No. Ohio's Medicaid expansion under the Affordable Care Act, effective January 1, 2014, covers adults age 19 to 64 up to 138 percent of the federal poverty level for acute and primary medical care. It's a completely separate pathway from the aged/blind/disabled Medicaid rules that govern nursing home and waiver eligibility for seniors. Long-term care coverage for seniors runs through Ohio's non-MAGI Medicaid rules, not the expansion population.
The detail behind the program
It's an easy mix-up: "Ohio expanded Medicaid" and "Medicaid pays for nursing home care" sound like they should be the same conversation, but they describe two different programs with two different eligibility tests.
The expansion population is assessed under MAGI, modified adjusted gross income, rules aimed at working-age adults, while long-term care Medicaid for seniors instead uses Ohio's non-MAGI, aged/blind/disabled financial rules, which look at both income and countable assets rather than just income.
A 70-year-old Clevelander needing nursing home or assisted living waiver services doesn't qualify through the expansion pathway at all; they'd need to meet the separate nursing-facility-level-of-care and asset tests described under Ohio's long-term care Medicaid rules.
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