Short answer
Ohio has no single combined managed-care waiver for seniors. The Assisted Living Waiver pays for care services inside a licensed Residential Care Facility but not room and board. PASSPORT pays for in-home services only. MyCare Ohio coordinates care for people eligible for both Medicare and Medicaid. None of the three pays a family's full monthly assisted living bill.
Three different programs, easily confused
Families researching Ohio senior care funding often assume there is one waiver to apply for, the way some other states run a single combined program. Ohio splits long-term services and supports across three separate programs, two run by the Ohio Department of Aging and one a Medicaid managed care demonstration.
| Program | Where care happens | Pays room and board? |
|---|---|---|
| Assisted Living Waiver | Inside a licensed RCF | No — capped resident payment only |
| PASSPORT | At home | No — in-home program only |
| MyCare Ohio | Coordinates across settings | Depends on the underlying service authorized |
How Cleveland families pay for care. Medicare does not cover assisted living. Ohio's long-term supports run through the Assisted Living Waiver, PASSPORT, and MyCare Ohio for dual-eligibles, none of which cover room and board in assisted living. Read the full explanation →
