As with many states, Alzheimer’s disease and other types of dementia are impacting an ever-growing number of seniors in Ohio. Current estimates put the number of Ohioans living with Alzheimer’s disease at 220,000, and given that 10.7% of adults aged 45 and older have some level of cognitive decline, the rates of dementia in the state will likely increase in the coming years.

While there’s currently no cure for memory loss, a number of programs are available to help slow the progression of diseases like Alzheimer’s while minimizing the impact of dementia-related health issues. These memory care programs help dementia patients by providing 24/7 residential care in a secure setting designed to prevent wandering, giving families the peace of mind that comes with knowing their loved ones are safe and supported.

Memory care can either be offered on its own in a community designed especially for those with dementia or Alzheimer’s, or more often, it’s provided as a service in a separate wing of an assisted living facility. Memory care programs are designed specifically 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 covers information on the cost of memory care in Ohio, financial programs to help pay for care services, and free and low-cost resources for those living with Alzheimer’s disease and other types of dementia.

The Cost of Memory Care in Ohio

Memory care costs tend to be approximately 20-30% more expensive than assisted living costs but less than the cost of nursing home care. According to Genworth Financial’s 2019 Cost of Care Survey, the average cost of assisted care in Ohio is $4,339 per month. Based on this, one can expect to pay an average of $5,424 per month for residential memory care in the state.

Memory Care Costs in Nearby States

At a statewide average of $5,424 per month, memory care costs in Ohio are $360 more than the national average of $5,064. Costs are lower in all the states neighboring Ohio, including Michigan ($5,000), Indiana ($5,125), Kentucky ($4,371), West Virginia ($4,688) and Pennsylvania ($4,891).

$5424

Ohio

$5064

National

$5125

Indiana

$5000

Michigan

$4891

Pennsylvania

$4688

West Virginia

$4371

Kentucky

Costs of Other Types of Care in Ohio

There are a number of other options for senior care in Ohio. The lowest-priced option, adult day health care, is $1,376 per month, although this type of care only provides support weekdays in a communal setting. As is typical nationwide, nursing home care is the most expensive type of care at $6,996 per month, while 44 hours per week of homemaker services is $4,290 and $4,385 for a home health aide. Assisted living costs an average of $4,339 per month.

$5424

Memory Care

$4290

In-Home Care

$4385

Home Health Care

$1376

Adult Day Health Care

$4339

Assisted Living Facility

$6996

Nursing Home Care

The Cost of Memory Care in Ohio’s Top Cities

The cost of memory care throughout Ohio is largely linked to the local cost of living. The most expensive city in the state for memory care is Toledo at an average of $6,295 per month, while Youngstown and Cleveland have the lowest average costs at $4,469 per month. Costs in the state capital, Columbus, average $4,931 per month, while in Cincinnati, costs average $5,306 per month.

$6295

Toledo

$5306

Cincinnati

$4931

Columbus

$4469

Youngstown

$4469

Cleveland

Financial Assistance for Memory Care in Ohio

MyCare Ohio Plan

The MyCare Ohio Plan is a managed care program for residents who are enrolled in both Medicaid and Medicare, also referred to as being dual eligible. MCOP consolidates all the benefits offered by Medicaid and Medicare into a single managed care plan in order to reduce costs and improve service delivery. Services covered under MCOP include primary care, behavioral health services and residential care for those living with memory loss.

Who Is Eligible?
To qualify for memory care services under the MCOP, seniors must be enrolled in Medicaid and Medicare, reside in one of the 29 MCOP-participating demonstration counties and require medical and nonmedical services.

How to Apply
To apply for MyCare Ohio or inquire about availability in their area, seniors can call the Ohio Medicaid Consumer Hotline at (800) 324-8680.

Ohio Assisted Living Waiver Program

The Assisted Living Waiver is a Medicaid home and community-based waiver that covers the costs of care in assisted living and memory care facilities for seniors who are enrolled in Medicaid. While the waiver doesn’t cover room-and-board costs, benefits do include personal care and support services delivered in a residential setting. Benefits provided under the Assisted Living Waiver are assigned on a case-by-case basis depending on medical need and may also include transportation, housekeeping and minor environmental modifications in order to delay or prevent nursing home placement.

Who Is Eligible?
To qualify for enrollment in the Assisted Living Waiver, seniors must first meet the financial eligibility requirements for enrollment in Medicaid. They also need to demonstrate that they require the level of care normally provided in a nursing home setting but can live safely in a less-restrictive environment such as an assisted living facility that offers memory care services.

How to Apply
For more information on Ohio’s Assisted Living Waiver, contact the Department of Aging at (800) 266-4346.

Free and Low-Cost Memory Care Resources in Ohio

Ohio seniors and their loved ones can access a number of free and low-cost resources to help them manage the symptoms of Alzheimer’s disease and dementia.

ContactServices Provided
Area Agencies on Aging866-243-5678Ohio is home to 12 regional Area Agencies on Aging that provide free information, referrals and information to help seniors remain as healthy and independent as possible. Seniors and their loved ones can contact their local AAA to learn about nearby memory care programs, including residential facilities and day health services.
Alzheimer’s Association1-800-272-3900The Alzheimer’s Association is a national charitable association that advocates for patients, operates a 24/7 helpline and offers a number of support groups and regional programs. Ohio is home to a number of regional branches of the Alzheimer’s Association, and the organization also maintains online resources for patients and caregivers.
Office of the State Long-Term Care Ombudsman1-800-282-1206The Ombudsman’s Office is an independent agency consisting of paid staff and trained volunteers who provide free information on patient rights, help seniors find long-term care providers and work to resolve complaints and concerns related to memory care services.
Ohio Department of Veterans Services567-998-3300Ohio veterans, survivors and dependents who need access to memory care services can contact the Ohio Department of Veterans Services for assistance with state and federal benefit programs such as the VA Aid and Attendance and Housebound enhanced pension programs.
Ohio Legal Helpline1-800-488-6070Ohio seniors aged 60 and older who need legal information and support can book a free 30-minute phone consultation with an attorney who specializes in elder law.

Memory Care Laws and Regulations in Ohio

Ohio assisted living communities that provide memory care services are known as residential care facilities, and these facilities are regulated by the Ohio Department of Health. Every RCF that offers accommodations for three or more unrelated individuals who require supervision and personal care services must be licensed by the Bureau of Regulatory Operations of the ODH, and a minimum of one unannounced inspection is performed every 9-15 months by ODH inspectors.

Scope of CareHome care agencies may provide assistance with activities of daily living, personal care, homemaking, companionship, respite and any other nonskilled services that a patient may need.
Care Plan RequirementsOhio memory care facilities must develop and maintain an up-to-date care plan for all residents that includes the individual’s personal preferences and goals.
Medication Management RequirementsMemory care providers may assist patients with self-administered medications, while RCFs with licensed nursing staff on-site may administer medications as permitted by the nursing license.
Staff Screening RequirementsAll RCF staff must successfully undergo a criminal background check, and staff with direct resident contact must be screened for tuberculosis.
Staff Training RequirementsCare providers must demonstrate a basic understanding of residents’ rights, principles of care and management of Alzheimer’s disease and memory loss by successfully completing a competency evaluation program administered by the facility’s director.
Medicaid CoverageThe MyCare Ohio Plan, Assisted Living Waiver and Residential State Supplement programs cover some or all of the cost of memory care for those who qualify.
Reporting AbuseAnyone who suspects elder abuse in an Ohio memory care community should contact Ohio’s Long-Term Care Ombudsman Program by calling (800) 282-1206 or filing a report with the local law enforcement agency.

Frequently Asked Questions

How Much Does Memory Care Cost in Ohio?

Memory care tends to cost an average of 20-30% more than assisted living care. Given that the statewide average cost of assisted living care is $4,339 per month, the average cost of memory care in Ohio ranges from $5,207 to $5,641 per month.

Does Ohio Medicaid Pay for Memory Care?

Ohio seniors who meet the financial eligibility criteria for MyCare Ohio Plan, Ohio’s Medicaid Waiver program, and who require care in a memory care community, can apply to have their care costs covered by Medicaid.

What Is the Difference Between Memory Care and Assisted Living?

While memory care and assisted living provide 24-hour residential care, memory care programs tend to have a higher staff-to-resident ratio than assisted living programs. Memory care also offers highly structured daily activities for residents, while assisted living residents have much more autonomy around choosing their daily routines. Most memory care programs include anti-wandering policies and devices, whereas assisted living residents are free to come and go at their leisure.

What Types of Therapies Are Offered in Memory Care Facilities?

Memory care facilities provide a variety of group and individual therapies designed to promote physical activity and socialization while slowing the progression of Alzheimer’s disease and dementia. These modalities may include pet therapy, music and art therapy, brain games and light exercises. Some facilities offer aromatherapy and light therapy to reduce stress and agitation, and many have cooking and gardening programs.

What Security Features Are Present in Memory Care Facilities?

Memory care facilities are usually equipped with keyless access systems to prevent wandering. Other common security features include fully enclosed outdoor courtyards and campuses bordered by fences. Most facilities have motion-activated security cameras and 24/7 security staff on-site, and some memory care communities are equipped with a wearable wander guard system that allows residents the freedom to move about the campus while being closely monitored by caregivers.