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Your State's Assisted-Living HCBS Waiver, Explained

Ohio's Assisted Living Waiver pays for care services inside a licensed Residential Care Facility -- not room and board.

Home›State Rules›Your State's Assisted-Living HCBS Waiver, Explained
Short answer

Ohio's Assisted Living Waiver, administered by the Ohio Department of Aging in coordination with Ohio Department of Medicaid, pays for the care-services portion of a stay in a licensed Residential Care Facility. It does not pay for room and board, and not every RCF holds a provider agreement.

What it covers

Personal care, medication assistance and the other care services an RCF provides, up to the waiver's covered scope -- delivered inside a community that holds a provider agreement.

What it does not cover

Room and board. Families still pay the community's rent/room charge out of pocket, Social Security, or other income -- the waiver offsets the care-services portion only.

How to apply

Start with the Council on Aging of Southwestern Ohio, which administers the waiver locally for our four-county coverage area and can tell you current capacity and waitlist status.

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.

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