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HOME Choice: Helping Ohioans Move, Expanding Choice

Bringing choice to Ohio’s aging population and people living with disabilities.

Ohio's HOME Choice program transitions eligible Ohioans from institutional settings to home and community-based settings, where they receive services and supports at home and in their communities.


This program assists persons of any age with any type of disability to move from a long-term care facility (like a nursing facility, hospital, or residential treatment facility) into a home and community based setting.


Established in 2008 with the goal of transitioning 2,000 Ohioans, the program has become a national leader in moving people back home. HOME Choice currently ranks first nationally in transitioning individuals with mental illness into home-based settings, and second in overall transitions completed. As of 2015, more than 6,500 people have enjoyed a new found independence through HOME Choice, Ohio’s iteration of the federal Money Follows the Person (MFP) program.


In addition to providing help finding housing and setting up a household, HOME Choice also connects people with services that make it possible to live in the community.


Examples of services include:

  • Health care
  • Medications
  • Personal assistance
  • Case Management (before and after transition)
  • Community Transition Services (like help with first month’s rent, etc.)
  • Transition Coordination
  • Independent Living Skills Training
  • Community support Coaching
  • Other services necessary as identified by the discharge planning team

Who is eligible to participate?

To participate in HOME Choice, you must:

  • have resided in a Medicaid-funded facility for at least 90 days at the time of discharge;  
  • have care needs evaluated by HOME Choice staff;
  • qualify for Medicaid; and
  • move into qualified housing.

What is considered qualified housing?

  • A home owned or leased by the individual or family member
  • An individually leased and lockable apartment (with sleeping, bathing, and cooking areas within unit in which the individual or family member has domain and control)
  • A community based residential setting with no more than four unrelated persons.

Service with support

Home Choice is not a waiver program. It is a wrap-around program that provides “extra” services & supports to individuals for the first 365 days post discharge.