Faith in Action

Article: How to get Medicare and Medicaid to Pay for Assisted Living

Description

Embracing the power of compassion and putting your faith in action is paramount. Now, more than ever, you have the opportunity to extend a helping hand to the elderly and individuals with disabilities, enabling them to relish in a life of utmost quality and independence. Faith in Action, an organization dedicated to serving individuals in Belmont, Marshall, and Ohio counties, stands ready to make a profound impact. Through the selfless dedication of volunteer caregivers, lives can be uplifted. A neighbor’s independence depends on you. Forge a path of support and empowerment today!

Please reach out with any questions to [email protected]

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Claim What’s Yours: Financial Aid for Ohio Seniors

Program

State Program Name

Eligibility

Benefits

PASSPORT Waiver

Ohio Medicaid PASSPORT

General: Age 60+, Ohio resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple).
OH Specifics: Administered through regional agencies; waitlists possible.

Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($65/day), home modifications ($1,500 avg.).

Ohio Home Care Program (non-Medicaid)

OH HCP

General: Age 60+, Ohio resident, at risk of decline.
Income Limits: ~$2,000/month (individual, varies).
Asset Limits: $5,000 (individual).
OH Specifics: Limited funding; regional variation.

Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

General: Age 21+ (65+ prioritized), OH resident, Medicaid-eligible, NFLOC.
Income Limits (2025): ~$2,829/month (individual); QIT required.
Asset Limits: $2,000 (individual), $3,000 (couple).
OH Specifics: Covers ~300 facilities; room/board not included (separate cost).

Services: Personal care, meals, medication management, transportation (~$3,000-$4,000/month value).

Program of All-Inclusive Care for the Elderly (PACE)

Ohio PACE (e.g., McGregor PACE)

General: Age 55+, OH resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025): ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits: $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OH Specifics: Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

General: Age 65+ or disabled, OH resident, Medicare Part A/B.
Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits: $9,430 (individual), $14,130 (couple).
OH Specifics: Three tiers; includes Extra Help for Part D; no waitlist.

Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).

Home Energy Assistance Program (HEAP)

Ohio HEAP

General: Age 60+ prioritized, OH resident, low-income household.
Income Limits (2025): ~$3,970/month (individual, 185% FPL).
Asset Limits: Not assessed; income-focused.
OH Specifics: Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.

Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

General: Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
OH Specifics: 12 AAAs; rural/low-income priority; volunteer respite option.

Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).

Senior Community Service Employment Program (SCSEP)

Ohio SCSEP

General: Age 55+, unemployed, low-income, OH resident.
Income Limits (2025): ~$1,983/month (125% FPL).
Asset Limits: Not specified; income-focused.
OH Specifics: Priority for veterans, rural residents; AARP partnership.

Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

VA Aid and Attendance (A&A) and Housebound Benefits

Ohio VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, OH resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits: ~$155,356 (net worth limit).
OH Specifics: High veteran demand; supports care in multiple settings.

Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Homestead Exemption

Ohio Homestead Exemption

General: Age 65+ (or disabled), OH resident, homeowner, low-income.
Income Limits (2025): ~$38,500/year (individual, adjusted annually).
Asset Limits: Not assessed; home ownership required.
OH Specifics: Reduces taxable value by $25,000; applies to primary residence.

Services: Tax reduction (~$400-$800/year avg., varies by county).

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

General: Age 60+ prioritized, OH resident, homeowner, hardship post-Jan 21, 2020.
Income Limits (2025): ~$147,600/year (family of 4, 150% AMI; varies by county).
Asset Limits: Not assessed; hardship-focused.
OH Specifics: Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.

Services: Mortgage aid ($25,000 max), utility/property tax aid ($5,000 avg.).

Claim What’s Yours Financial Aid for Ohio Seniors

Ohio Medicaid PASSPORT

PASSPORT Waiver

Eligibility

General: Age 60+, Ohio resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025): ~$2,829/month (300% FBR, individual).
Asset Limits: $2,000 (individual), $3,000 (couple).
OH Specifics: Administered through regional agencies; waitlists possible.

Benefits

Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($65/day), home modifications ($1,500 avg.).

OH HCP

Ohio Home Care Program (non-Medicaid)

Eligibility

General: Age 60+, Ohio resident, at risk of decline.
Income Limits: ~$2,000/month (individual, varies).
Asset Limits: $5,000 (individual).
OH Specifics: Limited funding; regional variation.

Benefits

Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).

Ohio Assisted Living Waiver

Assisted Living Waiver (ALW)

Eligibility

General: Age 21+ (65+ prioritized), OH resident, Medicaid-eligible, NFLOC.
Income Limits (2025): ~$2,829/month (individual); QIT required.
Asset Limits: $2,000 (individual), $3,000 (couple).
OH Specifics: Covers ~300 facilities; room/board not included (separate cost).

Benefits

Services: Personal care, meals, medication management, transportation (~$3,000-$4,000/month value).

Ohio PACE (e.g., McGregor PACE)

Program of All-Inclusive Care for the Elderly (PACE)

Eligibility

General: Age 55+, OH resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025): ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits: $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OH Specifics: Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Benefits

Services: Personal care (5-7 hours/day), medical care, meals, transportation, respite, therapies.

Ohio Medicare Savings Program

Medicare Savings Program (MSP)

Eligibility

General: Age 65+ or disabled, OH resident, Medicare Part A/B.
Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits: $9,430 (individual), $14,130 (couple).
OH Specifics: Three tiers; includes Extra Help for Part D; no waitlist.

Benefits

Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).

Ohio HEAP

Home Energy Assistance Program (HEAP)

Eligibility

General: Age 60+ prioritized, OH resident, low-income household.
Income Limits (2025): ~$3,970/month (individual, 185% FPL).
Asset Limits: Not assessed; income-focused.
OH Specifics: Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.

Benefits

Services: Heating/cooling aid ($300-$1,000/season), emergency aid ($500 max).

Ohio Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Eligibility

General: Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits: Not assessed; need-based.
OH Specifics: 12 AAAs; rural/low-income priority; volunteer respite option.

Benefits

Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).

Ohio SCSEP

Senior Community Service Employment Program (SCSEP)

Eligibility

General: Age 55+, unemployed, low-income, OH resident.
Income Limits (2025): ~$1,983/month (125% FPL).
Asset Limits: Not specified; income-focused.
OH Specifics: Priority for veterans, rural residents; AARP partnership.

Benefits

Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

Ohio VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Eligibility

General: Age 65+ or disabled veteran/spouse, OH resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits: ~$155,356 (net worth limit).
OH Specifics: High veteran demand; supports care in multiple settings.

Benefits

Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).

Ohio Homestead Exemption

Homestead Exemption

Eligibility

General: Age 65+ (or disabled), OH resident, homeowner, low-income.
Income Limits (2025): ~$38,500/year (individual, adjusted annually).
Asset Limits: Not assessed; home ownership required.
OH Specifics: Reduces taxable value by $25,000; applies to primary residence.

Benefits

Services: Tax reduction (~$400-$800/year avg., varies by county).

Ohio Save the Dream

Save the Dream Ohio (Homeowner Assistance Fund)

Eligibility

General: Age 60+ prioritized, OH resident, homeowner, hardship post-Jan 21, 2020.
Income Limits (2025): ~$147,600/year (family of 4, 150% AMI; varies by county).
Asset Limits: Not assessed; hardship-focused.
OH Specifics: Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.