Ohio Home Care Waiver

The Ohio Home Care Waiver program is an in-home long-term care option for financially eligible children and adults who have significant disabilities and/or mental health needs. Without the Ohio Home Care Waiver, these individuals might be forced to leave their homes in order to receive care in a hospital, nursing home or other institutional setting. 

The Ohio Home Care Waiver program preserves independence by giving participants greater control and choice over their care, including where they receive care, the types of services they receive and who provides their services.

Council on Aging (COA) screens, enrolls and provides case management to people enrolled in the program. For this program, COA’s service area includes 21 counties in the regions of Cincinnati,Dayton and Lima.

The Ohio Home Care Waiver gives you:

  • Services and supports to help you remain independent in the setting of your choice
  • Greater choice and control over your care
  • A Medicaid card that entitles you to the full range of Medicaid benefits, including hospitalization, physician care, prescription drugs, and many other types of services

Who is eligible for the Ohio Home Care Waiver?

In order to be eligible for the Ohio Home Care Waiver program, you must be:

  • Age 59 or younger (under age 60)
  • Financially eligible for Medicaid (low-income)
  • In need of skilled or intermediate care: hands-on help with dressing, bathing, toileting, grooming, eating or mobility. A physician must certify the level of care needed.
  • Those enrolled on the Ohio Home Care Waiver will transfer to the PASSPORT program when they turn age 60.

A Council on Aging case manager will meet with you to determine your eligibility. If you qualify, your case manager will work with you and your family to develop a care plan that meets your individual needs.

This step is not necessary for individuals currently enrolled in the program who are changing to a new care manager with Council on Aging beginning Jan. 1, 2014. However, these individuals will receive a home visit and assessment from their new care manager in early 2014. 

How do I apply for the Ohio Home Care Waiver?

You must apply for the waiver at your county’s Department of Job and Family Services (JFS). That department will initiate the process of your application and 
notify COA of your approval. We will contact you to schedule an assessment for the program.

Services and Benefits

The goal of the Ohio Home Care Waiver is to help eligible individuals receive services at home, instead of in a hospital or nursing facility. Depending on your needs, you may receive nursing services, personal care or daily living assistance, and skilled therapies such as physical, occupational, behavioral/mental health or speech therapy.

Your case manager works with you and everyone involved in your care to develop an All Services Plan based on your needs. Your case manager will call or visit you regularly, and conduct a reassessment of your eligibility and needs at least once a year.

Adult Day Health Center Services: Adult Day Health Center Services are available for both half- and full-day services.

Emergency Response Services: An Emergency Response System is available to individuals who can be left unattended for periods of time but who are able to summon emergency assistance if needed. A phone or internet line is required.

Home Delivered Meal Services : Dietary-appropriate home-delivered meals are used when an individual needs assistance with meal preparation but can eat independently.

Home Modification Services: Home modifications that are required to increase an individual’s independence or ability to access their home.

Waiver Nursing Services: Waiver nursing services are available to individuals who have intermittent or continuous skilled nursing needs. Tasks may include personal care and incidental home-making relevant to the individual’s care.

Out-of-Home Respite Services: Out of home respite services must include an overnight stay in an intermediate care facility, nursing facility or other approved licensed facility.

Personal Care Aide Services: Personal care services (to help with activities of daily living such as bathing, dressing and grooming) are available to individuals as an intermittent or continuous service.

Supplemental Adaptive and Assistive Device Services: Adaptive and assistive devices and vehicle modifications that are required to increase an individual’s independence or ability to access their home.

Supplemental Transportation Services: Supplemental transportation services are available to help individuals access the community (however, they cannot be used for transportation to medical appointments.)


Management and Oversight

This program is administered by Ohio Department of Medicaid. As of Jan 1, 2014, COA is one of two organizations providing care management services for participants in the Cincinnati, Dayton and Lima regions.

Why is Council on Aging managing my care?

COA has been selected as a care management agency for Ohio Home Care Waiver participants in a 21-county region. It is our mission and privilege to work with you to make sure you get the services you need to stay independent at home.

Connecting people to community-based services and supports is one of our primary responsibilities. We have many years of care management experience for thousands of area clients in the PASSPORT and Assisted Living Waiver programs. Our clients are highly satisfied with our services and our respect for their needs.

We also serve as the lead agency in a regional Aging and Disability Resource Network (ADRN). By phone, in person or through our comprehensive online resource directory, the ADRN connects people to services and supports to help them remain independent in the community.

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175 Tri County Parkway | Cincinnati, OH 45246 | (513) 721-1025