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Medicaid Waiver vs. Nursing Home Medicaid

Ohio's HCBS waivers and nursing-home Medicaid use similar financial eligibility tests but pay for completely different settings, and only one is an open-ended entitlement.

HomeComparisonsMedicaid Waiver vs. Nursing Home Medicaid
Short answer

Ohio's HCBS waivers (PASSPORT, the Assisted Living Waiver) and nursing-home Medicaid generally use the same non-MAGI aged/blind/disabled financial eligibility test, but they pay for different settings and are structured very differently.

The entitlement difference

Nursing-home Medicaid is an entitlement in Ohio -- if a resident is financially and functionally eligible, coverage is available. Ohio's HCBS waivers are not open-ended the same way; they can carry waitlists and capacity limits, so eligibility does not guarantee immediate access to a waiver slot.

What each pays for

Nursing-home Medicaid pays for care in a licensed nursing home. PASSPORT pays for in-home services only. Ohio's Assisted Living Waiver pays for care services inside a licensed RCF, not room and board.

Confirm current income and asset limits directly with the Council on Aging of Southwestern Ohio or Ohio Department of Medicaid -- these figures change and this site does not publish an unverified number.

Questions families ask

What Area Agency on Aging covers Hamilton County?

The Council on Aging of Southwestern Ohio, headquartered in Blue Ash, is the Area Agency on Aging for Hamilton County, along with Butler, Warren and Clermont counties.

What Area Agency on Aging covers Butler County?

The Council on Aging of Southwestern Ohio also covers Butler County, the same agency that serves Hamilton, Warren and Clermont.

What Area Agency on Aging covers Warren County?

The Council on Aging of Southwestern Ohio covers Warren County as well, the same regional agency serving all four counties in our coverage area.

What Area Agency on Aging covers Clermont County?

The Council on Aging of Southwestern Ohio covers Clermont County too, giving our entire four-county coverage area a single Area Agency on Aging to work with.

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