The Care You Need,

The Home You Love

Serving Ashtabula, Columbiana, Mahoning and Trumbull Counties

Direction Home of Eastern Ohio enhances the quality of life for older adults and people with disabilities by offering and coordinating services that allow them to live safely in the place they choose to call ‘home.’

As a nonprofit organization, we offer long-term services, education and support to Medicaid recipients and qualifying individuals of all ages.

Public Comment Period on PASSPORT and Assisted Living Medicaid Waiver Amendments

The Ohio Department of Aging appreciates the continued advocacy and stakeholder collaboration throughout this process of planning for the Appendix K authorities to end. On July 14th, Ohio posted the PASSPORT and Assisted Living waiver applications in anticipation of an effective date of November 12, 2023.
Recently, CMS provided states with the option to extend approved flexibilities past the November 12th date, as long as the state is in the process of permanent amendments pending CMS review and approval. As a result, effective dates on the proposed waiver application amendments will be modified to reflect a new effective date of January 1, 2024. The public comment timeframe has been extended with a new public posting of the updated applications.
Ohio posted for public comment proposed amendments to the PASSPORT Medicaid Waiver and to the Assisted Living Medicaid Waiver, which will be submitted to the Centers for Medicare and Medicaid Services (CMS) for review. The period for public comment on the proposed PASSPORT and Assisted Living Medicaid Waiver Amendments began on August 29, 2023, through September 27, 2023.
Ohio Department of Medicaid website

Our Programs

From personal care, transportation and home-delivered meals for older adults and people with disabilities, to wellness classes, caregiver support and Medicaid assistance for qualifying individuals of all ages, we offer a variety of free and low-cost resources to keep you happy, healthy and safe.


An alternative to nursing home care that helps financially eligible, disabled adults aged 60 and over remain safe and independent at home.

Assisted Living Waiver

Provides care for Medicaid-eligible adults in an approved assisted living facility.


Ohio Home Care Waiver

An alternative to nursing home care that helps financially eligible individuals aged 59 and younger, including children, who have significant healthcare needs due to a disabling condition.

MyCare Ohio

Comprehensive, coordinated services for residents of Trumbull, Mahoning and Columbiana counties who receive both Medicare and Medicaid services, providing a single point of contact for both systems and simplifying care management.

Mahoning County Senior Levy

Care management and supportive services for individuals over 60 in Mahoning County who wish to remain at home.

Long-Term Care Ombudsman

Advocates for those who receive long-term care services in nursing homes, assisted living and group homes, as well as those who receive these services in their own home or community setting, including MyCare Ohio.


Interested in a no-cost in-home assessment?

Call us and we will be happy to help.

About Us

Direction Home of Eastern Ohio is a private, non-profit organization that helps older adults and people with disabilities maintain their health, happiness and independence in the place they want to call ‘home.’

We also offer long-term services and supports to Medicaid recipients and qualifying individuals of all ages in Ashtabula, Columbiana, Mahoning And Trumbull Counties.







Caregivers and Families

We understand the concerns and uncertainties that come with being a caregiver. You’re not alone! Direction Home of Eastern Ohio can lighten your responsibilities and guide you toward a more positive future for yourself and your loved one.

What’s Happening

Direction Home of Eastern Ohio offers free programs and workshops that enhance your overall well being.

Contact Us

Thank you for your interest in Direction Home of Northeast Ohio. Reach out to us, and we look forward to meeting with you!