Assisted living service is a service that promotes aging in place by supporting a consumer's independence, choice, and privacy through the provision of one or more components of the service which are: a personal care service, a supportive service, an on-duty response service, meals, social and recreational programming, a non-medical transportation service, and a nursing service. An Assisted Living Waiver provider is a residential care facility licensed with the Ohio Department of Health. If your agency meets this requirement, please continue with the Application Process. In accordance with federal requirements described in 42 CFR 445.460 and per Ohio Administrative Code 5160-1-17.8, the Ohio Department of Aging collects a Medicaid application fee. The fee is currently $688 per application and is non-refundable. The fee applies to assisted living applicants. The fee will not be required if the assisted living applicant has paid the fee to either Medicare or another state’s Medicaid provider enrollment program (such as the Ohio Department of Medicaid, the Ohio Department of Developmental Disabilities, or outside of Ohio) within the past two years. However, the Department of Aging requires the assisted living applicant submit proof of payment with their application.
Application Process
- Apply online with Ohio Department of Aging (ODA), Provider Certification.
- ODA will contact The Area Agency on Aging District 7, Inc (AAA7) when a completed application packet has been submitted.
- AAA7 will contact the agency to conduct a pre-certification review to determine if the agency meets the ODA provider certification: requirements for every provider and Services Specifications (Specs) that were applied for.
- After this review/visit, your agency will receive a Pre-Certification Summary letter.
- The recommendation to become a certified PASSPORT provider will be sent to ODA. ODA will make the final determination.
- If ODA approves the certification, AAA7 will be notified and an agreement will be mailed to the agency for signature.
- Once AAA7 receives the signed agreement from the agency, the agency will be able to receive referrals from AAA7.
If ODA denies certification, the agency will receive notification from ODA and will be ineligible to reapply for certification for one year.
If at any time during this process there are changes to your agency or, if you wish to change/add/drop services or counties, you must contact AAA7`s Provider Relations Department as soon as possible. Any discrepancies in the application material may result in the application being rejected by ODA, thus restarting the entire process.
Current Certified Provider Changes
The providers current owner(s) shall notify the Provider Relations Department and ODA in writing of a change of ownership interest or change of organizational structure (change) no later than forty-five days before the change, unless ORC 173-39-03.2 requires notifying ODA sooner. The current owner(s) shall email their written notice to ODA at "provider_enrollment@age.ohio.gov." In the notice, the current owner(s) shall include a notarized statement including all information, as applicable and to the extent it is available to the current owner(s) at the time the notice is provided to ODA.
The provider shall notify the Provider Relations Department and ODA of any change in the provider's telephone number, mailing address, or email address within seven days after the change.
Ohio Department of Aging Current Administrative Rules