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  • Odm 07236

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Reset Form YOUR RIGHTS & RESPONSIBILITIES AS A CONSUMER OF MEDICAID HEALTH COVERAGE The Ohio Department Medicaid (ODM) assures that no person seeking participation in any program or person currently.

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How to fill out the Odm 07236 online

Filling out the Odm 07236 is an important step in applying for Medicaid health coverage in Ohio. This guide provides detailed instructions to help you complete the form online efficiently and accurately.

Follow the steps to fill out the Odm 07236 online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your personal information, including your full name, address, and contact details in the designated fields.
  3. Next, provide details about your household. List all household members, their relationships to you, and their dates of birth.
  4. You must report your financial information. Fill out your income details including any employment, benefits, or other income sources for you and your household members.
  5. Indicate your citizenship status. You are required to provide proof of U.S. citizenship or alien status for each applicant. Make sure to include relevant documentation.
  6. Cooperate with establishing paternity. If applicable, provide necessary information and documentation for child support related to any children in your household.
  7. In the section regarding other health insurance, disclose any existing medical coverage you or anyone in your household may have.
  8. Complete the section regarding your Social Security Number. Provide your SSN or apply for one if necessary, and include your child's SSN if applying for them.
  9. Review all the information entered for accuracy. Ensure that all sections are completed and all necessary documents are attached.
  10. Once finished, you can save your changes, download the form, print it, or share it as needed.

Start filling out your Odm 07236 form online today to ensure your Medicaid application is processed smoothly.

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Medicaid health care coverage is available for eligible Ohioans with low income, pregnant women, infants and children, older adults and individuals with disabilities. CareSource Medicaid is available across the state of Ohio. When you apply for Ohio Medicaid, you can choose CareSource as your managed care plan.

Who is eligible for Ohio Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Eligibility limits for single adults without dependent children are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

In approximately half of the states, ABD Medicaid's income limit is $914 / month for a single applicant and $1,371 for a couple. In the remaining states, the income limit is generally $1,215 / month for a single applicant and $1,643 / month for a couple.

Adults under age 65 with household income up to 138% of federal poverty level. Children with household income up to 211% of poverty. Pregnant women with household income up to 205% of poverty (coverage for the mother continues for 12 months after the baby is born).

The Ohio Medicaid Payer ID (receiver Id) is MMISODJFS.

Who is eligible for Ohio Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

Ohio Medicaid delivers health care coverage to more than 3 million Ohio residents. Of those, more than 90% receive coverage through one of five MCOs - Buckeye Health Plan, CareSource, Molina Healthcare, Paramount Advantage, or UnitedHealthCare Community Plan.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232