According to the Alzheimer’s Association, Alzheimer’s disease is the sixth leading cause of death both in Ohio and across the United States as a whole. There are currently more than 220,000 Ohio residents aged 65 and older living with Alzheimer’s and other types of dementia, an increase of 13.6% from 2017. The CDC predicts that by 2060, the number of seniors affected by Alzheimer’s will double.
Memory care facilities provide those living with Alzheimer’s and dementia with care that is tailored to their unique needs. Memory care can take place in its own facility, or as part of a designated wing of another residential care community. Staff members of memory care units or facilities undergo specialized training in caring for those with memory impairment, and the facilities often coordinate social activities and schedules specifically for the needs of those living with Alzheimer’s or dementia.
This guide will cover the cost of memory care in Ohio, financial assistance options for paying for memory care, free memory care resources in the state, and a directory of memory care facilities in Ohio.
Because of the specialized staff training and resources required to provide high-quality memory care, memory care typically costs more than other types of residential care. On average, memory care will cost 20-30% more than assisted living.
We added 25% to the cost of assisted living reported by the 2021 Genworth Cost of Care Survey to calculate the cost of memory care.
Memory care in Ohio costs an average of $5,794 per month, which is only slightly more than the national median of $5,625. Communities in Ohio tend to charge more than those in the surrounding states of Kentucky ($4,310), West Virginia ($5,200), Indiana ($5,354) and Pennsylvania ($5,125).
The average cost of memory care varies across Ohio, with seniors in Akron paying the highest fees of $6,241, while those in Springfield, the most affordable city in the state, pay around $4,575 per month. In the state capital of Columbus, memory care communities charge an average of $5,106 each month. Communities in the lakeside city of Cleveland charge around $6,175 per month for memory care services.
Medicaid in Ohio doesn't cover the costs of memory care in an assisted living facility or residential community. There are two waiver programs offered by Medicaid that may be able to reduce the costs of care and make it an affordable option. These two waiver programs are the MyCare Ohio Plan and the Assisted Living Waiver.
MyCare Ohio Plan
The MyCare Ohio Plan is also known as the Integrated Care Delivery System Medical Waiver. The purpose of this waiver is to provide managed care services to seniors who qualify for Medicaid and Medicare coverage. It's only offered in 29 counties, and seniors should check if their county is covered before applying. It covers some of the services provided in a memory care facility, such as behavioral health services, personal care and nonmedical transportation.
Assisted Living Waiver
The Assisted Living Waiver covers some of the care costs in an assisted living or memory care facility. The waiver doesn't cover room and board costs but can reduce monthly expenses by covering personal care, medical equipment, support services and housekeeping.
Seniors in Ohio must meet certain financial and medical requirements to qualify for Medicaid coverage in Ohio. Single applicants are limited to an annual income of $30,276, while married spouses can receive a yearly income of up to $60,552. The asset limit for single applicants is $2,000, and the asset limit for couples is $3,000. It does not include any properties or vehicles the applicants may own.
2022 Medicaid Income Limits for Seniors in Ohio
|family size||annual income limits||asset limits|
|Two-Person Household (Single Applicant)||$30,276 for applicant||$2,000 for applicant & $137,400 for non-applicant|
|Two-Person Household (Dual Applicants)||$60,552||$3,000|
Additional eligibility requirements include being a U.S. citizen or legal resident. On application, seniors should submit the following documents to show they're eligible for Medicaid:
Seniors and their loved ones can contact one of the agencies or departments listed in the table below for assistance in applying for Medicaid.
|Ohio Department of Medicaid||800-324-8680||Seniors and their loved ones can contact the Ohio Department of Medicaid helpline to be guided through the application process. Alternatively, they can follow the step-by-step application guide provided on the website.|
|Ohio Area Agencies on Aging||866-243-5678||Agents from the Ohio Area Agencies on Aging can assist seniors wanting to apply for Medicaid. Seniors can contact their local agency by phone or in person for assistance.|
|Ohio Benefits||Online Information||Seniors can apply online using the Ohio Benefits Portal. In addition, the website provides information on eligibility and waivers available.|
Unfortunately, Medicare does not generally cover the cost of Memory Care. Most Memory Care Facilities are considered to be "social settings," so Medicare does not cover the cost incurred in these facilities. The only exception to that is if you are receiving memory care services in a Nursing Home. While this situation is much less common, Medicare would sometimes cover the cost, depending on a number of circumstances.
That being said, Medicare does still cover qualified doctor visits, medications, etc., as it would if you were still at home, but it will not cover the cost of care received at the Memory Care Facility.
In addition to the state programs mentioned above, those looking for resources to finance memory care may consider:
In Ohio, facilities that provide memory care services in an assisted living environment are known as residential care facilities (RCFs). Across the state, the terms assisted living and residential care can be used interchangeably. The Ohio Department of Health (ODH) is responsible for the licensing, inspection and certification of all RCFs throughout the state.
According to the state, to be classified as an RCF, a facility must offer accommodations for 17 or more unrelated individuals, with supervision and personal care services for at least three residents who experience limitations due to their age, physical or mental impairments. Smaller communities that provide some skilled nursing care services can also be licensed as RCFs.
These RCFs may have specialized units or an entire facility designed specifically for residents who have Alzheimer’s or another type of dementia. The ODH has specific requirements for these special care units, which must be outlined when a facility applies for their residential care license.
RCFs may provide residents with a variety of services, including supervision, daily personal care, medication administration, diet supervision, dressing and assistance with part-time intermittent enteral feedings. Skilled nursing services may also be provided on a part-time basis for no more than 120 days, with the exception of hospice residents and those whose physicians have recommended skilled nursing care as part of their routine.
RCFs offer care services for a variety of residents, though they do have some restrictions on who they can admit. The table below outlines who may or may not be admitted to an RCF.
Residents Who May Be Admitted
Older adults and people with:
Residents Who May NOT Be Admitted Those who:
Facilities are required to complete a residential assessment within 48 hours of a senior moving in, and after that, on a yearly basis or following any significant health changes. A licensed health professional must also determine if a senior is able to self-administer medication or requires medication administration assistance. Additional assessments may be conducted for residents with medical, psychological, developmental or intellectual impairments.
Residents are also allowed to contract with third-party providers, such as a licensed hospice agency, certified home health agency or mental health agency, if they feel they could benefit from additional services.
Medication Management Requirements
Any medications administered to residents must be done so by authorized personnel, such as physicians, registered nurses (RNs), licensed practical nurses (LPNs) or certified medication aides who have undergone special training.
Residents who are mentally alert and capable of self-administering their own medications may do so with the help of trained nonlicensed staff as required. Assistance includes reminders, observation, handing medications to the resident and verifying labels, and in the case of physically impaired residents, removing medications from containers, placing a container to the resident’s mouth and applying medication upon request.
As licensing rules do not dictate a requirement for apartment-style rooms, RCFs can have both private and shared rooms. Private units must be a minimum of 100 square feet in size and multiple-occupancy units are required to provide a minimum of 80 square feet for each resident, not including bathrooms or closet space. The maximum occupancy for an individual unit is four individuals. For every eight residents, there must be one toilet, sink and tub or shower provided. If more than four seniors of one gender are residing on a single floor, a bathroom for each gender must be provided on that floor.
The facility is required to have safety items such as sprinklers, smoke detectors and carbon monoxide alarms installed, as well as a disaster preparedness plan.
RCFs are required to have direct care staff to provide personal care services, at least one of whom is trained in first-aid, and an administrator who oversees daily operations and is accessible at all times. If a facility offers skilled nursing services, it must have a registered nurse either on staff or under contract, and if it offers medication administration services, an RN, physician, LPN or authorized staff member must be on duty. RCFs must also have a psychologist or physician on staff if they provide memory care services.
While the state does not enforce a minimum staff ratio, sufficient numbers must be available to properly care for residents’ needs. All staff members are required to go through orientation and training to learn their responsibilities, facility procedures, emergency assistance and resident rights. Training must be conducted by a licensed nursing professional. Any staff who provide direct care to residents must complete first-aid training within 60 days of their hiring.
Staff must participate in eight hours of continuing education on an annual basis to keep up to date on personal care techniques, refine their observational skills and develop their communication skills.
Ohio has two Medicaid waiver programs to cover the cost of services in residential care facilities: the Assisted Living Program and the Managed Care Demonstration Waiver, known as MyCare. Additionally, seniors who are eligible for Medicaid can receive monthly assistance from the state-funded Residential State Supplement (RSS) to help cover the cost of accommodations, supervision and personal care services in an RCF.
To register a complaint about an RCF, seniors can call the Ohio Department of Health complaint department toll-free at 800-342-0553 or fill out a form online. Complainants can choose to remain anonymous. Concerns or complaints dealing with the care or treatment of residents in an RCF can also be directed to the area’s regional long-term care ombudsman program or by calling 800-282-1206.
In Ohio, seniors with Alzheimer's or dementia and their loved ones have access to numerous resources to assist and support them.
|Memory Cafe||Various locations||There are several Memory Cafes located throughout Ohio. These cafes are dementia-friendly events hosted by local support groups or senior centers. Each cafe offers different activities to engage seniors, such as book reading, games or arts and crafts. Seniors must be accompanied by a family member or caregiver.|
|Alzheimer's Association Central Ohio||800-272-3900||The Alzheimer's Association of Central Ohio assists seniors and their loved ones in 10 counties in the central region of Ohio. The association hosts multiple fundraising events for research projects and clinical trials. It runs support groups for family members and seniors diagnosed with Alzheimer's and other dementia-related disorders.|
|Ohio Area Agencies on Aging||866-243-5678||There are 12 Area Agencies on Aging located in counties across Ohio. These agencies link seniors and their loved ones to local support groups, services and long-term care facilities.|
|Alzheimer's Association Cleveland Area||800-272-3900||The Alzheimer's Association Cleveland Chapter provides support services for seniors and their loved ones. It runs regular educational workshops and presentations to raise awareness about memory loss in the community. In addition, the association advocates on behalf of seniors to improve the lives of those living with Alzheimer's in Cleveland.|
|Opening Minds Through Art||513-529-2914||Opening Minds Through Art is an international program headquartered at the University of Miami in Ohio. The program is offered at many senior centers and long-term care facilities throughout the state. Seniors are encouraged to create pieces of art and focus on their imagination and the skills they still have instead of what they've lost. The program helps to reduce agitation and creates a calm atmosphere.|
Note: The following information was compiled and most recently updated on 2/13/2022. Since COVID-19 is a rapidly evolving crisis, be sure to contact your Memory Care Facility or local Area Agency on Aging for the most up-to-date information.
|Am I allowed to visit my loved one in person?||Yes (Conditions Apply)|
|Is my loved one required to quarantine after I visit him or her?||No|
|Am I required to wear a mask if I visit my loved one in person?||Yes|
|Are visitors screened for elevated temperatures?||Yes|
|Are residents allowed to leave the facility at-will?||Yes|
|Are residents of senior living facilities who leave required to quarantine when they get back?||No (Conditions Apply)|
|Are staff members and contractors checked for elevated temperatures?||Yes|
|Are staff members and contractors tested for COVID-19?||Yes (Conditions Apply)|
|Do staff members have to regularly screen residents for COVID-19 symptoms?||Yes|
|Do staff members have to regularly check residents for elevated temperatures?||Yes|
|Do staff members have to regularly test residents for COVID-19?||Yes (Conditions Apply)|