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Sober Living in Ohio: How to Find a Certified Home

Every sober living house allowed to operate in Ohio is on a free state registry, and you can look up any house there by name. Ohio Medicaid does not pay a sober living house's fees, though some county boards fund recovery housing.

By Leora Behavioral Health Staff

Published

Overview

Ohio law calls a sober living house a recovery housing residence. Since 2025 one must be certified or accredited to operate, or be new and working toward it. Treatment, such as an intensive outpatient program, happens outside the house.

How Many Sober Living Houses Are in Ohio?

The state’s recovery housing registry listed 1,719 on the morning of October 26, 2026. The six counties below held 942 of them. “For women” counts houses that take only women, or women with their children.

  • Columbus. Franklin County had the most of the six, 356, with 314 in Columbus and 84 for women. Our guide to sober living houses in Columbus covers the city.
  • Dayton. Montgomery County had 189, with 172 in Dayton and 61 for women. Our guide to sober living houses in Dayton covers it.
  • Cleveland. Cuyahoga County had 142, 114 in Cleveland and 49 for women.
  • Cincinnati. Hamilton County had 113, all but 4 in Cincinnati, with 21 for women and 32 taking both men and women.
  • Akron. Summit County had 92, all in Akron, 28 for women. The County of Summit ADM Board says its Addiction Helpline “staff can help coordinate placement in ADM Board-funded recovery housing programs”.
  • Toledo. Lucas County had 50, 48 in Toledo, and 5 for women.

Houses open and close all the time, so search on the day you need a bed.

How to Find and Check a Sober Living House

Use the state’s free search, Search for Recovery Housing Residences. It also lists houses open 18 months or less that are still working toward certification or accreditation.

  1. Choose a county, or type a city or zip code.
  2. Under Target Population, pick the group you need, such as women or women with children.
  3. Tick Handicap Accessible if you need it, then search.
  4. Call the houses that fit. Ask whether each is certified or accredited and by whom, then about the fee, the rules and the distance to work and treatment.

To check a house you hear about, type its name under Residence Name. Section 5119.395 of the Ohio Revised Code bars advertising a “recovery housing residence, sober living home, or any other alcohol and drug free housing” unless it is on the registry or is a corrections halfway house. The registry’s Complaints column shows any complaint that “has been investigated and substantiated”, as Section 5119.394 requires. Oxford Houses, which residents run themselves, also post open beds on Oxford House Vacancies; check each house on the registry too.

Does a Sober Living House in Ohio Have to Be Certified?

Yes, certified by the state or accredited by a recognized body, though a house open 18 months or less may run while it works toward that. Section 5119.392 has set this rule since January 1, 2025. Section 5119.39 lists Oxford House and the Ohio affiliate of the National Alliance for Recovery Residences, which is Ohio Recovery Housing, among the bodies whose accreditation the state may accept. In August 2026 the state added its own certification process in Chapter 5122-31 of the Ohio Administrative Code, whose rules were still emergency rules on October 26, 2026.

A halfway house is something else. In Ohio law it is part of the corrections system: Section 2967.14 lets the state place people released from prison there, and a court can sentence someone to a term in one.

Who Pays for Sober Living

Each house sets its own fee and charges it to the resident. Some county boards fund recovery housing, as Summit’s does, so ask your county’s alcohol, drug addiction and mental health services board about a funded place.

Under Ohio’s emergency rules of August 2026, still in effect on October 26, 2026, Rule 5122-31-19 gives residents “The right to be informed in writing of the rates charged by the residence as well as any additional charges”. Rule 5122-31-21 requires each resident agreement to provide for “thirty-day prior verbal and written notification before increasing charges or fees.”

Ohio Medicaid does not pay for the bed. Rule 5160-27-02 says its behavioral health services “do not include any of the following”, and “Room and board.” is on that list. Medicaid can pay for treatment you attend while you live in a house. Our guide to free and low-cost treatment in Ohio covers other help.

Treatment While You Live There

A sober living house is a place to live, and treatment happens elsewhere. Houses accredited by Ohio Recovery Housing must “Not offer clinical treatment services in the same building as the recovery home” and must “Allow residents to have free choice of service providers”, its recovery housing page says. If you take medication for opioid use disorder, ask whether a house accepts it before you move in.

Leora Behavioral Health does not run sober living houses. It runs intensive outpatient and partial hospitalization programs in Columbus and Dayton, and a virtual IOP by telehealth anywhere in Ohio, with an evening program for substance use. A resident in Cleveland, Cincinnati, Toledo or Akron can attend it; ask the house where residents may take a telehealth session. Leora accepts Ohio Medicaid.

If Someone Is in Danger Now

Call 911 in an emergency. For a mental health or substance use crisis, call or text 988. The 988 Lifeline says it “is available 24/7/365.”

Common Questions

Does Medicaid pay for sober living in Ohio?
No. Ohio Medicaid's behavioral health rule leaves out room and board. Some county boards fund recovery housing, and Medicaid can pay for treatment, such as an intensive outpatient program, that you attend while you live there.
Is a halfway house the same as sober living in Ohio?
No. In Ohio law a halfway house is part of the corrections system, for people released from state prison and people a court sentences to one. A sober living house is housing for people recovering from alcohol or drug addiction.
Does Leora Behavioral Health run sober living houses?
No. Leora runs outpatient treatment in Columbus and Dayton, and a virtual intensive outpatient program by telehealth anywhere in Ohio, which a resident of a sober living house can attend.

Next Step

Call admissions in Columbus or Dayton, or walk in at either facility.

Written by

Leora Behavioral Health

Outpatient addiction and mental health treatment in Columbus and Dayton, Ohio.

Sources

  1. Search for Recovery Housing Residences, Ohio Department of Behavioral Health. Accessed .
  2. Search for Recovery Housing Residences, results for Cuyahoga County, Ohio Department of Behavioral Health. Accessed .
  3. Search for Recovery Housing Residences, results for Hamilton County, Ohio Department of Behavioral Health. Accessed .
  4. Search for Recovery Housing Residences, results for Lucas County, Ohio Department of Behavioral Health. Accessed .
  5. Search for Recovery Housing Residences, results for Summit County, Ohio Department of Behavioral Health. Accessed .
  6. Section 5119.39, Certification or accreditation of recovery housing residences, Ohio Revised Code. Accessed .
  7. Section 5119.392, Prohibition against operation without being certified or accredited, Ohio Revised Code. Accessed .
  8. Section 5119.394, Registry of recovery housing residences, Ohio Revised Code. Accessed .
  9. Section 5119.395, Prohibition against advertising without being certified or accredited, Ohio Revised Code. Accessed .
  10. Section 2967.14, Halfway houses or community residential centers, Ohio Revised Code. Accessed .
  11. Chapter 5122-31, Recovery Housing Residences, Ohio Administrative Code. Accessed .
  12. Rule 5122-31-19, Resident rights and grievance procedure, Ohio Administrative Code. Accessed .
  13. Rule 5122-31-21, Resident agreement, Ohio Administrative Code. Accessed .
  14. Rule 5160-27-02, Coverage and limitations of behavioral health services, Ohio Administrative Code. Accessed .
  15. Ohio Recovery Housing, Ohio Recovery Housing. Accessed .
  16. Recovery Housing in Ohio, Ohio Recovery Housing. Accessed .
  17. Oxford House Vacancies, Oxford House. Accessed .
  18. Substance Use, County of Summit ADM Board. Accessed .
  19. 988 Suicide and Crisis Lifeline, 988 Lifeline. Accessed .

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