To be eligible for Medicaid in Ohio, you must meet certain income and resource requirements. Income limits vary depending on the type of Medicaid you are applying for and your household size. Generally, your income must be at or below a certain percentage of the federal poverty level. Resource limits also vary, but typically include things like cash, bank accounts, and certain investments. If you own a home, the equity in your home is not counted as a resource. To apply for Medicaid in Ohio, you can submit an application online, by mail, or in person at your local county Job and Family Services office. You will need to provide proof of your income, resources, and other information. Once your application is processed, you will be notified of your eligibility status.
Eligibility
To qualify for Medicaid in Ohio, you must meet certain income and asset requirements. Ohio’s Medicaid program includes several different groups of people, but the income and asset limits are generally the same for all groups.
Income Eligibility
- For individuals, the income limit is 138% of the Federal Poverty Level (FPL).
- For families, the income limit is 138% of the FPL for the family size.
The FPL is a measure of poverty used by the federal government. It is based on the cost of basic needs such as food, housing, and clothing. The FPL is updated each year.
| Family Size | 138% of FPL |
|---|---|
| 1 | $18,754 |
| 2 | $25,284 |
| 3 | $31,814 |
| 4 | $38,344 |
| 5 | $44,874 |
| 6 | $51,404 |
These are just examples. To find out the exact income limit for your family size, visit the Ohio Department of Medicaid website.
Asset Limits
- For individuals, the asset limit is $2,000.
- For couples, the asset limit is $3,000.
- For families with children, the asset limit is $4,000.
Assets include things like cash, bank accounts, stocks, bonds, and real estate. Some assets, such as a home and one vehicle, are not counted towards the asset limit.
Ohio Medicaid Eligibility Requirements
Applying for Medicaid is a complex process, and the application can be overwhelming. Thankfully, Ohio provides assistance to help you with the process. You can apply for Medicaid and other benefits online, by phone, or by mail. Below are the disability and age requirements to qualify for Medicaid in Ohio.
Disability
To qualify for Medicaid in Ohio based on disability, you must meet the following requirements:
- Be a resident of Ohio.
- Be a U.S. citizen or a qualified non-citizen.
- Have a physical or mental disability that prevents you from working.
- Have income and assets below the Medicaid limits.
The Social Security Administration (SSA) determines disability for Medicaid. To be considered disabled by the SSA, you must:
- Be unable to work due to a medical condition that is expected to last at least 12 months or result in death.
- Have a severe impairment that meets the SSA’s listing of impairments.
- Be unable to perform any substantial gainful activity (SGA), which is work that pays more than a certain amount each month.
Age
You may also qualify for Medicaid in Ohio if you are age 65 or older. To qualify, you must meet the following requirements:
- Be a resident of Ohio.
- Be a U.S. citizen or a qualified non-citizen.
- Have income and assets below the Medicaid limits.
| Age Group | Income Limit | Asset Limit |
|---|---|---|
| Individuals under 65 | $1,645/month | $2,000 |
| Individuals 65 and older | $2,382/month | $3,000 |
| Couples under 65 | $2,193/month | $3,000 |
| Couples 65 and older | $3,276/month | $4,500 |
These income and asset limits may change each year, so it is important to check with the Ohio Department of Job and Family Services (ODJFS) for the most up-to-date information.
Special Medicaid Programs in Ohio
Medicaid in Ohio offers various programs tailored to meet the specific needs of different population groups. These programs include:
- Medicaid for Pregnant Women: Provides coverage for prenatal care, labor and delivery, and postpartum care.
- Medicaid for Children: Covers a wide range of health services for children from birth to age 19.
- Medicaid for Adults with Disabilities: Offers coverage for individuals aged 18 or older with disabilities.
- Medicaid for the Elderly and Disabled: Provides coverage for individuals aged 65 or older or those with disabilities.
- Ohio Medicaid Managed Care: Managed care plans that provide comprehensive health care services to Medicaid recipients.
Each program has its eligibility criteria, and individuals must meet specific requirements to qualify for coverage. For more information, visit the Ohio Medicaid website or contact the Medicaid office in your county.
Medicaid Eligibility Requirements in Ohio Category Income Limit Asset Limit Pregnant Women Up to 138% of the federal poverty level (FPL) $2,000 for individuals, $4,000 for families Children Up to 138% of the FPL $2,000 for individuals, $4,000 for families Adults with Disabilities Up to 138% of the FPL $2,000 for individuals, $4,000 for families Elderly and Disabled Up to 138% of the FPL $2,000 for individuals, $4,000 for families Note: Income and asset limits may vary depending on the specific Medicaid program and individual circumstances. Contact the Ohio Medicaid office for more information.
Eligibility Criteria
To qualify for Medicaid in Ohio, individuals must meet specific eligibility criteria. These criteria include:
- Age: Individuals must be under 19 or 65 or older.
- Income: Individuals must have an income below a certain level. The income limits vary depending on the individual’s circumstances.
- Assets: Individuals must have assets below a certain level. The asset limits also vary depending on the individual’s circumstances.
- Citizenship: Individuals must be a U.S. citizen or a qualified alien.
Qualifying for Medicaid Assistance
To apply for Medicaid assistance, individuals must complete an application form. The application form can be obtained online or at a local Medicaid office. Individuals will need to provide information about their income, assets, and household members. They may also need to provide proof of their identity and citizenship.
Verification of Information
Once the Medicaid office receives the application form, they will review it and verify the information provided. This may involve contacting the individual’s employer, bank, or other sources of information. The Medicaid office may also request additional documentation from the individual.
Determining Eligibility
After the Medicaid office has verified the information provided, they will determine if the individual is eligible for Medicaid assistance. If the individual is eligible, they will be issued a Medicaid card. The Medicaid card will allow the individual to access Medicaid benefits, such as doctor visits, hospital stays, and prescription drugs.
Medicaid Eligibility Requirements Category Income Limit Asset Limit Adults Without Disabilities $1,482 per month $2,000 Parents/Caretakers $2,379 per month $3,000 Children $1,482 per month $2,000 Pregnant Women 200% of FPL $2,000 Individuals with Disabilities SSI income limit $2,000 Hey there, folks! I hope you found this guide to qualifying for Medicaid in Ohio helpful. This is just a glimpse into the larger world of healthcare coverage in Ohio. Be sure to check back soon for more in-depth discussions on all aspects of healthcare, from choosing the right plan to understanding your benefits. In the meantime, if you have any questions or concerns, feel free to reach out to the Ohio Medicaid office or visit their website for more information. Stay healthy, y’all!