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Adult Day Care vs. In-Home Care

Adult day care runs on a schedule and gives a caregiver their day back. In-home care comes to the house on whatever schedule you set.

HomeComparisonsAdult Day Care vs. In-Home Care
Short answer

Adult day care provides supervised daytime programming, meals and social or health-related activities for seniors, typically allowing a family caregiver to work or rest during the day while a parent returns home each evening. Ohio's PASSPORT waiver can help cover adult day care for eligible seniors. In-home care instead brings a caregiver to the home on a schedule the family sets.

Why families choose adult day care

  • It is significantly less expensive per hour than one-on-one in-home care, since costs are shared across a group setting.
  • It gives a family caregiver structured, predictable relief — a specific window each day rather than coordinating shifts.
  • The published Ohio adult day health care median is $83 per day, well below the equivalent hours of one-on-one in-home care.

Why families choose in-home care instead

  • The person needs support at home, not just during the day, or cannot tolerate transportation to and from a day program.
  • Care needs are unpredictable rather than schedule-friendly.
  • Some families use both: adult day care on weekdays, with home care evenings or weekends.
Free help in the Cleveland area. Western Reserve AAA covers Cuyahoga, Geauga, Lake, Lorain and Medina counties. Direction Home Akron Canton covers Summit and Portage. Which one to call depends on the county, not just on being near Cleveland. Read the full explanation →

Questions Cleveland families ask

How do I actually apply for Medicaid long-term care coverage in Ohio?

Applications go through the Ohio Department of Medicaid at benefits.ohio.gov, or families can contact the Area Agency on Aging serving their county for help with a waiver assessment and to get on any relevant waiting list. Applicants need to meet both the nursing-facility level-of-care clinical standard and the state's non-MAGI financial eligibility rules.

What is Medicaid Estate Recovery in Ohio, and can the state take my parent's house?

Ohio's Medicaid Estate Recovery Program (MERP) is a federally required program that recovers certain Medicaid long-term care payments from a deceased recipient's estate, for recipients 55 or older or of any age if permanently institutionalized. Ohio is an "expanded recovery" state, meaning assets passing outside probate, like transfer-on-death deeds or joint survivorship property, can be subject to recovery too. Recovery is delayed while a surviving spouse, minor child, or blind or disabled child lives in the home, and hardship waivers are evaluated case by case.

Does Ohio Medicaid pay for room and board in assisted living?

No. The Assisted Living Waiver pays only for personal care and supportive services delivered by the facility's staff; room and board is the resident's own responsibility, capped at the SSI federal benefit rate minus a $50 personal needs allowance. This is true across Ohio's long-term care Medicaid programs: PASSPORT and MyCare Ohio also do not cover room and board in any residential setting.

How much does assisted living cost in Ohio in 2025?

According to the 2025 CareScout Cost of Care Survey, the Ohio statewide median for an assisted living community is $6,103 a month ($73,230 a year), close to the 2025 national median of $6,200 a month. CareScout does not publish a separate Cleveland or Cuyahoga County figure, so this is a statewide median, not a local one.

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