Medicaid Benefit Programs

Medicaid has a number of programs to provide benefits to Ohio citizens. The programs range from food stamps to paying for care in a long-term skilled nursing facility. Our clients are typically focused on benefits relating to long-term care.

Aged, Blind and Disabled Program

The most important benefit under Medicaid for the elderly and other vulnerable adults is coverage for long-term care in a skilled nursing facility—Medicaid calls this program "Age, Blind and Disabled." What this program allows the participant to do is have a semiprivate room (usually meaning shared, depending on the facility) in a skilled nursing facility with the state paying the majority of (and sometimes all) the bill.

Medicaid Waivers

Medicaid also has what they call "waiver" programs. These waiver programs are called that because the government waives the requirement to have services provided within a skilled nursing facility. Accordingly, it can allow for care in other environments that is still paid for by the state. The programs available currently are:
  • PASSPORT
  • Assisted Living Waiver


PASSPORT Program

PASSPORT is a waiver program that allows the participant to receive care and services at home so he or she can stay out of a skilled nursing facility. Once an applicant is approved for benefits, the Department of Aging designs a a care plan for personal needs, which can include the following:
  • Adult day services
  • Alternative meal services
  • Choices home care attendant services
  • Chore services
  • Community transition services
  • Emergency response system services
  • Enhanced community living services
  • Homemaker services
  • Home care attendant services
  • Home delivered meal services
  • Home medical equipment and supplies services
  • Independent living assistance services
  • Minor home modification, maintenance and repair services
  • Non-medical transportation services
  • Nutrition consultation services
  • Out-of-home respite services
  • Personal care services
  • Pest control services
  • Social work counseling services
  • Transportation services
  • Waiver nursing services

Assisted Living Waiver

Assisted Living Waiver (often called "A/L Waiver") is a program that provides benefits in a setting that offers less hands-on care. This often comes with more privacy for the person who needs care. The downside to this program is that it can be hard to get benefits. Many assisted living facilities don't accept A/L Waiver. And if the facility does accept it, the facility is allowed to put conditions on when it will accept the Medicaid pay-source. For example, facilities are allowed to refuse A/L Waiver unless the person pays privately for a year. In those situations, it can be tricky. We can help you make sense of the benefits.