The Appalachian region reaches from southern New York to northern Mississippi, including the entire state of West Virginia and the eastern parts of Kentucky and Tennessee.
Ohio’s Appalachian counties are Adams, Ashtabula, Athens, Belmont, Brown, Carroll, Clermont, Columbiana, Coshocton, Gallia, Guernsey, Harrison, Highland, Hocking, Holmes, Jackson, Jefferson, Lawrence, Mahoning, Meigs, Monroe, Morgan, Muskingum, Noble, Perry, Pike, Ross, Scioto, Trumbull, Tuscarawas, Vinton, and Washington.
For a full list of the region, visit Appalachian Regional Commission.