What it covers
- Personal care aide services: bathing, dressing, grooming, toileting, transfers, and eating.
- Homemaking that supports your care: light cleaning, laundry, and meal preparation.
- Depending on the program, related services such as adult day support or home-delivered meals.
- The exact services and hours come from your person-centered service plan, set with your case manager.
Who qualifies
- You live in Ohio and are eligible for Medicaid (the state applies income and asset limits).
- The state's assessment finds you need a nursing-facility level of care that can be met safely at home.
- Which program fits depends mainly on age and situation: PASSPORT serves adults 60+, the Ohio Home Care Waiver serves adults under 60 and some children, and MyCare Ohio covers people with both Medicare and Medicaid in participating counties.
- Only the state and its assessors decide eligibility — no agency, including ours, can promise you'll qualify.
The steps
- Apply for Medicaid: online at the state's benefits portal, or through your County Department of Job and Family Services.
- Request a waiver screening; the state's area agency or case management team assesses what help you need.
- If eligible, you're enrolled in the program that fits (Ohio Home Care Waiver, PASSPORT, or MyCare).
- Your case manager builds a person-centered service plan: what help, how many hours.
- Choose a home care provider and start care. You can change providers without restarting eligibility.
Where Roost fits
- Roost does not provide the personal care these programs pay for, and it does not bill Medicaid. Program care comes from a provider the state approves for your program.
- Roost is a private-pay platform for companionship: company, conversation, a walk, a meal made together. A family finds a caregiver near the person and agrees the visits and the rate with them directly.
- Companionship can sit alongside program care. Your case manager decides what the program covers, and nothing on Roost changes that.