Council on Aging serving younger consumers through Ohio Home Care Waiver program

Wednesday, July 9, 2014

After a very busy and challenging start, Council on Aging’s newest program is beginning to settle in. The Ohio Home Care Waiver Program provides in-home and community-based care management services to younger individuals with disabilities who need long-term care services. The program helps people to remain independent in their homes and avoid unnecessary placement in institutional settings such as nursing homes or hospitals.

To apply for the Ohio Home Care Waiver Program, individuals should first contact their county Department of Job and Family Services. If approved for financial eligibility, the information is sent to Council on Aging which conducts an in-home assessment to determine program eligibility.

Council on Aging won a contract with the Ohio Department of Medicaid to provide screening, enrollment services, and case management for the program. For the Ohio Home Care Waiver Program, Council on Aging is serving people who live within a 21-county area surrounding Cincinnati, Dayton, and Lima. To serve the region, Council on Aging opened a satellite office in Montgomery County at 5355 Far Hills Avenue, Suite #100, Dayton, Ohio 45429.

Area Agency on Aging 3, based in Lima, Ohio, has contracted with Council on Aging to provide case management in the more northern counties of the region.

Our work began rapidly in January when more than 1,000 consumers were transferred all at once to COA from another care management organization. Since January, we have also received about 250 new referrals for the program. All referrals come from the Ohio Department of Medicaid, which administers the program.

The Ohio Home Care Waiver Program expands Council on Aging’s geographic region as well as the types of people we are serving, who are under the age of 60 and include young people and children.

The program serves financially-eligible children and adults who need an intermediate or skilled nursing level of care due to significant disabilities and/or mental health needs. It 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.

A variety of services are available including: personal care aide services (help with bathing, dressing, and grooming); adult day health center services; emergency response services; home-delivered meal services; waiver nursing services, and others. Council on Aging case managers develop All Services Plans based on each individual’s needs.

Council on Aging is also providing care management for the Transitions Carve-out Waiver. Individuals on Ohio Home Care move into this program when they turn 60.

Many individuals on Ohio Home Care or Transitions Carve-out programs are eligible for Ohio’s new managed care system called MyCare Ohio. They enrolled in MyCare Ohio beginning June 1 and are receiving services through one of two health plans serving our region: Aetna Better Health of Ohio or Molina Healthcare. There have been significant challenges as all parties struggle to understand and implement many changes.

More information on the Ohio Home Care Waiver Program is available at or on Council on Aging’s website or by calling 800-252-0155..