STATE PROFILE • Last updated: April 23, 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 #19
GRADE C
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
C
Grade
AFFORDABILITY
STRONG
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
CRITICAL
MEDICAID SUPPORT
STRONG
Composite score: 51.2 / 100
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Ohio At a Glance
Nursing Home Facilities
922
Senior Medicaid Waivers
3
National Rank
#19 / 51
Senior Care Costs in Ohio
holiday_village
Assisted Living
$4,635/mo
+1.0% vs national avg
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
psychology
Memory Care
$5,794/mo
+1.0% vs national avg
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