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Home- and Community-Based Services

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Most older Ohioans prefer to live independently in their own homes, in their communities, surrounded by family and friends, for as long as they can. But, many need some help to do so. In your own home or the home of a loved one, the services you may receive vary considerably, but most provide meals, housekeeping, laundry, transportation and social activities. They also offer personal care, such as assistance with eating, bathing, grooming and personal hygiene. Some nursing care is also provided, including medication administration and dressing changes.

To determine if home- and community-based care is a good option for you, contact your area agency on aging and request a free assessment. Local communities can have services available, such as transportation, adult day services, senior centers, congregate meal sites and others. Your Area Agency on Aging will be able to connect you with available services.

How to select a service provider

How do you choose the best senior service provider? You should consider the following factors:

  • Location: Verify the senior service provider is within a comfortable travel distance (if you need to visit them). If the senior service provider will be visiting you at your home verify they offer their services in your community.
  • Service needed: Verify the elder care provider provides the service you need.
  • Availability: Verify the senior service provider can schedule appointments when you need them.
  • Fees: Some senior service providers are covered by insurance and some are not. Verify the elder care provider takes your insurance. It’s best to shop around for the best prices for the services you need.
  • Recommendations: Word of mouth recommendations can tell you whether you can get along with providers on a personal level. Ask friends, family, and other associates if they have had experiences with the senior service providers on your list.

Paying for care in your home

Home care services can be paid for directly by the patient and his or her family members or through a variety of public and private sources, such as Medicare, Medicaid, MyCare Ohio, or the Veterans Administration. Some community organizations, such as local chapters of the American Cancer Society, the Alzheimer's Association, and the National Easter Seal Society, also provide funding to help pay for home care services. Please review the How to Pay resource in this guide to learn about paying for care in your home.