The Division of Senior and Adult Services' Options for Independent Living is a flexible, affordable program that provides in-home care to Cuyahoga County residents ages 18-59 and disabled, or 60 years of age and over, who have limited income and are not eligible for any Medicaid Waiver programs. Our person-centered services include personal care, homemaker services, home delivered meals and more.

Our staff are Medicare/Medicaid certified. Our team includes Home Health Aides who receive continuing education, registered nurses who monitor quality of care and case managers who help navigate social service systems.

How Options Services are Covered
Service fees are based on eligibility and income. Clients and their families speak with our knowledgeable case managers confidentially about their needs and abilities, and we work with them to develop the best plan for their well-being.

Options for Independent Living Eligibility

• Ages 18-59 and disabled or 60 years and over
• A Cuyahoga County resident
• Living in a private home or apartment (not in a licensed facility)
• Needing assistance with daily activities: limited vision, limited mobility, or needing help with bathing or food preparation
• Eligible for support services based on an assessment of need
• Have a modest monthly income and limited financial reserves