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2018 Ohio Medicaid Eligibility

The Medicaid program provides medical care to individuals with low incomes, pregnant woman, infants and children, older adults and those with disabilities. The following discussion, applies to adults over the age of 65 who need long-term care in the community (PASSPORT), assisted living (Medicaid Waiver), or care in a nursing facility. Applicants must meet the following eligibility requirements:

  1. RESIDENCY: The applicant must be a resident of Ohio.
  2. AGE OR DISABILITY: The applicant must be over the age of 65, blind or disabled. The applicant must meet a skilled level of care or an intermediate level of care to qualify for nursing home payment or for waiver services.
  3. INCOME: An applicant's income cannot be greater than $2,250.00. If the applicant's income is greater than $2,250.00, then a qualified income trust (QIT) is required for eligibility.
  4. ASSETS/AVAILABLE RESOURCES: The applicant's resources must be equal to or less than $2,000.00.

The cash value on an insurance policy owned by the applicant is considered an available resource. Some resources may be exempt. In certain circumstances, the applicant's home, up to $572,000.00 can be exempt. An automobile that is required for transportation can be exempt. Household goods and personal effects are exempt. Pre-need funeral contracts and burial plots are exempt.

Additional rules apply to married couples when one spouse is living in a facility and the other is residing in the community.

Eligibility summary and other important Medicaid limits:

Income Level$2,250.00
Resource Limit$2,000.00
Monthly Maintenance Needs Allowance (Community Spouse)$3,090.00 (Maximum)
Community Spouse Resource Allowance$123,600.00 (Maximum)
Home Equity Exemption$572,000.00
Excess Shelter Allowance$609.00
Standard Utility Allowance$530.00
Monthly Personal Needs Allowance$50.00
Average Private Pay Rate$6,570.00