Ohio Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
Format:
PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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Family Size Monthly Income* 1 $1,823 2 $2,465 3 $3,108 4 $3750 5 $4,393 6 $5,035 7 $5,678 8 $6,320 9 $6,963 10 $7,605 Families with monthly incomes higher than the amount in the first column, but lower than the amount in the second column MUST apply if they do not have private health insurance.

To be eligible for Ohio Medicaid, you must be a resident of the state of Ohio, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

Ohio's statewide Presumptive Eligibility (PE) initiative provides uninsured residents with the opportunity to receive immediate health care services through Medicaid if they are presumed to be eligible. Individuals who qualify through PE will then be provided with the information to apply for full Medicaid coverage.

Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

These are the main income rules for income-based Medicaid: If your family's income is at or under 138% of the Federal Poverty Guidelines (FPG) ($20,120 per year for an individual; $41,400 for a family of four), you may qualify.

For the most part, to be eligible for Medicaid you must be one of the following: Be age 65 or older. Have a permanent disability as that term is defined by the Social Security Administration. Be blind.

If you have a disability, low income, and low resources, you may qualify for SSI. If you already get SSI benefits, you automatically get Medicaid coverage and do not need to apply separately.

Family Size Monthly Income* 1 $1,823 2 $2,465 3 $3,108 4 $3750 5 $4,393 6 $5,035 7 $5,678 8 $6,320 9 $6,963 10 $7,605 Families with monthly incomes higher than the amount in the first column, but lower than the amount in the second column MUST apply if they do not have private health insurance.

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Ohio Application for Presumptive Eligibility for Medicaid