Assisted Living Medicaid Waiver Program
The Assisted Living Medicaid Waiver program is designed to promote independence and improve physical and social well being by providing participants individualized care and assistance with housing, personal care and heath care services.
Eligibility
To be eligible for Assisted Living you must be:
- Residing in a nursing facility on Medicaid, on a Medicaid Waiver Program (PASSPORT, Choices, Ohio Home Care or Transitions Carve Out) or residing in a Residential Care Facility for at least 6 months immediately prior to the date of application for the Assisted Living Waiver Program
- 21 years of age or older
- Able to pay a monthly room and board payment of $587
You must also be at an Intermediate or Skilled Level of Care which means you require hands-on assistance with at least two of the following:
- Mobility/Transferring
- Bathing
- Toileting/Using the Restroom
- Grooming
- Eating
- Taking Medicines
Services
Assisted Living Services
- 24-hour access to staff that will manage the scheduled and/or unscheduled needs of the enrollee
- Personal care
- Housekeeping, laundry and maintenance
- Three meals a day
- Non-medical transportation
- Social and recreational programs
- Nursing service (health assessment monitoring and medication oversight)
Community Transition Service Funding
- Funds available only to enrollees leaving the nursing facility and relocating to the Assisted Living Facility that are used to purchase household furnishing supplies and incidentals not provided by the facility, formal/informal supports
- Will not exceed $1500 per enrollee and can only be used for items that are essential to the enrollees health and welfare
- Must be used within 90 days of enrollment and cannot be used for recreational purchases
Frequently Asked Questions
To submit a question, please click here.
Q: Where can I find the Assisted Living Program rules?
Q: What is the reimbursement an Assisted Living Facility will receive after they accept an enrollee?
A: The reimbursement rate a facility receives includes the room and board payment of $573/month (paid by the enrollee) and a daily rate for services (paid by the program) that is based on the level of service an enrollee needs.
| Tier 1 | $49.98/day | $2086.40 | ($587 + $1499.40) |
| Tier 2 | $60/day | $2387 | ($587 + $1800) |
| Tier 3 | $69.98/day | $2686.40 | ($587 + $2099.40) |
Q: How much income is an Assisted Living Program enrollee entitled to keep monthly?
A: Each Assisted Living enrollee is entitled to keep $50/month as a personal needs allowance.
Apply for the Assisted Living Waiver
Please click here to fill out the form to apply for the Assisted Living Waiver. One of our Information Specialists will contact you regarding your application within three (3) working days.
Request More Information
If you would like more information on Assisted Living, or other Area Agency on Aging programs, please click the link below
Search for Assisted Living Providers
If you are interested in enrolling on the Assisted Living Waiver and would like more information on the current certified providers, please click here.
www.ltcohio.org – Provides information on facility location, size, general demographics, current licensure, certification reports, description of specialty units and ancillary services, and discharge criteria.
www.goldenbuckeye.com – Gives general information on Assisted Living.
Apply to be an Assisted Living Provider
Useful Links:
- State Hearing Rights
- Residential Care Facility (RCF) rules and requirements
- County Department of Job and Family Services (CDJFS) Phone Numbers
- Ombudsman information
- Additional Phone Numbers
- ODH Complaint Hotline Number 1-800-342-0553 and Medicaid Hotline Number 1-800-324-8680
