---
title: "Ohio Medicaid Long-Term Care | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/ohio/medicaid-long-term-care/
description: "How Ohio delivers long-term services and supports through nursing-facility Medicaid, HCBS waivers, and a changing MyCare Ohio managed-care system."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Ohio · Medicaid Program

# Ohio Medicaid Long-Term Care

Last updated 2026-10-20

Ohio doesn't route everyone through a single long-term-care program. The Ohio Department of Medicaid oversees the system, but depending on a person's situation, the practical path could be fee-for-service nursing-facility Medicaid, a home- and community-based waiver, or managed care for those who qualify for both Medicare and Medicaid.

Where you go to apply also depends on the type of care. County Departments of Job and Family Services determine financial eligibility for institutional Medicaid, while Area Agencies on Aging handle intake and assessment for PASSPORT, the state's main waiver for older adults.

## Sources and official resources

- [Ohio Administrative Code: Rule 5160-3-02.3, Nursing Facilities](https://codes.ohio.gov/ohio-administrative-code/rule-5160-3-02.3)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Ohio guide](https://fundingltcmarketplace.com/states/ohio/)