Talk to a local advisor for free

Assisted Living in Ohio

Ohio is situated to the south of Lake Eerie. It has a population of 11.7 million, of which 17.5% are aged 65 or over. The state has an aging population, with more than 2.5 million residents aged 60 or older, and the number of older adults in the state is growing 20 times faster than the younger population.

Some seniors find they require help with the activities of daily living as they get older. For those seniors, assisted living facilities offer a way to maintain their independence and dignity but receive help with the activities of daily living as required. The Genworth Financial Cost of Care Survey lists the average cost of assisted living in Ohio as being $4,635, which is slightly above average. Seniors may get help paying for this type of care through a waiver, and the overall cost of living in the state is below average.

This guide looks at the cost of assisted living and other care types in the state, and it lists Medicare and Medicaid options for seniors and other support and advice services.

How Much Does Assisted Living Cost in Ohio?

According to the Genworth Financial Cost of Care Survey 2022, the average cost of assisted living in Ohio is $4,635, which is slightly above the national average of $4,500. Ohio’s facilities charge more than in neighboring states. Kentucky is the most affordable, with average fees of $3,448 per month. Pennsylvania ($4,100), West Virginia ($4,160) and Indiana ($4,283) also offer relatively affordable fees compared to the national average.




The United States






West Virginia



The Cost of Assisted Living in Ohio’s Top Cities

Within Ohio, the cost of assisted living varies from city to city. Columbus, in the heart of the state, is relatively affordable, with average fees of $4,085. Fees are slightly higher in Toledo ($4,219) and Dayton ($4,250). To the far south in Cincinnati, seniors pay an average of $4,666 per month. Mansfield ($4,798) and Akron ($4,993) are some of the most expensive cities in the state.













The Cost of Assisted Living vs. Other Types of Care

In addition to assisted living, seniors can choose from several other care options. Adult day health care is the most affordable, at $1,733 for care in a group setting during office hours. Homemaker services cost $4,957 for housekeeping and personal care support at home. Seniors pay slightly more, $5,053, for home health care, which offers similar services plus limited nursing care. Skilled nursing in a semiprivate room in a residential nursing home is the costliest, due to the intensive 24-hour support provided, averaging $7,300 per month.


Assisted Living Facility


Homemaker Services


Home Health Care


Adult Day Health Care


Nursing Home Facility (semiprivate room)

Can You Use Medicaid to Pay for Assisted Living in Ohio?

Medicaid in Ohio does not directly cover the cost of assisted living. However, there are assisted living waivers that can be used to offset some of the cost of care. Most assisted living facilities in the state accept these waivers. The Assisted Living Waiver Program supports Ohio residents aged 21 or over who require personal care assistance, such as help with bathing, eating, or dressing. The Residential State Supplement covers the cost of room and board for those on a low income who require support in an assisted living facility.

Medicaid’s Coverage of Assisted Living in Ohio

The Ohio Medicaid Assisted Living Waiver is a home and community-based services waiver that is open to those who meet the eligibility requirements for Medicaid and who need support with the activities of daily living. It can also be used to assist with expenses relating to moving into the facility.

Waivers Programs for Assisted Living in Ohio

Assisted Living Waiver

Seniors may be eligible for the Assisted Living Waiver if they have been assessed as requiring one-on-one support with the activities of daily living. This waiver is open to all adults who qualify for Medicaid and meet financial eligibility requirements. Those under the age of 65 must have a physical disability to be deemed eligible, while those over 65 are required to need nursing home levels of care.

Seniors can apply for the Assisted Living Waiver by calling (866) 243-5678 or visiting their nearest Area Agency on Aging

Residential State Supplement

The Residential State Supplement helps with the cost of room and board at assisted living and other long-term care facilities. To be eligible for this supplement, seniors must require long-term care, be eligible for Medicaid and be in receipt of Social Security Disability Income (SSDI) or other similar benefits.

Eligibility for Medicaid in Ohio

Seniors must meet certain income and asset limits in order to qualify for Medicaid. These limits differ depending on whether the applicant is a single person or part of a couple. If one person in a couple is applying, the non-applicant is permitted to have a greater level of assets. Applicants are expected to spend the majority of their income on their care costs; however, there is a $50 personal needs allowance along with a spousal care allowance for couples.

2022 Medicaid Income Limits for Seniors in Ohio

Income Limits* Asset Limits
Single Applicant$30,276$2,000
Two-Person Household(Only One Person Applying)$30,276$2,000 for applicant$137,400 for non-applicant
Two-Person Household
(Both People Applying)

*per year

In addition to meeting the income and asset requirements, seniors must also:

  • Be U.S. citizens or meet non-citizen requirements
  • Reside in Ohio

The Assisted Living Waiver is open to those aged over 65 who require nursing home levels of care for any reason, and those aged 64 or younger who are living with a physical disability.

Applying for Medicaid in Ohio

Seniors who wish to apply for Medicaid can do so by calling the Offices of Long-Term Services and Supports at (844) 644-6582 or by using the online application service. The local Area Agency on Aging may also be able to offer advice on the application process.

Before You Apply

To apply, seniors will need to have the following information and documents on hand:

  • Proof of residence/citizenship, such as a passport or green card
  • Proof of age in the form of a passport, birth certificate or medical/school documents
  • Bank statements
  • Property deeds and car titles
  • Evidence of any income from shares/other investments
  • Medicare documentation
  • Evidence of any Social Security income/VA benefits

Where to Go to Get Help

There are several organizations offering support with the Medicaid application process. Seniors can also access online state and federal resources to help them understand the eligibility requirements and find local contacts to assist with more specific queries.

Resource Contact Service 324-8680The website offers advice and information about the benefits available in different states. The Ohio Medicaid page covers useful contacts, eligibility requirements for Medicaid in the state and the application process.
OSHIIP(800) 686-1578The Ohio State Health Insurance Information Program helps individuals choose the right Medicare and Medicaid services for their needs. Trained, impartial advisors work with seniors, answering questions to reduce Medicare fraud and help them choose plans that will suit their health and financial circumstances. 
Ohio Department of Jobs and Family Services

(866) 244-0071The Ohio Department of Jobs and Family Services has several local offices spread across the state. These offices can assist with benefits applications and run local adult protective services, which can assist in cases of elder abuse or neglect. 

Can You Use Medicare to Pay for Assisted Living in Ohio?

Unfortunately, Medicare does not cover the cost of assisted living in Ohio. Unlike nursing homes, assisted living facilities are not considered to be “clinical settings’ and so are not eligible for Medicare coverage. That being said, you can still use Medicare to cover the cost of approved medications, doctor visits, medical equipment, etc.

For more information about what Medicare visit

Are There Other Financial Assistance Options for Assisted Living in Ohio?

How to ApplyHow It Works
Aid and AttendanceApply online at you are a veteran and you receive a VA pension, you may also be eligible for the Aid and Attendance benefit. This benefit takes the form of a monthly cash allowance that you receive in addition to your standard pension. This benefit is used by veterans who need long-term care services, including care received at an assisted living facility.
Reverse MortgagesResearch and learn about the different types at ftc.govIf you own a home, you may be able to use a reverse mortgage to access some of the equity in your home. Like traditional loans, reverse mortgages do need to be repaid with interest, typically within 12 months, so seniors should carefully weigh this option alongside other financing methods.
Long-Term Care (LTC) InsuranceLearn about how to receive LTC insurance benefits at those who currently need assisted living will typically not be eligible, if you purchased an LTC insurance policy in the past, you may be able to use it to help pay for assisted living. While most policies cover at least a portion of the cost, you still need to check the specific terms of your policy.

Free and Low-Cost Resources for Seniors in Ohio

Seniors living in Ohio can access support from a variety of nonprofit and local government organizations. These organizations provide support with benefits applications and appeals, legal issues, veterans’ assistance and more.

Resource Contact Service 
Area Agencies on Aging(866) 243-5678There are 12 Area Agencies on Aging covering the 88 counties of Ohio. These agencies deliver a range of supportive programs for Ohio residents. They can assist with Medicaid applications and connect seniors with public and private sector organizations delivering transportation, meal service or other help within the community.  
Veterans Affairs OfficesSee Directory for Local OfficeThe Department of Veterans Affairs has seven Vet Centers in Ohio along with several other facilities for veterans, including clinics and benefits administration offices. Former servicemen and women can access these services to help them apply for VA pensions and benefits, find local veterans’ homes or receive medical support.
Social Security Offices (800) 772-1213There are 56 Social Security Offices in Ohio. These offices can help seniors apply for Social Security benefits, appeal if a claim has been denied or access documentation that may be required for a Medicaid application. Seniors can find their nearest Social Security Office by entering their zip code into the search tool on the SSA website. 
Ohio Office of the Long-Term Care Ombudsman  (888) 282-1206The Long Term Care Ombudsman advocates for the rights of patients living in long-term care facilities. Volunteer ombudsmen liaise with patients and their loved ones and investigate complaints or concerns about the standard of care at assisted living facilities. 
Pro Seniors(800) 488-6070Pro Seniors provides Ohio’s older adults with free legal advice and support. This organization advocates for seniors’ rights and assists with benefits appeals, health care issues and estate planning. It also helps seniors understand the Medicare system and deals with issues relating to both Medicare fraud and billing errors. 

COVID-19 Rules for Assisted Living in Ohio

The following information is based on research done on several government websites, including and These rules apply to nursing homes and other types of senior living facilities. We’ve most recently updated this data on 2/13/2022, but since COVID-19 is a rapidly evolving pandemic, contact your local senior living facility or Area Agency on Aging for more specific and up-to-date information.

Visiting Loved Ones

Can I visit my relative in person if he/she wants emotional support from me?Yes (Conditions Apply)
Can I visit my relative in person for end-of-life compassion care?Yes
Will my loved one be required to self-quarantine after I visit him or her?No
Do I need to wear PPE and/or a cloth mask if I do visit my relative in person?Yes
Are Hairdressers and other non-medical contractors still allowed in senior living facilities?Yes
Does the state recommend or require that senior living facilities assist families with setting up virtual visit alternatives? Yes
Are visitors being screened for elevated temperatures?Yes
Are visitors being asked questions about health, travel, and potential virus contact?Yes

Outings and Group Activities

Are residents allowed to leave the facility for non-medical reasons?Yes
Are residents of senior living facilities who leave and return required to self-quarantine?No (Conditions Apply)
Are senior living facilities required to cancel all group outings?No
Are residents still eating together in the dining hall?Yes (Conditions Apply)
Are facilities still allowed to host group activities within the community?Yes (Conditions Apply)

Safety Measures for Staff & Contractors

Are staff members and contractors being screened for elevated temperatures?Yes
Are staff members and contractors being tested for Coronavirus? Yes (Conditions Apply)
Are staff members and contractors being asked questions about health, travel, and potential virus contact?Yes

Safety Measures for Residents

Are staff members required to regularly screen residents for coronavirus symptoms?Yes
Are residents relied on to screen themselves and self-report potential coronavirus symptoms?No
Are staff members required to take residents’ temperatures?Yes
Are residents being tested for coronavirus?Yes (Conditions Apply)

Assisted Living Laws and Regulations in Ohio

The Ohio Department of Health’s Bureau of Regulatory Operations oversees the licensing of residential care facilities, including assisted living communities. The Bureau sets the rules that such communities are required to abide by, including staffing requirements, care standards and health and safety regulations.

Laws and Regulations for Assisted Living in Ohio
Send this page to a friend or loved one
Your Name
Your Email Address
Send To
Multiple email addresses should be separated by comma or semi-colon.
Send me a copy of this message
We will never share your personal information. Privacy Policy