Question for Dr. CC: What is the difference between Home Care Waiver and Passport?

The Ohio Home Care Waiver program is designed to meet the needs of financially eligible consumers who have been assessed to require an intermediate or skilled level of care and who are age 59 or younger. Without the services available through the waiver benefit, these consumers are at risk for hospital or nursing home placement. Consumers approved for the OHCW benefit may receive care and services at home. A waiting list exists when you apply. When a “slot” in the program becomes available, applicants on the waiting list are notified by certified letter so that they can re-apply if necessary.

The OHCW program benefit package consists of nursing services, personal care assistance services and/or skilled therapy services, plus waiver-specific services such as home modifications, home-delivered meals, adult day health care, respite care, supplemental transportation, adaptive/assistive devices, and emergency response systems. ODJFS contracts with a case management agency CareStar to provide case management services for this population.

Ohio Home Care Waiver provides home modifications that are medically necessary. Under the Ohio Home Care Waiver, CareStar follows OAC Rule 5101:3-46-04 (E). Home modification services are environmental accessibility adaptations to structural elements of the interior or exterior of a consumer’s home that enable the consumer to function with greater independence in the home and remain in the community. Home modification services must enable the consumer to function with greater independence, avoid institutionalization and reduce the need for human assistance. There is a $10,000 limit per calendar year.

The PASSPORT Waiver program benefit package consists of adult day health programs, environmental accessibility adaptations, home-delivered meals, personal emergency response systems, specialized medical equipment and supplies, chore assistance, independent living assistance, nutritional consultation, personal care services, social work and counseling, and transportation.

PASSPORT is a program designed specifically for adults 60 years of age and older, promoting independence for individuals at home with long-term care needs such as:

Personal Care
Home Maker
Home Medical Equipment
Home Delivered  Meals
Dietician Services
Adult Day Services
Minor Home Modifications

If the consumer meets the required eligibility criteria, the assessor/ case manager and consumer will develop an individualized plan of care to assist the consumer to remain in a home setting. Each consumer is assigned a PASSPORT case manager who will assist the consumer and/ or their representative in organizing and monitoring their plan of care. Eligibility Criteria These criteria are fully reviewed at the time of assessment.

Ohio’s PASSPORT Medicaid waiver helps Medicaid-eligible older Ohioans (over 60) get the long-term services and supports they need to stay in their homes and is administered by Ohio’s Department of Aging. Go to http:// for this option.

Ohio Home Care is Medicaid’s integrated program of home care services for medically fragile individuals under age 60. The Ohio Department of Job and Family Services (ODJFS) administers the Ohio Home Care Program through the Bureau of Long Term Care Services & Supports (BLTCSS). Go to for this option. is the organization that educates, tests, and certifies unlicensed long term care workers in the United States.


About Elder Care Advice blog

Get professional elder care giving advice, advocacy, education and tips for those who care for and about the frail elderly at the ElderCareAdvice blog. We are generously sponsored by Most posts are written by Cathleen V. Carr, unless attributed otherwise. We welcome relevant submissions. Submit your article and by-line for publishing consideration (no promises!) to Havi at, our own editor who will ensure submissions are given the best possible treatment and polish before publication, ensuring a professional level of publication. There is a nominal service fee involved ($45). Allow up to 30 days for publishing.
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