Ohio Medicaid Long-Term Care

MyCare Ohio is changing during 2026

MyCare Ohio integrates Medicare and Medicaid benefits, including long-term services and supports, for people dually eligible for both programs. It historically operated in 29 demonstration counties (Ohio Medicaid Consumer Hotline, MyCare FAQ).

Ohio began Next Generation MyCare in those original counties on January 1, 2026 and announced statewide rollout from April through August 2026. Because the expansion is active, confirm county availability and current plan participation before making a care or enrollment decision (Ohio Medicaid Consumer Hotline, Next Generation MyCare).

Financial eligibility is a separate decision

Ohio uses a Special Income Level model for institutional and waiver Medicaid. The 2026 individual SIL is $2,982 per month, and income above the applicable cap can require a Qualified Income Trust under Ohio's Medicaid rules (ODM 2026 Medicaid Standards Help Sheet; Ohio Administrative Code income rules).

The 2026 countable-resource limit is $2,000 for one applicant and $3,000 when both spouses apply, subject to the separate protections for a community spouse (ODM 2026 Medicaid Standards Help Sheet).

Start with the care setting and current rules

Institutional coverage, PASSPORT, the Ohio Home Care Waiver, and managed-care enrollment are not interchangeable. The relevant age, level-of-care, living-setting, and program requirements should be confirmed for the person seeking services (PASSPORT eligibility rule; Ohio Home Care Waiver rule).

For a state with a different delivery structure, compare Florida's Medicaid long-term-care page. For the wider eligibility framework, see Medicaid (Baseline).