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  1. There are three ways to apply for Medicaid benefits or renew your benefits. Your Medicaid benefits will need to be renewed annually and you will be notified when it is time to renew. Just like the application process, you can apply/renew online, in person, by mail, or on the phone. Read the renewal form carefully.

    • Medicaid Forms

      ODM 07216. (ORDER FORM) Application for Health Coverage &...

    • Home|Medicaid

      The Ohio Department of Medicaid (ODM), to meet the best...

  2. medicaid.ohio.gov › RESOURCES › PublicationsMedicaid Forms - Ohio

    ODM 07216. (ORDER FORM) Application for Health Coverage & Help Paying Costs. ODM 03528. (ORDER FORM) Healthchek & Pregnancy Related Services Information Sheet. ODM 10129. (ORDER FORM) Long-Term Services and Supports Questionnaire (LTSSQ) - Email Request.

  3. What you may need to apply. Apply faster online at HealthCare.gov or benefits.Ohio.gov. • Social Security Numbers (or document numbers for any legal immigrants who need insurance) • Employer and income information for everyone in your family (for example, from paystubs, W-2 forms, or wage and tax statements)

  4. The Ohio Department of Medicaid (ODM), to meet the best interests of stakeholders, providers and the program, is adjusting the effective date of changes to the Electronic Visit Verification (EVV) claims adjudication process.

  5. You can submit your application in the following ways: ONLINE: Access the Self Service Portal at ssp.benefits.ohio.gov, click "Apply For Benefits," and follow the prompts. For help creating an account, check out these How To videos. PHONE: Call 1-844-640-OHIO (6446)

  6. In general, the Ohio Department of Medicaid creates and maintains Medicaid-related records. To request Medicaid records in connection with a past or pending administrative hearing or appeal, visit odjfs.state.oh.us/HearingsAppeals. To request all other Medicaid records, visit medicaid.ohio.gov.

  7. By paper application: You can visit the below locations to pick up benefits applications and other CJFS forms:

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