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Lesson 04: Home and Community Based Services

Medicaid Home and community-based services provide alternatives to living in facility-based care settings (nursing homes or intermediate care facilities). These programs are called "waviers" and allow participants to have an active role in their health care and to remain in their home or community. Waivers serve people who are elderly, who have developmental disabilites, and who have physical disabilities.

What services are available through waiver programs?

 

It depends on the program you are enrolled in, but Medicaid waivers can provide nursing care, personal care, adult day care, and respite care.

Who qualifies for a Medicaid waiver program?

In Ohio, Medicaid waivers are programs offered through the Ohio Department of Job and Family Services (ODJFS), the Ohio Department of Developmental Disabilities (ODODD), and the Ohio Department of Aging (ODA). Information about Medicaid Waivers available at each of these agencies can be found below. Review this information to find out which program is best for your.  In all cases, you must be medically and financially eligible for Medicaid to qualify for a waiver program.

For the most up-to-date information about these program and their eligibility guidelines and requirements, visit the Ohio Department of Job and Family Service`s Web site.


Medicaid Waiver Programs

Ohio Department of Job and Family Services
Home and Community Services Waiver
614-466-6742
30 E. Broad Street, 33rd Floor
Columbus, OH 43215

Ohio Home Care is for eligible adults age 59 and younger (under 60).  Services include nursing, personal care assistance and/or skilled therapy, plus waiver-specific services such as home modifications, home-delivered meals, adult day health care, respite care, supplemental transportation, adaptive/assistive devices, and emergency response systems. Eligible participants must be financially eligible for Medicaid and be assessed for an intermediate or skilled level of care. Without the Ohio Home Care Waiver Program, participants would be at risk for hospital or nursing home placement. Approved participants instead receive care and services at home.  There may be a waiting list for this program.  Contact your county Department of Job and Family Services for information about applying for this program.

  • Transitions MR/DD Waiver Program provides the identical services, providers and administration as the Ohio Home Care Waiver Program but serves consumers who were transferred from the Ohio Home Care Waiver because they were identified as having an ICF-MR (intermediate care for people with developmental disabilities) level of care. Contact your county Department of Job and Family Services for information about applying for this program.
  • Transitions Carve-Out Waiver Program provides the identical services, providers and administration as the Ohio Home Care Waiver Program but serves consumers who were transferred from the Ohio Home Care Waiver because they turned 60. Contact your county Department of Job and Family Services for information about applying for this program.

Assisted Living Administered in southwest Ohio by Council on Aging of Southwestern Ohio. Call (513) 721-1025 for more information. 

Choices consists of adult day health programs, alternative meal services, environmental accessibility adaptations, home care attendants, home-delivered meals, personal emergency response systems, pest control, and specialized medical equipment and supplies.  Consumers eligible for the Choices Waiver program must be eligible for Medicaid, need at least an intermediate level of care, be age 60 or older, and live in an approved service area (this program is not available statewide).  This program is not available in Council on Aging`s service area. 

PASSPORT Administered in southwest Ohio by Council on Aging of Southwestern Ohio. Call (513) 721-1025 for more information.

Individual Options This benefit package consists of adult day supports, day habilitation, environmental accessibility and adaptations, homemaker/personal care, personal emergency response system, informal and institutional respite, specialized medical equipment and supplies, supported employment (community and enclave), adaptive equipment, transportation, and vocational rehabilitation. Consumers eligible for the Individual Options Waiver program must be Medicaid eligible, can be of any age, and meet an ICF/MR level of care.

Level One consists of homemaker/personal care, transportation, respite services, supported employment, environmental accessibility modifications, social work/counseling, nutrition services, interpreter services, home-delivered meals, adaptive and assistive equipment, day habilitation (adult day support), vocational habilitation, supported employment (community and enclave), supported employment, and adapted medical equipment. Consumers eligible for the Level One Waiver program must be eligible for Medicaid, can by of any age, and need an ICF/MR level of care. This program has a waiting list.

PACE (Program of All-Inclusive Care for the Elderly) is a managed care program that provides participants with all of their needed health, medical and social services in home and adult day centers.  The program is only offered in Cleveland and Cincinnati.  In Cincinnati, PACE is managed by TriHealth SeniorLink.  Individualized services are delivered by TriHealth and may include: health care, rehabilitation therapy, transportation, hospitalization expenses, medication, meals and household help.   Participants must be at least 55 years old (under 60), live in Hamilton County or certain areas of Butler, Clermont or Warren counties, require skilled or intermediate level of care (nursing home care), and be eligible for Medicare and/or Medicaid. 

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Ohio Home Care Waiver Program

2760 Airport Dr.
Columbus , OH  43219
http://www.ohiohcp.org/default.asp

Phone: 614-751-7777
Phone Extension: N/A
Area(s) Served: Statewide Contracted Provider: Not Applicable
Description:   Ohio Home Care is for eligible adults age 59 and younger (under 60).  Services include nursing, personal care assistance and/or skilled therapy, plus waiver-specific services such as home modifications, home-delivered meals, adult day health car... read more

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