Assisted Living Waiver Program- Alternative to the Nursing Home

The Assisted Living Waiver Program is an option for those looking for alternatives to the nursing home.

With the Assisted Living Waiver Program, Medicaid covers the cost of care while the individual pays for his “room and board” at the assisted living facility.

To be eligible, the individual must apply for Medicaid and meet the following requirements:
1. Be 21 or older;
2. Meet the Medicaid financial requirements;
3. Meet the medical needs requirements;
4. Live in a nursing home, receive care through another Medicaid waiver program or live in an assisted living facility approved by the Ohio Dept. of Aging;
5. Must have enough income to pay for room and board, currently $660 per month.

It is important to note that there have been changes made to the program in the last couple years.

The requirement that a person private pay for six months in an assisted living facility prior to becoming eligible has been removed. Also, assisted living services are now available to individuals while waiting for Medicaid eligibility to be determined.

If you are considering taking advantage of the program, please keep in mind that the assisted living facility must be approved by the Ohio Dept. of Aging.

If you wish to explore applying for the program, consider consulting an elder law lawyer who can advise you more particularly on whether you meet the eligibility requirements and if not, whether Medicaid planning would be right for you.

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