Ohio Medicaid Eligibility and Application Process

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Ohio Medicaid Eligibility and Application Process
Ohio county departments of job and family services determine eligibility for Medicaid programs with the exception of the BCCP program. Applications can be found at local county ofices or online at www.jfs.ohio.gov/ohp/consumers/application. Some programs
require a face-to-face interview with a caseworker while other pro-grams accept applications by mail or fax. The Medicaid Consumer Hotline is available to provide application assistance, answer gen-eral questions and can direct consumers to their local county ofice or a health care provider. The Medicaid Consumer Hotline number is: 1-800-324-8680/TTY 1-800-292-3572.

How do consumers receive Medicaid services?
Once enrolled, consumers can get health care services from a Medicaid provider who accepts Medicaid as health insurance. This is generally called fee-for-service Medicaid. Consumers may be required to get their services from a Medicaid managed care plan. Both fee-for-service Medicaid and the managed care plans provide all medically necessary primary, specialty and emergency care, and preventive services.
Ohio Medicaid also provides both home health care and facility-based services for those consumers requiring long-term care services. Home care services allow consumers to remain in their homes and communities. Long-term care services are also available for consumers needing care in nursing homes and facilities for persons with mental retardation. Alternatives to institutional care are offered through home and community-based services waivers (e.g., PASSPORT, Ohio Home Care).
What services does Medicaid cover?
Ohio’s Medicaid program includes services mandated by the federal government as well as optional services Ohio has elected to provide. Some services are limited by dollar amount, the number of visits per year, or the setting in which they can be provided. With some exceptions, all medically necessary services are available to all Medicaid consumers.

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