Ohio Senior Health Insurance Information Program (OSHIIP)
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Income and Social Security
Ohio SSI supplement
Ohio's state supplement is called the Residential State Supplement, or RSS.
It is a monthly cash payment for adults on Medicaid who need some daily help and live in certain licensed group homes, residential care facilities or assisted living, so they don't have to move to a nursing home. It doesn't go to people living in their own homes, and enrollment depends on available state funds.
How to apply in Ohio
- In person
- Your county department of job and family services (form ODM 07120), along with a Medicaid application if you don't already have Medicaid
- Who runs it
- Ohio Department of Mental Health and Addiction Services (OhioMHAS)
Who may qualify in Ohio
| Age | 18 or older (aged, blind or disabled) |
|---|---|
| Medicaid | You must be eligible for Medicaid |
| Care need | You need at least a protective level of care, but not more than 120 days of skilled nursing care a year |
| Where you live | A licensed class two residential facility; or a licensed residential care facility or assisted living program in a county with no open class two beds |
What you may get
| Monthly supplement, one person living on their own (2026) | None for people living on their own |
|---|---|
| Monthly RSS payment, eligible residential setting (2026) | The difference between your countable income, including SSI, and the state's income standard |
| Monthly fee you pay the residence while on RSS (rule in effect since July 2023) | $1,600 a month |
| Personal needs allowance you keep (rule in effect since July 2023) | At least $200 a month |
How Ohio is different
Where Ohio's rules differ from the federal rules for State SSI supplements.
- Paid separately by the state; apply with your county department of job and family services
Good to know
- OhioMHAS offers enrollment only when program funds are enough to pay everyone enrolled.
- You can't get RSS while on a home and community-based waiver, in PACE, or in hospice.
Free help
Free help with this in Ohio
Ohio Department of Aging
Your local Area Agency on Aging can help with meals, rides, help at home, caregiver support and applying for benefits.
More help in Ohio
State SSI supplement in another state
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kentucky
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
Sources
- Ohio Legislative Service Commission, Ohio Administrative Code Chapter 5122-36, Residential State Supplement Program (official government site). Checked Oct 28, 2026.
- Ohio Legislative Service Commission, Ohio Administrative Code Rule 5160:1-5-01, Residential state supplement (RSS) program (official government site). Checked Oct 28, 2026.
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