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Gesher Agudath Israel of Ohio Benefits & Referral Center A division of Agudath Israel of Ohio
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Health Coverage

Aged, Blind & Disabled (ABD) Medicaid

Medicaid coverage for people 65+, legally blind, or disabled — including long-term care and the Medicaid Buy-In for Workers with Disabilities.

Information last reviewed July 2026

What it is

ABD Medicaid provides primary and acute care coverage — plus long-term care benefits — for people who are 65 or older, legally blind, or disabled as determined by the Social Security Administration.

Working people with disabilities may also qualify through the Medicaid Buy-In for Workers with Disabilities, which lets you keep coverage while earning.

Applications go through the Specialized Medicaid Benefit Center (SMBC) within Cuyahoga County’s Department of Employment and Family Services — a different office, with different rules, than regular Medicaid.

How Gesher helps

ABD Medicaid has some of the most complex eligibility rules, including income and asset limits, long-term care requirements, and Medicaid waivers. Gesher can help you understand the eligibility criteria and navigate the application process. Call our office to schedule an appointment.

Official resources

Not sure where to start? Start with us.

One conversation with a case manager can uncover programs you never knew you qualified for. Free, confidential, and judgment-free.