COA receives funding from a variety of local, state and federal sources. County tax levies provide about 40 percent of Council on Aging funding. Medicaid programs provide another 40 percent. Additional state and federal funds, client contributions, donations and other supports provide the remaining revenue.

For a more detailed look at COA`s funding and expenses, read our annual report.

Federal Funding

The Older Americans Act of 1965 (OAA) provides support for a range of programs that offer services and opportunities for older Americans, especially those at risk of losing their independence.

Title III of the OAA is the foundation of Ohio`s aging network. It authorizes funding to states and the Area Agencies on Aging for planning, developing and coordinating systems of home and community-based services.

In southwestern Ohio, Council on Aging uses Title III funds to advocate for older adults and help them remain within their own homes and communities. Money goes to senior centers and service organizations that provide services such as transporation, congregate meals, caregiver support, legal help, and wellness education. COA also leverages Title III dollars with state funds and county tax levies to provide home care services to seniors who are not eligible for PASSPORT (Medicaid).

Title III consists of:

  • Part B: Social services - in-home services, transportation, senior center programming, information/referral, ombudsman, and legal assistance
  • Part C1: Congregate meals
  • Part C2: Home-delivered meals
  • Part D: Disease prevention and health promotion programs; medication management
  • Part E: National Family Caregiver Support Program - adult day services, in-home respite, caregiver education and support
  • Elder Abuse and VII: Ombudsman program funding
  • Nutrition Services Incentive Program (USDA): Not officially part of the OAA, but administered by the Administration on Aging; congregate and home-delivered meals

View our latest annual report to learn how COA spends Title III funding locally.

More about OAA and Title III

Medicaid Waivers (PASSPORT)

PASSPORT is Ohio`s Medicaid waiver, providing low-income, disabled older adults with access to more compassionate and cost-effective home and community-based care options. It`s an alternative to nursing home care. At any one time there are more than 30,000 Ohioans receiving Medicaid Waiver services.

State Funding

  • Senior Community Services (block grant): transportation, care management (similar to Title III Part B)
  • Alzheimer Respite: Funds adult day services, caregiver support and education for families coping with Alzheimer Disease and related disorders (similar to Title III Part E)
  • State Long-term Care Ombudsman: Ombudsman program funding from state general revenue. The ombudsman program protects the rights of residents in institutional settings, such as nursing homes.

Local Government (Tax Levies)

With declining federal and state funds and a rapidly increasing population of older adults, more and more communities are looking to senior services levies to support programs and services for older adults. In Southwestern Ohio we are fortunate to have senior services levies in Butler, Clermont, Clinton, Hamilton and Warren counties. More than 80 percent of Ohio`s 88 counties have levies that benefit seniors, generating more than $145 million in annual revenue (source: Ohio Department of Aging).

Senior services levies are local property tax levies based on the fair market value of real estate. These levies support services for older adults including personal care, homemaker services, Meals on Wheels, transportation and respite/adult daycare. Levies are implemented through voter approval as a ballot issue and may be in effect for up to five years. The levy must then be renewed as a ballot initiative.

Council on Aging administers the Elderly Services Programs (funded by local senior services levies) in four area counties - Butler, Clinton, Hamilton, and Warren. More than 14,000 older adults receive care in their homes through this program.

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