Overview

A dementia diagnosis lands hard. There is no way around that. If you are the spouse, the daughter, the son, the sibling, or the friend trying to figure out what comes next - this guide was written for you. Not the patient. Not the doctor. You. The days ahead bring a flood of programs you have never heard of, forms you do not know where to send, and decisions that need to be made before you have had time to think. This guide was written for those days, and for every day after. This guide opens with two tools you'll use today: a six-scenario decision tree that matches your family's situation to the right Ohio programs, and a week-by-week action checklist that breaks the first months into manageable steps you can check off one at a time. From ""Mom was just diagnosed and still manages fine at home"" to ""We need a nursing home bed today"" - find your scenario, start there, work outward. Here's what almost no one tells Ohio families until it's too late: dementia care in this state can drain $300,000 to $500,000 from a family before anyone explains the programs that could have helped. The system is not designed to find you. You have to find it. This guide is the friend who knows the system, sitting at your kitchen table, walking you through it. Written by a Physician Assistant with thirty years of clinical experience and a personal connection to Alzheimer's, it's plain-language and Ohio-specific from the first page to the last. No jargon. No fluff. No condescension. Inside you'll find: - The six-scenario decision tree - your family's situation, mapped to the right Ohio programs - The week-by-week action checklist - Week 1 priorities, Weeks 2-4 foundations, Months 2-3 planning, and the long game - How Ohio Medicaid actually works - the $2,000 asset limit, the $2,982 income cap, the 60-month look-back, and what counts vs. what doesn't - PASSPORT, Ohio's home- and community-based Medicaid waiver - what it covers, who qualifies, and how family members can be paid as caregivers - The Assisted Living Waiver and MyCare Ohio for dual eligibles - Nursing Home Medicaid - and how to protect the family home from estate recovery - The five legal documents every family needs (and why this week) - Veterans benefits worth up to $2,727/month tax-free, plus the Ohio Veterans Homes in Sandusky and Georgetown - The Qualified Income Trust (Miller Trust) pathway when income exceeds the cap - Spousal protections - CSRA up to $162,660, MMMNA up to $4,066.50/month - Caregiver respite, behavioral symptoms, driving cessation, wandering safety, and the long goodbye 220,000 Ohio families are walking this road right now. You're not the first. You're not the last. And you don't have to walk it alone. One step at a time. One day at a time. You've got this. A Kitchen Table Guide(TM) - state-specific dementia care guides for families across America. Written by a Physician Assistant with 30 years of clinical experience and a personal connection to Alzheimer's disease. 2026 Edition. For informational purposes only; not legal, medical, or financial advice.

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