Clinton County Elderly Services Program

Elderly Services Program logo

The Elderly Services Program provides in-home care for eligible seniors in Clinton County who might otherwise be forced to leave their homes and enter a nursing facility. In 2014, more than 400 older adults in Clinton County received care in their own homes through the Elderly Services Program (ESP).

What services are available?

Clinton County ESP provides services such as Meals on Wheels, personal care (bathing and grooming), home-making and emergency response devices, to name a few. ESP clients also have a care manager who advocates for their needs, answers questions, and makes sure they receive the right services. Care managers have their clients’ best interests at heart.

Who qualifies for Clinton County ESP?

You may qualify for ESP if you are:

  • A Clinton County resident
  • Age 65 or older
  • Impaired in everyday activities such as bathing, driving and preparing meals

Read about Mike, a Clinton County Elderly Services Program client.

How much does ESP cost?

Care through the Elderly Services Program is free of charge or set at an affordable level, depending on income.

Who runs this program?

Council on Aging of Southwestern OhioCouncil on Aging (COA) administers the program under contract with Clinton County Commissioners.  COA handles assessment, intake, and care management.  COA also processes all billing, and provides program planning, reporting, auditing, contracting and provider services, technical assistance and community engagement.  Agencies contract with COA to provide in-home services such as housekeeping help, personal care (bathing and grooming) and medical transportation.

How is ESP different from the PASSPORT program?

To qualify for PASSPORT, clients must be low income (Medicaid eligible) and severely disabled. Council on Aging works with area Department of Job and Family Services to determine Medicaid eligibility.

Most people do not qualify for Medicaid but still cannot afford to pay privately for in-home care. Friends and family may provide some help, but it’s often not enough. This is where the Elderly Services Program steps in. ESP is a taxpayer supported program that, for many, may be their last option before nursing home placement. ESP clients can have a higher income level (some ESP clients have a co-payment) and a less-severe level of disability than PASSPORT clients. Because ESP is supported by county tax dollars, it is reserved for those who have no other options; it is the payer of last resort. In other words, ESP clients may not be eligible for services through another source such as Medicare, Medicaid or private insurance.

Despite differences in income and disability qualifications, PASSPORT and ESP offer many of the same in-home care services, including housekeeping, personal care, medical transportation and home-delivered meals.

How to Enroll

For more information or to find out if you qualify, contact the Clinton County Elderly Services Program care team in Wilmington.

2241 Rombach Avenue
Wilmington, Ohio
855-800-7980 or

Clinton County Senior Services Tax Levy

In southwestern Ohio we are fortunate to have senior services levies in Butler, Clermont, Clinton, Hamilton and Warren counties. Throughout Ohio, more than 80 percent of counties have similar levies. In Clinton County, the senior services tax levy covers 89 percent of the total cost of the Elderly Services Program.  the remaining funding comes from federal, state and grant sources, client donations (requested, but not required for home-delivered meals), and client co-payments (about 27 percent of client qualify for a co-payment based on their income and medical expenses).

March 2012: Nearly 76 percent of Clinton County voters approved a renewal of the county`s 1.5-mill tax levy to fund the Elderly Services Program.

November 2007: Nearly 70 percent of Clinton County voters approved a 1.5-mill tax levy to fund the Elderly Services Program. The new levy – a .5-mill increase – raises about $1.3 million a year to help older adults stay safe and independent in their homes. First approved in 1998, the levy program has helped more than 1,200 Clinton County seniors since it began. The increase will allow the program to serve more people. At the end of 2007, nearly 100 were on a waiting list for services.

May 2003: 70 percent of Clinton County voters approve a renewal levy.

May 1998: The first Elderly Services Levy was approved May 1998 by 60 percent of voters in Clinton County and generated more than $2.4 million in five years.

For more information about the Elderly Services Levy and Program in Clinton County, read the Clinton County Elderly Services Program Annual Report.

Other Resources for Clinton County Seniors and Caregivers

PASSPORT: Ohio’s Medicaid in-home care program for eligible older adults.  The program is available statewide and is administered in southwestern Ohio (including Clinton County) by Council on Aging of Southwestern Ohio.  Services include personal care, housekeeping, meals on wheels, home modification, transportation and more.  Click here for more information.

Caregiver Education and Support: Do you frequently help an older loved-one with housekeeping, grocery shopping, errands, meal preparation, transportation, paperwork, or personal care (bathing, getting dressed)? If so, you are a caregiver.  Through Council on Aging’s free Caregiver Education and Support Program, caregivers can talk with a Registered Nurse to get advice and support for their unique situation. Our nurse will also make any necessary referrals for services, and provide educational materials and resources, and emotional support.  Click here for more information about this free service.

Care Transitions: a health coaching and intervention program for older adults
who have been discharged from the hospital and are at risk for readmission. It is designed to 1) help frail seniors who have been discharged from the hospital avoid future preventable hospital admissions; and 2) help patients access the most appropriate
post-acute medical care and home and community-based services (and avoid the
more costly nursing facility placements when not necessary).  Care Transitions is available at Clinton Memorial Hospital.  Click here for more information about this program.

Assisted Living Waiver: The Assisted Living Waiver program gives Medicaid-eligible adults the opportunity to live in an approved assisted living facility. It is an alternative for people who need long term care, but not a nursing home.  Assisted living offers residents more independence, privacy, opportunities for social interaction, and services more tailored to their needs.  Click here for more information about this program.   Use Council on Aging’s Housing Search to find facilities in Clinton County that accept Assisted Living Waiver clients.

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