The PASSPORT Waiver Medicaid program in Ohio provides an essential alternative to nursing home care, allowing eligible seniors to remain in their homes while receiving necessary support and services. This program offers home and community-based services (HCBS) to delay or prevent nursing home admissions, helping individuals maintain independence for as long as possible.
Who is Eligible for the PASSPORT Waiver?
To qualify for the PASSPORT Waiver, applicants must meet specific criteria related to age, financial status, and medical needs.
Age and Residency:
- Applicants must be Ohio residents who are 65 years of age or older.
- Individuals aged 60-64 may also qualify if they are physically disabled and at risk of needing nursing home care.
Financial Criteria:
- Income: For 2024, the monthly income limit is $2,829. The income of the non-applicant spouse is not considered when determining eligibility. If necessary, some of the applicant’s income can be allocated to support the non-applicant spouse.
- Assets:
- Single applicants can have assets up to $2,000.
- Married couples have combined asset limits, with the non-applicant spouse allowed to retain a larger portion of shared assets under certain rules. Some assets, such as a primary home and personal belongings, may be excluded from asset calculations.
Medical Criteria:
Applicants must demonstrate a need for a Nursing Facility Level of Care (NFLOC). This is determined using the Adult Comprehensive Assessment Tool (ACAT), which assesses the need for assistance with daily activities such as bathing, eating, and mobility.
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How to Apply for the PASSPORT Waiver
To apply for the PASSPORT Waiver, follow these steps:
- Verify Eligibility: Ensure that you meet the age, financial, and medical requirements. Gather supporting documents such as bank statements, income verification, and identification.
- Submit an Application: Apply for Medicaid through the Ohio Benefits website, by visiting your local County Department of Job and Family Services, or by calling the Ohio Benefits Consumer Helpline at 1-844-640-6446. Be sure to indicate that you’re requesting waiver or long-term care services.
- Contact PASSPORT Agencies: Reach out to your local PASSPORT Administrative Agency or call 1-866-243-5678 for further assistance. A pre-screening assessment will be conducted to determine your care needs.
It’s important to note that the PASSPORT Waiver program is not an entitlement program. Enrollment slots are limited, and a waitlist may apply.
Additional Information
For more information on the PASSPORT Waiver program, you can contact the Ohio Department of Aging at 1-800-266-4346.
The PASSPORT Waiver Medicaid program provides a lifeline for older adults seeking to live independently while receiving vital care services at home. By meeting eligibility criteria and following the application process, individuals can access this invaluable resource and enjoy a higher quality of life while remaining in their own homes.
