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Residential State Supplement ( RSS ) Program

What is the Residential State Supplement Program (RSS)?

RSS is Ohio’s Optional State Supplementation program which provides financial assistance to adults who have increased needs due to a disability that is not severe enough to require long term care in an institution, such as a nursing home or hospital.  Individuals use RSS, which supplements their income, to pay the monthly allowable fee (or “rent”) for accommodations, supervision, and personal care services at eligible living arrangements in the community.

  Ohio's Residential State Supplement Program

Am I Eligible for RSS?

 Eligible applicants should be:

  • Age 18 or older
  • Enrolled in Medicaid (not a waiver program);
  • Receiving Social Security, Supplemental Security Income (SSI) and/or Supplemental Security Disability Insurance (SSDI) benefits; and
  • Either currently receiving treatment in a nursing home and planning for discharge or
  • Meet at least a Protective Level of Care (to be confirmed during the Level of Care [LOC] determination process).

What are the Financial Eligibility Criteria?

OhioMHAS administers the RSS Program and reviews all new applications. Once the application has been reviewed and the Level of Care determination completed, the individual’s information is forwarded to his/her local County Department of Job & Family Services (CDJFS) office for a financial eligibility determination. Once the CDJFS office determines that the applicant’s income is within limits, the applicant is then enrolled in the RSS Program.

  • Individuals who would like to enroll in RSS may have a monthly income up to $1,300.
  • All applicants may have up to $2,000 in assets.

*Please note that these figures are estimates and final financial eligibility is determined by the local CDJFS office.

What are Eligible Living Arrangements?

Enrolled individuals may choose to live in Adult Care Facilities (including Adult Family and Group Homes) or Adult Foster Homes currently licensed by OhioMHAS. Please follow the below links for listings of RSS-eligible living arrangements for new applicants and individuals currently enrolled in the program. 

Adult Care Facilities (listed alphabetically and by county)

*Please note the listed homes may choose not to accept residents who receive RSS benefits. Please confirm with the home operator prior to selecting a living arrangement. 

**Effective July 1, 2017, Residential Care Facilities (or Assisted Living) licensed by the Ohio Department of Health for seventeen (17) beds or more are no longer eligible living arrangements for RSS unless approved by OhioMHAS on an individual basis. Current RSS enrollees already living in those settings will continue to receive benefits without disruption. Information about the RSS Eligible Living Arrangement Approval Procedure is available here.

How Do I Apply for RSS?

Individuals may submit RSS applications, but frequently legal guardians, discharge planners, and case managers submit applications on behalf of interested consumers. Please complete the following forms and submit all requested documents via fax to 1-614-485-9747 or encrypted email to

Once a complete RSS application is submitted, all forms are reviewed to determine whether the non-financial eligibility criteria are met. Community Transitions Staff typically review all completed applications and respond within 5 business days. Qualifying applications are then forwarded to the local CDJFS office for determination of financial eligibility, including the RSS benefit amount. Once OhioMHAS and the local CDJFS determine that the eligibility criteria have been met, the individual is then enrolled in the RSS Program.

If you are checking the status of an RSS application or have questions regarding the enrollment process, please contact Community Transitions via email at or call 1-614-752-9316.

What is the RSS Waiting List Policy?

OhioMHAS anticipates having a waiting list for the RSS Program before the end of State Fiscal Year (SFY) 2017.  When the waiting list is initiated, new applications will be processed per the RSS Waiting List Policy, which is available here.

What Should I Expect Now that I Am Enrolled?

Once the enrollment process has been completed, the initial RSS benefit should be received within one month after moving into the eligible living arrangement. If a representative payee or legal guardian was listed on the program application, that individual or agency should receive the payment on the enrolled individual's behalf. A third-party payee is needed for RSS only if those services are utilized for the individual’s Social Security, SSI or SSDI benefits. Please note that the home operator should not be listed as the individual’s representative payee for RSS benefits. If you or your representative payee/legal guardian do not receive your RSS benefit as expected, please contact your local CDJFS office directly.

Effective January 1, 2016, the rates for enrolled individuals' Personal Needs Allowance (PNA) and Allowable Fee will increase. The Allowable Fee will be $1,100 (more information can be found under "How Much is My Monthly Allowable Fee (or 'Rent')?)." The Personal Needs Allowance will be $200 for all individuals enrolled in RSS.

How Much is My Monthly Allowable Fee (or “Rent”)?

The Allowable Fee is what you pay the home operator with your RSS benefit and other income, such as Social Security, SSI, and SSDI. The maximum allowable fee or “rent” that the home may charge individuals enrolled in RSS depends upon the facility’s type of licensure. The living arrangement must accept the Allowable Fee as payment in full for Accommodations, Supervision, and Personal Care Services provided to the resident. The home operator may charge ancillary fees for services in addition to the required Accommodations, Supervision, and Personal Care Services if those charges are listed in the Resident Agreement and agreed to by you or your legal guardian.

Effective January 1, 2016, all types of RSS-eligible living arrangements may charge individuals up to $1,100 per month for the Allowable Fee. This rate change should be listed in your Resident Agreement.

If you are seeking information regarding the licensure of Adult Care Facilities (including Adult Family and Group Homes) or Adult Foster Homes, please visit the OhioMHAS Office of Licensure & Certification’s webpage.

What are My Responsibilities to Remain in the Program?

  • Live in an eligible living arrangement in the community and report all address changes, preferably before you move.
  • Contact your CDJFS office within ten (10) days of any changes of status, including changes in income, changes in address, or updated information for your Representative Payee or Legal Guardian.*
  • Contact OhioMHAS if you are admitted to a hospital or nursing facility, even for a short term stay, to be placed on Bed Hold Status.
  • Provide OhioMHAS and your local CDJFS office any information requested to determine continued enrollment in RSS and Medicaid.

*Please note that this list includes, but is not limited to those items stated.

What If I Should No Longer Enrolled in RSS and I Continue Receiving Payments?

You and/or your Representative Payee/Legal Guardian are responsible for returning any RSS funds received following your effective date of dis-enrollment from RSS or when you move from an eligible living arrangement.

  • If you have already deposited or redeemed the RSS benefit(s), please return the funds via check or money order written as payable to "Ohio Treasurer of State." In the memo portion of the check, include your full name, Social Security Number, dates of the time period for which the returned RSS payment covers, e.g., December 15, 2015 - January 31, 2016.
  • If you have not deposited or redeemed the RSS benefit(s), please return the RSS checks to the address listed below.

Mail the returned RSS funds or check(s) to: 

               ODJFS/Office of Fiscal Services

               P.O. Box 182367

               Columbus, OH 43218-2367

How Do I Access Information About Other Services?

How Do I Contact OhioMHAS?

For more information about the RSS Program, please contact Community Transitions via email encrypted or call (614) 752-9316.

I Am A Home Operator. What Is The RSS Verification Process?

Operators of RSS-Eligible Living Arrangements:

OhioMHAS recently updated Ohio Administrative Code 5122-36-04, which outlines the responsibilities of RSS-eligible living arrangements. Beginning July 1, 2017, operators of RSS-eligible living arrangements will be required on a quarterly basis to verify that residents enrolled in RSS are residing in their facilities. OhioMHAS will mail operators the RSS Living Arrangement Form each quarter, which will list the names of RSS individuals reported as living at the facility's address. Operators will review the form for accuracy, then return it to OhioMHAS by the quarter's deadline.


For more information about the RSS Verification process, please contact Community Transitions via email or call (614)466-4061