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Ohio Choices Home Care Medicaid Waiver

What are Medicaid Waivers?
Medicaid pays for long term care services in nursing homes.  For nursing home qualified persons that choose to live at home or in a residential community, Medicaid will pay for those services if they can be obtained at a lower cost.  These are called Home and Community Based Services, Waiver Funded Services, Medicaid Waivers or simply Waivers.
 
  Ohio’s Choices Home Care Waiver Overview
Choices is a consumer directed Medicaid waiver program that provides home and community-based services and supports to older Ohioans.  Consumer or Participant Direction means that the individual in need of care receives a payment and is able to allocate those dollars to the care providers of their choosing.  Care providers can include the care recipient’s friends and some family members.  This type of program is sometimes referred to as Cash & Counseling.
  Qualifications for the Choices Home Care Waiver
In addition to needing care with their activities of daily living, Ohioans must be 60+ years old and financial qualified for Medicaid. They also must participate in Ohio’s PASSPORT waiver program.

Qualifying for Medicaid is a complicated process involving a review of a family’s income, assets and asset transfers as far back as 5 years.  The rules change in each state but typically monthly income cannot exceed $2,000 and one's countable assets must be valued at less $1,000 - $8,000.  IMPORTANT* Even though, one's income or assets may exceed these limits, most individuals can still qualify for Medicaid.

Many families find themselves in an awkward position where their loved one has enough income and assets that they do not qualify for Medicaid but not enough so that they can afford to pay for their care.  Fortunately, there are many exceptions to what is considered income and countable assets.  For example, one's car and home can be considered exempt from their countable assets.  Income in excess of the limit can be allocated to a pooled income trust thereby enabling the individual to meet the Medicaid limit and qualify for assistance.  

Creating a funeral trust is another simple and common technique used to help qualify for Medicaid.  Given the expense of funerals and the fact that everyone will eventually require one, it makes sense to allocate money in advance to cover the funeral and associated expenses.  A funeral trust is considered an exempt asset from Medicaid, therefore by creating one, a family can prepare for an inevitable need without having to plan the details and lower their countable assets to help qualify for Medicaid.  Learn more about establishing a funeral trust.

Not qualifying for Medicaid can be devastating to the comfort of an individual, their family’s finances and even their health.  For these reasons, Medicaid planners exist to ensure families have the best chance of acceptance into the program.  With care costing $1000’s / month, there is a strong incentive to use a Medicaid Planner.  Find assistance applying for Medicaid.
  Services Provided under the Choices Home Care Waiver
  • Adult Day Care
  • Case Management
  • Home Care Attendant Service
  • Home Medical Equipment / Supplies
  • Emergency Response Systems
  • Home Modifications
  • Meals
  • Pest Contro
  Choices Home Care Waiver Program Availability
The Choices program is available in the central, northwestern and southern Ohio regions.  These are the geographic areas served by the Area Agencies on Aging based in Columbus, Toledo, Marietta and Rio Grande.



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