Free senior care guidance for Cincinnati-area families. No cost to you, ever.
Call (937) 764-9687
Cincinnati Senior Advisor

Your State's In-Home Medicaid Waiver, Explained

PASSPORT is Ohio's primary in-home Medicaid waiver -- here is what it actually covers.

HomeState RulesYour State's In-Home Medicaid Waiver, Explained
Short answer

PASSPORT is Ohio's largest home- and community-based Medicaid waiver for older adults, paying for personal care, homemaker services, adult day care, respite, home modifications and structured family caregiving for seniors who need a nursing-facility level of care but want to remain at home.

What it covers

In-home and community-based services only -- it does not pay for assisted living room and board.

Eligibility

Eligibility is based on a functional assessment (a nursing-facility level of care determination) and Medicaid's non-MAGI aged/blind/disabled financial test. Confirm current income and asset limits directly with the Council on Aging of Southwestern Ohio or Ohio Department of Medicaid before assuming eligibility either way.

Who administers it locally

The Council on Aging of Southwestern Ohio administers PASSPORT for Hamilton, Butler, Warren and Clermont counties.

How families pay for care. Ohio runs PASSPORT (in-home only) and the Assisted Living Waiver (care services inside a licensed RCF, not room and board). Read the full explanation →

Questions families ask

What is the difference between the ombudsman and a facility licensing complaint?

The ombudsman advocates for an individual resident's care, rights and discharge concerns and cannot license, inspect or fine a facility. The Ohio Department of Health investigates regulatory complaints and can take licensing enforcement action, but is not an advocate for a specific resident's preferences.

Can the ombudsman act on my behalf if my parent doesn't want a complaint pursued?

No. The ombudsman acts only with the consent of the resident or their legal representative. If a parent with capacity does not want a complaint pursued, that decision stands even when family members disagree.

Is there a fee to use the Long-Term Care Ombudsman program?

No. The ombudsman program is a free, independent advocacy service, funded through the federal Older Americans Act, the state of Ohio, grants and local funding sources like United Way.

Does the ombudsman handle in-home care complaints, or only facility residents?

The Long-Term Care Ombudsman program's core mandate covers residents of licensed nursing homes and residential care facilities. For an in-home care agency concern, contact the agency directly first, and consider Ohio Department of Health or your county's consumer protection resources for unresolved regulatory issues.

How do I report suspected elder abuse or neglect in Hamilton County?

Call Hamilton County Job and Family Services' 24-hour elder protection line at (513) 421-LIFE (5433). If someone is in immediate danger, call 911 first.

Not sure where to start?

Answer five questions and a local advisor will come back with senior care options in your area that actually fit your situation and budget. It is free, and there is no obligation.

Find care options
Find senior care — free