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Medicaid
 (in the state of Ohio)



Jordan Dobbins
What is Medicaid?

  Medicaid is the United States health program for eligible
individuals and families with low incomes and resources.




   Medicaid is the largest source of funding for medical and
 health-related services for people with limited income in the
                         United States.
Eligibility

  Medicaid is a joint federal-state program that provides health coverage of
people with a low income.


  The main eligibility categories include children, families, nursing
home residents, and people who are blind, 65 or older, or disabled.
Who Qualifies?


To qualify for Medicaid, a person must meet basic requirements:
   be a U.S. citizen or meet Medicaid citizenship requirements;
   be an Ohio resident;
   have or get a social security number; and
   meet certain financial requirements.
How to apply for Medicaid



Any Ohioan can apply for Medicaid and other public benefits at
  the County Department of Job and Family Services in the
                 county in which they live.




    There is a form that you must complete at the County
   Department of Job and Family Services to see if you are
         approved for Medicaid and other benefits.
What services does Medicaid cover?

 Medicaid will cover the cost of most medically necessary
services.
  The federal government requires some services to be covered
and the state can choose to cover additional services.
Services Required by Federal Law
Ambulatory Surgery Centers               Medical & surgical dental services

Certified family nurse practitioner      Medical & surgical vision services
services
                                         Medicare Premium Assistance
Certified pediatric nurse practitioner
services                                 Non-Emergency Transportation

Transportation to Medicaid services      Nurse midwife services
(NET)
                                         Nursing Facility care
Family planning services & supplies
                                         Outpatient services, including those
Health check (EPSDT) program             provided by Rural Health Clinics &
services (screening & treatment          Federally Qualified
services to children 21 and younger)
                                         Health Centers
Home health services
                                         Physician services
Inpatient hospital

Lab & x-ray
Other services that Ohio covers

Ambulances / Ambulettes              Independent psychological services
                                     for children
Chiropractic services for children
                                     Intermediate Care Facility services
Community alcohol & drug addiction   for people with Mental Retardation
treatment                            (ICF-MR)

Community mental health services     Occupational therapy

Dental services                      Physical therapy

Durable medical equipment &          Podiatry
supplies
                                     Prescription drugs
Home and Community Based
Services                             Private Duty Nursing

Waivers                              Speech therapy

Hospice care                         Vision care, including eyeglasses
Where to get Medicaid Services

  You must get Medicaid services from a Medicaid provider.
  A Medicaid provider is a doctor, hospital, laboratory, nursing home,
drug store or other health care provider who has a contract with Ohio
Medicaid to provide care to Medicaid recipients.
   Before you get any Medicaid services, ask your health care provider
if they are a Medicaid provider.

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Project 1

  • 1. Medicaid (in the state of Ohio) Jordan Dobbins
  • 2. What is Medicaid? Medicaid is the United States health program for eligible individuals and families with low incomes and resources. Medicaid is the largest source of funding for medical and health-related services for people with limited income in the United States.
  • 3. Eligibility Medicaid is a joint federal-state program that provides health coverage of people with a low income. The main eligibility categories include children, families, nursing home residents, and people who are blind, 65 or older, or disabled.
  • 4. Who Qualifies? To qualify for Medicaid, a person must meet basic requirements: be a U.S. citizen or meet Medicaid citizenship requirements; be an Ohio resident; have or get a social security number; and meet certain financial requirements.
  • 5. How to apply for Medicaid Any Ohioan can apply for Medicaid and other public benefits at the County Department of Job and Family Services in the county in which they live. There is a form that you must complete at the County Department of Job and Family Services to see if you are approved for Medicaid and other benefits.
  • 6. What services does Medicaid cover? Medicaid will cover the cost of most medically necessary services. The federal government requires some services to be covered and the state can choose to cover additional services.
  • 7. Services Required by Federal Law Ambulatory Surgery Centers Medical & surgical dental services Certified family nurse practitioner Medical & surgical vision services services Medicare Premium Assistance Certified pediatric nurse practitioner services Non-Emergency Transportation Transportation to Medicaid services Nurse midwife services (NET) Nursing Facility care Family planning services & supplies Outpatient services, including those Health check (EPSDT) program provided by Rural Health Clinics & services (screening & treatment Federally Qualified services to children 21 and younger) Health Centers Home health services Physician services Inpatient hospital Lab & x-ray
  • 8. Other services that Ohio covers Ambulances / Ambulettes Independent psychological services for children Chiropractic services for children Intermediate Care Facility services Community alcohol & drug addiction for people with Mental Retardation treatment (ICF-MR) Community mental health services Occupational therapy Dental services Physical therapy Durable medical equipment & Podiatry supplies Prescription drugs Home and Community Based Services Private Duty Nursing Waivers Speech therapy Hospice care Vision care, including eyeglasses
  • 9. Where to get Medicaid Services You must get Medicaid services from a Medicaid provider. A Medicaid provider is a doctor, hospital, laboratory, nursing home, drug store or other health care provider who has a contract with Ohio Medicaid to provide care to Medicaid recipients. Before you get any Medicaid services, ask your health care provider if they are a Medicaid provider.