child and Family Services. You will be responsible for paying ALL of your taxes, state, federal and local. If you work in a town different from the one you reside in, you will be a slave to my dear friend RITA, meaning you will have to pay an extra tax for the town you work in. (this applies if you work for an agency or in a facility as well)If you don't understand, go here www.ritaohio.com. RITA will also try to force you to PRE PAY your yearly taxes in advance, since you are considered a freelancer, but I toss those requests in the trash and pay in April.
You will also have to pay DOUBLE Social Security tax AND double Medicaid tax. When you are working on a W2 your employer picks up half of those two taxes, but when you are a HHA working for the state of Ohio, you are paid on a 1099 so you have to pay all those lovely extra taxes. Be prepared to put away at least 300 dollars a month if you work a 40 hour week. Sucks, I know :/
You will also be subject to a yearly review, where an auditor from the state goes over your paperwork once a year. Yeah, there is paperwork. I won't go into detail, you can find out about this on the myohiohcp website. They are super nit picky, be forewarned.
Also, if you decide to become a state HHA, most of your clients will be physically disabled or mentally disabled. The sweet little old ladies and men get shoved into nursing homes. I'm lucky, I have a good client with a good family, but had I known how much stress the taxes would be, I probably wouldn't have gone this route. If I had a crappy client, I'd have gone back to the facilities, STAT. You will also lose your STNA cert after a year, unless you can find a nursing home that will let you complete the hours you need to stay current. Good luck with that, I had no luck and lost my STNA cert. :(
Hope this helps.