I. What You Should Expect to Pay for Home Care in Ohio

According to Genworth Financial’s 2021 Cost of Care Survey, you can expect to pay $4,957 for in-home care in Ohio, which is on par with the national average. Agencies that offer these services typically provide chore assistance, meal preparation and help with errands. Home health care averages around $5,053, which is slightly lower than in other parts of the country. This option includes medical monitoring, help with medications and other services provided by licensed staff. Estimates from this study assume that seniors require 44 hours of weekly assistance. However, most agencies allow you to request as much or as little assistance as you need.

The Cost of Home Care and Home Health Care in Nearby States

Home care prices in Ohio are on par with the national average, and they’re similar to neighboring states, including Pennsylvania. Prices in Indiana and Kentucky are slightly lower at $4,767, and West Virginia is substantially lower at $3,527. On the other hand, Michigan is significantly more expensive at $5,529.

Home health care agencies in Ohio typically charge $5,053 per month, which is about $100 lower than the national average of $5,148. These services are slightly more affordable in Pennsylvania, Kentucky and Indiana. If you’re considering other states in the region, Michigan is significantly more expensive at $5,529. However, in West Virginia, you could save about $1,478 a month at $3,575.

Home Care Home Health Care
Ohio $4,957 $5,053
National $4,957 $5,148
Pennsylvania $4,957 $4,957
Michigan $5,529 $5,529
Indiana $4,767 $4,767
Kentucky $4,767 $4,767
West Virginia $3,527 $3,575

The Cost of Home Care vs. Other Types of Care

Home care agencies charge an average $4,957 to $5,053 per month in Ohio depending on whether you require medical assistance. Prices also vary depending on how many hours of assistance you need. If you’re looking for on-demand help in a residential setting, assisted living could be a good option. In Ohio, these facilities typically charge $4,635. You can access similar social and recreational opportunities by joining an adult day health care program for $1,733 per month. Those who need medical care day and night pay $7,300 for nursing home care.

II. Can Medicaid Help You Pay for Home Care in Ohio?

Yes, Ohio Medicaid can help you pay for the cost of in-home care. Intermittent and part-time medical services and personal care are covered by Medicaid’s official State Plan. These benefits are available to beneficiaries of all ages, but there are strict limits on income and assets. Additionally, the federal government has given the state permission to operate several waiver programs that cover home care, chore assistance, emergency alert systems and other supports. These services are designed for individuals who require a nursing home level of care but choose to receive similar services at home or in a residential setting. Eligibility requirements and covered services vary depending on the program.

Home Care Waiver Programs in Ohio

Ohio offers several programs and delivery systems for seniors who require in-home care. Here’s what you should know about these options.

Resource Contact Areas Served Services Provided
Ohio Home Care Waiver (844) 644-6582 or Your County DJFS Office Statewide Ohio’s Home Care Waiver covers personal care aides, delivered meals, home modifications, supplemental nursing services and other supports. This program is available to Medicaid-eligible seniors who require a nursing home level of care.
PASSPORT (800) 266-4346 Statewide PASSPORT is a Medicaid waiver that helps seniors stay in the community and avoid nursing home placement. Applicants who are eligible for Medicaid long-term care based on medical and financial criteria are assigned to a local case manager and in-home care provider who develop a personalized service plan.
HOME Choice (888) 221-1560 Statewide HOME Choice is a care transition service available to individuals who currently live in a nursing home or intermediate care facility. Members receive care transition services to help them return to their homes or a residential setting of their choice. Services are available for up to 180 days before and 30 days after the transition.

How to Know if You're Eligible for Medicaid in Ohio

To be eligible for regular Medicaid in Ohio, you must have no more than $841 in monthly income, which is on par with the federal benefit rate. If you’re applying with a spouse, this limit increases to $1,261 per month, and the asset limit increases from $2,000 to $3,000. If you have substantial medical needs and most of your income is spent on long-term care, you may be eligible for other Medicaid programs that have higher income limits.

2022 Medicaid Income Limits for Seniors in Ohio
Income Limits* Asset Limits
Single Person $10,092 $2,000
Two-Person Household $15,132 $3,000

*Per year

In addition to meeting these income and asset limits, applicants must be:

  • Aged, blind or disabled
  • In need of health insurance
  • A U.S. citizen or equivalent and Ohio resident

How to Apply for Medicaid in Ohio

Ohio provides several convenient application options depending on your location and preferences. To see if you qualify for Medicaid, complete an online application using the Ohio Benefits portal, or contact your county’s Job and Family Services office for in-person assistance. You can also apply for Medicaid and other benefits over the phone by calling the Consumer Hotline at (800) 324-8680.

What Information You Will Need 

Ohio asks for the following information on the Medicaid application:

  • Name and contact information
  • Social Security number
  • Monthly income
  • Assets, property and resources
  • Proof of age and disability
  • Insurance details

How to Get Help Applying for Medicaid

If you have questions about Medicaid or need help with the application process, contact the following state agencies for assistance.

  Contact Area Served Services Provided
Ohio Medicaid Consumer Hotline (800) 324-8680 Statewide Call the Medicaid Consumer Hotline to apply for benefits or to check on the status of your application. This call center can also help you manage your benefits and request a replacement card.
Department of Job and Family Services (614) 466-4815 County For assistance with an application or benefits-related issues or to discuss your long-term care needs with a local case manager, contact the Department of Job and Family Services office in your county.
Bureau of State Hearings (614) 728-9574 Statewide If you’ve been improperly denied benefits or if your coverage has been reduced or terminated, you can contact your county’s DJFS office or the Bureau of State Hearings to file an appeal. You have 90 days to exercise this right starting from the date on the notice.
Ohio Benefits Long-Term Services and Supports (844) 644-6582 Statewide Inquiries about home care waivers and long-term care benefits should be directed to the Benefits Long-Term Services and Supports. This program helps older adults and their families access available services.


III. Can You Use Medicare to Pay for Home Care in Ohio?

Medicare doesn’t pay for non-medical home care, but it can cover the cost of the medical version of home care, called “Home Healthcare” in some situations. In order to be eligible, you need to be homebound and have a referral from your doctor for the specific type of medical care that is needed. There are also other restrictions that apply.

Below is an overview of some of the services typically covered by Medicare for those who are eligible:

  • Physical Therapy: Physical therapy is used to help patients recover from injuries (broken bones, knee injuries, etc.), and to treat ongoing conditions such as arthritis. Additionally, physical therapy is often provided in the home to help seniors recover from surgeries and procedures, such as a knee or hip replacement.
  • Nursing Care: Licensed nurses can provide a number of medical services (such as wound care, changing feeding tubes, etc.) for those who need medical care, but don’t need to stay in a hospital full-time.
  • Occupational Therapy: Occupational therapy is designed to help seniors regain or maintain the ability to accomplish normal, daily tasks, such as bathing, dressing, eating, etc., and providers can travel to your home if needed.
  • Speech Therapy: Seniors can lose the ability to adequately communicate for many reasons, and speech therapists are there to help seniors regain the ability to communicate using a variety of means. Additionally, speech therapists help to keep seniors independent by modifying diets and teaching special techniques to swallow safely.

As mentioned above, home care is distinctly different from home healthcare, but there is some overlap – so while Medicare doesn’t cover non-medical home care, there are personal care services that may be covered in special circumstances – such as an occupational therapist helping with eating or dressing.

Read our guide to Medicare and Home Care Coverage for more information.

IV. Other Financial Assistance Options for Home Care in Ohio

While the above programs can be a great way to make home care affordable for many people, they are not the right solution for everyone. Thankfully, there are other ways to make home care more affordable for you and your family. For more information about your other options, read our section on Other Ways to Pay for this guide.

V. Free Resources for Aging in Place in Ohio

Ohio provides a variety of free resources to its 2.5 million seniors through local senior centers, Area Agencies on Aging and nonprofit groups. Here are a few resources to get you started.

Contact Area Served Services Provided
Area Agencies on Aging (866) 243-5678 Regional Ohio has 12 Area Agencies on Aging that serve seniors and disabled adults in designated counties. These agencies provide information about home care and community-based services, including meals, transportation, recreational programming and healthy aging courses. Most services are free to residents aged 60 or older.
Pro Seniors Legal Helpline (800) 488-6070 Statewide Pro Seniors operates a statewide Legal Helpline that provides free information and assistance to adults aged 60 and older. It can help with wills, long-term care planning, Medicare, Medicaid, estate recovery regulations and government benefits. Attorneys also handle cases involving housing, elder abuse and personal rights.
Senior Homestead Exemption (800) 282-1780 Statewide Seniors and disabled adults who have a modified adjusted gross income of approximately $34,000 or less may qualify for the state’s homestead exemption. This program provides a $25,000 discount on the assessed value of your property before taxes are calculated. The state reports that the average homeowner saves about $500 a year. Completed application forms must be submitted to your county auditor.
Home Weatherization Assistance Program See Directory County Level The Ohio Home Weatherization Assistance Program provides free structural improvements and efficiency upgrades to low- and moderate-income homeowners who earn up to 200% of the federal poverty level. Seniors are among the program’s target group. Services are provided by local partners in each county.
Center for Community Based Care (614) 885-0434 Statewide Operated by the Ohio Council for Home Care and Hospice, the CCBC is a nonprofit organization that educates seniors and families about community-based care options, local home care providers, advance planning and other age-related issues.
Office of the State Long-Term Care Ombudsman (800) 282-1206 Statewide The state’s long-term care ombudsman advises seniors and their families on long-term care options, local services and ways to exercise their personal rights. It also accepts confidential complaints regarding the services provided by home care agencies, assisted living facilities and other providers.

VI. Vaccination Requirements & COVID-19 Rules for Home Care Aides in Ohio

Federal regulations instituted by the Centers for Medicare and Medicaid Services require staff members at participating home health agencies to be fully vaccinated as of 2022. However, providers in Ohio and many other states are exempt from this requirement. Additionally, private home care agencies may have their own requirements regarding vaccinations, testing and personal protective equipment for staff and/or clients. If you’re concerned about this issue, ask the provider about their policies, and discuss your preferences with your case manager. These rules are current as of April 2022, but they are subject to change. Contact your Area Agency on Aging for additional details.

VII. Rules and Regulations for Home Care Providers in Ohio

Starting in 2022, medical and nonmedical home care agencies in Ohio will require a license from the Department of Health. These agencies are overseen at the federal level by the Centers for Medicare and Medicaid services.

What Types of Care Can Be Provided?  Home care providers may provide personal assistance and help with cleaning, errands and household chores. Personal care aides are permitted to provide one-on-one assistance with activities of daily living. However, medical services, including skilled nursing and physical therapy, must be provided by licensed staff who are employed by home health agencies.
Are Care Plans Required? Home care must be recommended by a qualified physician or medical practitioner. Service plans must address clients’ individual needs regarding the scope, timing and delivery of supports.
Can Home Care Providers Assist with Medication Management?  Only certified medication aides and qualified nursing staff may help clients with their medications. Such activities must be overseen by a licensed nurse.
Are There Special Requirements for Screening Home Care Aides? Ohio requires criminal background checks for all direct care workers, including full-time, part-time and temporary staff at home health agencies. A history of certain offenses bars applicants from employment.
Are Home Care Aides Required to Undergo Special Training? Certified nursing aides who provide direct care must complete at least 75 hours of classroom and clinical training, which is consistent with federal minimums.
Does Medicaid Cover Home Care in Ohio? Intermittent and part-time home health care services are covered by Ohio’s Medicaid State Plan. The state also offers Medicaid waivers that allow nursing home-eligible seniors to receive in-home care as an alternative.
How Do I Report Abuse of Myself or a Loved One? To report elder abuse or neglect involving a home health care provider, consumers should contact the state’s Long-Term Care Ombudsman at (800) 282-1206. Other concerns about abuse should be directed to the Adult Protective Services office in your county.

VIII. How to Find a Home Care Provider in Ohio

Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. To help you overcome this challenge, we’ve created a helpful checklist below that can help guide you through the process of both determining your needs, and finding a home care agency that will be the best fit for you and your family.

Download PDF Here

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