Ohio’s Medicaid PASSPORT 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.
This Ohio Medicaid waiver program allows seniors that require a nursing facility level of care to remain living at home or in the community and receive care in those locations. This program is intended to provide seniors with a higher quality of life by providing them a choice of residential locations in which they can receive care services. It is also intended to save the state of Ohio money by leveraging the caregiving provided by friends, spouses and family members. Therefore, the cost of care provided at home cannot exceed 60% of the cost for that same care were it provided in a nursing home.
PASSPORT is an acronym for Pre-Admission Screening System Providing Options & Resources Today.
Waiver Eligibility Guidelines
In addition to being an Ohio resident and aged 60 or older, this waiver has both disability requirements and financial restrictions. Applicants are assessed to determine if they require the level of care found in nursing homes, this typically means they are in need of significant assistance with the activities of daily living.
The financial guidelines for the PASSPORT Waiver are the same as Ohio Institutional Medicaid limits. In 2013, an individual's monthly income must be less than $2,130 (300% of the Federal Poverty Level).
The total value of their countable assets cannot exceed $1,500. However, one's home is not included as a countable asset provided the owner lives in the home and the value of their real estate does not exceed $536,000. Another exception to the $1,500 limit, is when the individual is married and their spouse is not seeking Medicaid. In this situation, the spouse can have up to $115,920 in countable assets. This is called the Community Spouse Resource Allowance.
Important* It is possible for persons with income or assets in excess of these limits to still qualify for the PASSPORT waiver. By getting Medicaid planning help, they can re-allocate their financial income into a pooled trust and their assets into exempt annuities, burial plans and other non-countable resources. Persons in this situation should find Medicaid planning assistance
Services / Benefits
Each applicant is screened to determine their eligibility and for which services they might be eligible. Possible services include:
-Adult Day Care
-Disposable Medical Supplies
-Durable Medical Equipment
-Home Delivered Prepared Meals and Nutritional Counseling
-Homemaker Assistance (such as Laundry or Housekeeping)
-Personal Emergency Response Service
-Transportation Assistance for Medical Appointments
Ohio’s PASSPORT Waiver Program Availability
While this program is available statewide across Ohio, there is a cap on the number of available participants. It is possible that persons may meet the eligibility criteria and still be waitlisted for services. Residents should also consider the Assisted Living Waiver
Ohio residents should contact their local area agency on aging
to apply or call 1-866-243-5678. There is a downloadable PDF available that provides additional details about this program
Use our Locator Tool to Find Other Options for which You're Eligible
Page Reviewed / Updated - Jan. 2013