Download medicaid application

You may also have an authorized representative renew on your behalf. From here, you can sign into your Self-Service Portal account to complete your annual renewal online.

Department of Medicaid logo, return to home page. This is just a separator between the navigation and the help and search icons. Web Content Viewer. Apply for Coverage Step 1 There are lots of ways you can apply or renew. Step 2 Read the application carefully. Step 3 Sign and date the application and send the application and any additional materials to your local county Job and Family Services office.

Step 4 Along with your application, you have an opportunity to register to vote or change your address. Expand All Sections. Help Center. Contact Us. Ohio Medicaid is changing the way we do business. We are redesigning our programs and services to focus on you and your family. The changes we make will help you more easily access information, locate health care providers, and receive quality care. Resources for Providers. The relationship between Ohio Medicaid and its provider network is critical to ensuring the individuals we serve receive quality care when they need it.

The following application may only be completed if you are applying at a local department of social services LDSS for Medicaid because you are over the age of 65 or an individual in your household is deemed certified blind or disabled or you are applying for Medicaid with a spenddown.

You may be required to apply for Medicare as a condition of eligibility for Medicaid. Please read OHIP below for more information on who is required to apply for Medicare and how to apply. Please read the instructions below to see which Supplement you should use. The following application may be used if you are applying for the Medicare Savings Program only.

This program pays your Medicare premiums and deductibles. The following application may be used if you are applying for the Family Planning Benefit Program only.

The following form should be completed by individuals who are in receipt of nursing facility services residential health care facilities, residential treatment facilities or intermediate care facilities for the developmentally disabled. You can use locate an office near you here. You can apply for Medicaid program through regular mail.

Download the application , fill it and then send it to Department of Social Services. You can also apply through a Facilitated Enroller FE. Find a Facilitated Enroller here. You can also apply online, although you will still have to send applications by mail. All you can do online is to fill and print applications. You can also request information and applications on phone by calling at NOTE: If you need any further assistance, you can call helpline at If your income is above income limits set by Medicaid, you can still be eligible for Family Health Plus or Family Planning Benefit program.

Zip Code. S or legal alien You have medical expenses beyond your income You receive support from Supplementary Security Income SSI Apart from these two requirements, you will also be required to meet certain income and resources related requirements.