Most older Ohioans prefer to live independently in their own homes, in their communities, surrounded by family and friends, for as long as they can. But, many need some help doing so. Before Medicaid waiver programs, older adults who needed any degree of long-term care typically entered nursing homes. Ohio's PASSPORT Medicaid waiver program helps Medicaid-eligible older Ohioans get the long-term services and supports they need to stay in their homes.
PASSPORT is a two-pronged program. The first part is a pre-admission screening during which interested consumers are screened by telephone to determine preliminary Medicaid eligibility and care needs. They are also provided information about the variety of long-term care options available.
The second part of PASSPORT is home care. Once a consumer is determined eligible a case manager works with him or her to develop a package of in-home services to be provided by local service providers. The case manager then monitors the care for quality and changes the care plan as necessary.
Eligible PASSPORT participants are:
- Age 60 or older;
- Financially eligible for Medicaid institutional care (For 2013, this means typically earning no more than $2,130 per month for one person and having no more than $1,500 in countable assets, though individuals above this limit may be eligible based on the extent of their medical and in-home needs);
- Frail enough to require a nursing home level of care; and
- Able to remain safely at home with the consent of their physician.
The cost of PASSPORT services needed at the time of application cannot exceed 60 percent of the cost of nursing home care. Some costs incurred by the state for PASSPORT care may be subject to estate recovery. Estate Recovery is required by the federal Omnibus Budget Reconciliation Act of 1993, and by Section 5111.11 of the Ohio Revised Code. All Medicaid services provided to persons age 55 or older are subject to recovery, including physician visits, outpatient visits, home and community-based waiver services PASSPORT and Choices) and all medically related Medicaid services. For more information about estate recovery, contact your county Office of Job and Family Services.
For more information and to determine your eligibility, contact the PASSPORT Administrative Agency serving your area.
Is self-directed care right for you?
PASSPORT provides options for some participants to direct their own care. Self-directed care may be right for you if you agree with any of these statements:
- I am satisfied with the home and community-based services that help me so I can continue living in the community.
- I have special health needs (e.g., memory impairment, chronic health problem or disability) or cultural needs (e.g., language) that could be better met by a service where I can use workers that I know, like my family or friends.
- My life could be improved if I had more control over my services and could hire workers that I know and tell them what to do and when.
- I can describe how taking responsibility for my services will benefit me.
- I am interested in managing the help that I need so I can live in the community.
- I can write out a plan, on my own or with help, for the activities that help me stay in the community.
- I can take on the responsibility as an employer of finding, hiring, and managing workers myself or if someone helped me.
- I know someone who can help me with the responsibility of being an employer, if needed.
Your PASSPORT administrative agency can help you better understand self-directed care options.