STATE PROFILE • Last updated: November 11, 2026
Ohio Elder Care & Medicaid
Ohio's Medicaid landscape for seniors features a strict income cap requiring Miller Trusts for many, alongside waivers like PASSPORT and Assisted Living that offer crucial home and community-based support.
leaderboard
RANKED #20
GRADE B
FEATURED
Medicaid Coverage Guide for Ohio
Full breakdown of Ohio Department of Medicaid for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Ohio Department of Medicaid
Income cap
$2,982/mo
Medically-needy
No
Elder Care Index Report Card
5-pillar composite scoring vs other states
B
Grade
AFFORDABILITY
GRADE C · 67
QUALITY
GRADE A · 67
STAFFING
GRADE D · 22
ACCESS
GRADE B · 50
MEDICAID SUPPORT
GRADE C · 25
CMS rates this state's 2023 home-care spending data as unreliable, so that input is scored at the national average.
Composite score: 60.2 / 100 (50 = average state)
Methodology arrow_forward
Ohio At a Glance
Nursing Home Facilities
922
Senior Medicaid Waivers
3
National Rank
#20 / 51
Range #15–#24 when the pillar weights shift
Senior Care Costs in Ohio
local_hospital
Nursing Home
$9,305/mo
-15.7% vs national avg
- 922 nursing homes · 81,578 beds
- Avg CMS rating 3.18★ (204 rated 5★, 95 rated 1★)
- 3.72 nurse hrs/resident/day (0.63 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$25/hr
-7.4% vs national avg
- Median aide wage $14.75/hr
- ~98,310 aides employed statewide
Source: BLS OEWS
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