Medicaid in Ohio is a government health insurance program for low-income individuals and families. It provides a variety of healthcare services, including doctor visits, hospital stays, prescription drugs, mental health services, and vision and dental care. Medicaid also covers nursing home care and home health services for people who need them. The program is funded by the federal government and the state of Ohio. To be eligible for Medicaid in Ohio, you must meet certain income and asset requirements. You can apply for Medicaid online, by phone, or in person at your local county Department of Job and Family Services (DJFS) office.
Types of Services Covered by Medicaid
Medicaid is a government program that provides health insurance to low-income individuals and families. In Ohio, Medicaid covers a wide range of services, including medical, dental, vision, and mental health care.
Medical Services
- Hospital care
- Physician services
- Prescription drugs
- Laboratory and X-ray services
- Home health care
- Nursing home care
- Hospice care
Dental Services
- Regular checkups
- Cleanings
- Fillings
- Extractions
- Root canals
- Dentures
Vision Services
- Regular eye exams
- Glasses or contact lenses
- Surgery for cataracts or glaucoma
Mental Health Services
- Therapy
- Counseling
- Medication
- Inpatient hospitalization
In addition to the services listed above, Medicaid also covers a number of other services, including:
- Transportation to medical appointments
- Interpreter services
- Case management
- Home and community-based services
| Category | Income Limit |
|---|---|
| Adults | 138% of the federal poverty level |
| Children | 193% of the federal poverty level |
| Pregnant women | 185% of the federal poverty level |
| People with disabilities | Disabled adults: 138% of the federal poverty level Disabled children: 193% of the federal poverty level |
| Seniors | 138% of the federal poverty level |
To be eligible for Medicaid in Ohio, you must meet certain income and asset limits. You can apply for Medicaid online, by phone, or in person at your local county Department of Job and Family Services office.
Medicaid Coverage in Ohio
Medicaid is a health insurance program that provides coverage to low-income individuals and families. In Ohio, Medicaid is administered by the Ohio Department of Medicaid (ODM). Medicaid covers a wide range of health care services, including doctor visits, hospital stays, prescription drugs, and mental health services.
Eligibility Requirements for Medicaid in Ohio
- Be a resident of Ohio
- Be a U.S. citizen or a qualified immigrant
- Meet income and asset limits
- Be pregnant, a child, a parent, or a person with a disability
Income and asset limits vary depending on the type of Medicaid coverage. For more information on eligibility requirements, please visit the ODM website or call the ODM customer service line at 1-800-324-8680.
What Medicaid Covers in Ohio
Medicaid covers a wide range of health care services, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
- Nursing home care
The specific services covered by Medicaid vary depending on the type of coverage. For more information on what Medicaid covers in Ohio, please visit the ODM website or call the ODM customer service line at 1-800-324-8680.
How to Apply for Medicaid in Ohio
To apply for Medicaid in Ohio, you can:
- Apply online at the ODM website
- Download an application form from the ODM website and mail it to the ODM office
- Call the ODM customer service line at 1-800-324-8680 to request an application form
Once you have completed the application form, you will need to submit it to the ODM office along with any required documentation. The ODM will then process your application and determine if you are eligible for Medicaid coverage.
Medicaid Managed Care in Ohio
In Ohio, Medicaid is managed by managed care organizations (MCOs). MCOs are private companies that contract with the ODM to provide Medicaid coverage to eligible individuals. If you are enrolled in Medicaid, you will need to choose an MCO. Your MCO will be responsible for providing you with the health care services that you need.
To learn more about Medicaid managed care in Ohio, please visit the ODM website or call the ODM customer service line at 1-800-324-8680.
| Service | Covered |
|---|---|
| Doctor visits | Yes |
| Hospital stays | Yes |
| Prescription drugs | Yes |
| Mental health services | Yes |
| Substance abuse treatment | Yes |
| Dental care | Yes (for children and pregnant women) |
| Vision care | Yes (for children and pregnant women) |
| Hearing aids | Yes (for children) |
| Durable medical equipment | Yes |
| Home health care | Yes |
| Nursing home care | Yes |
Medicaid Coverage in Ohio
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. In Ohio, Medicaid is administered by the Ohio Department of Medicaid (ODM). Medicaid covers a wide range of health care services, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Nursing home care
- Home health care
Where to Apply for Medicaid in Ohio
You can apply for Medicaid in Ohio online, by mail, or in person at your local county Department of Job and Family Services (DJFS) office. You can also apply for Medicaid through the Health Insurance Marketplace.
To apply for Medicaid online, visit the Ohio Medicaid website. To apply by mail, download the Medicaid application form from the ODM website and mail it to the address provided on the form. To apply in person, visit your local DJFS office.
When you apply for Medicaid, you will need to provide proof of your income, assets, and citizenship or legal residency status. You may also need to provide proof of your disability, if you are applying for Medicaid based on a disability.
| Service | Covered |
|---|---|
| Doctor visits | Yes |
| Hospital stays | Yes |
| Prescription drugs | Yes |
| Mental health services | Yes |
| Substance abuse treatment | Yes |
| Dental care | Yes |
| Vision care | Yes |
| Nursing home care | Yes |
| Home health care | Yes |
Medicaid Long-Term Care Services
If you are a resident of Ohio and need long-term care services, Medicaid may be able to help. Medicaid is a health insurance program that provides coverage for low-income individuals and families. In Ohio, Medicaid covers a wide range of long-term care services, including:
- Nursing home care
- Home health care
- Personal care services
- Adult day care
- Hospice care
To be eligible for Medicaid long-term care services in Ohio, you must meet certain financial and medical requirements. You must also be a resident of Ohio and be at least 65 years old, or have a disability. Financial eligibility is based on your income and assets. If you have too much income or assets, you may not be eligible for Medicaid.
If you are unsure whether you qualify for Medicaid long-term care services, you can contact the Ohio Department of Medicaid for more information. The phone number is 1-800-324-8680.
The following table provides a summary of Medicaid long-term care services and eligibility requirements in Ohio:
| Service | Eligibility Requirements |
|---|---|
| Nursing home care | Must be 65 years old or older, or have a disability. Must need a skilled nursing facility level of care. |
| Home health care | Must be 65 years old or older, or have a disability. Must need skilled nursing care or physical therapy at home. |
| Personal care services | Must be 65 years old or older, or have a disability. Must need help with activities of daily living, such as bathing, dressing, and eating. |
| Adult day care | Must be 65 years old or older, or have a disability. Must need supervision and assistance during the day. |
| Hospice care | Must have a terminal illness with a life expectancy of six months or less. |
If you need long-term care services and meet the eligibility requirements, Medicaid may be able to help. Contact the Ohio Department of Medicaid for more information.
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