Answers: Applying for Medicaid
1. How can I submit a Medicaid Application?
A resident of Ohio may submit a Medicaid application:
  • Online through the Ohio Benefits self-service portal (www.Benefits.Ohio.gov)
  • Over the phone (800-324-8680)
  • In-person with their County Department of Job and Family Services (CDJFS) (County Office Directory)

2. Can my local county office (CDJFS) still provide assistance if something goes wrong with my Medicaid application?
Yes, Ohio residents may still visit their CDJFS for help or to voice concerns regarding their coverage.

3. What internet browser should I use when completing my application?
The following internet browsers are recommended for use when completing an application:
  • Internet Explorer Versions 8, 9, 10 & 11
  • Chrome Version 32.0.1700.76 m
  • Mozilla Firefox Version 26.0
  • Safari on iPhones and iPads
4. Can I use the Ohio Benefits portal with my mobile device?
Yes, Ohio Benefits is compatible with browsers that work on mobile platforms including:
  • Safari on iPhones and iPads
  • Chrome on Android phones and tablets
  • Internet Explorer on Windows phones and tablets

5. Where can I access Medicaid's paper application?
You are encouraged to apply online at Benefits.Ohio.Gov. If you are unable to apply online and wish to complete a paper application please follow the steps below.
Step 1.
Medicaid only (all applicable categories): ODM 7216 (Spanish)
Job and Family Services application (Food Assistance, Cash Assistance, and Medicaid): Click Here
Step 2.
Once your application is completed please mail it to your local CDJFS office.

6. I already have Medicaid. What changes should I expect?
Your Medicaid benefits will not change. What may change is the look of your monthly Medicaid card. Therefore if you receive monthly Medicaid cards and the card changes do not worry. Your services will remain the same.

7. I already have Medicaid. Do I need to re-apply?
No, you do not need to re-apply at this time. You only need to re-apply when you receive any of the following notices of action:
  • A redetermination notice
  • A notice of a change in your Medicaid benefits
  • A notice that your Medicaid benefits are ending

8. If I do have to re-apply for coverage, what should I expect?
If you receive a Medicaid card in the mail each month, it may look different. You may see new questions on the Medicaid application relating to federal taxes.

9. In applying for Medicaid benefits, what questions will I be asked relating to federal taxes?
You will be asked to identify your dependents, any deductions, and your tax filing status. You should gather this information before beginning your application. Helpful hints:
  • Dependents – Identify if you are claiming any dependents, or if someone is claiming you as a dependent.
  • Deductions – Identify any countable income you are receiving, the dollar amount of the deduction and how often you are receiving it (weekly, monthly, etc.).
  • Filing status – Identify your tax filing status (single, head of the household, widowed with a dependent child, etc.).
Answers: Medicaid Application Specifics

1. Is it necessary to create an account when applying through Ohio Benefits?
Yes, you will be required to create an account with a username and password when completing a Medicaid application online.

2. When applying through Ohio Benefits should I indicate “Yes” to needing Food Assistance?
You must respond No to needing Food Assistance in order to proceed with the Medicaid application.
To apply for Food Assistance you will need to complete a separate application here.

3. When completing a Medicaid application should I include my monthly or yearly income? Should this be the gross or net amount?
While applying for Medicaid coverage, you must provide your gross monthly income.  If you do not have any income, enter one dollar ($1) – not zero ($0) –to help the system process your application faster.

4. Do I need to include my Social Security Number (SSN) on the Medicaid application?
Providing you Social Security Number will allow for faster processing of your application, however, it is not required.
If you do not have a SSN, or know what it is, do not enter a false SSN into the system such as [000-00-0000].  Putting in a false SSN will take the system longer to process your application.

Answers: New Medicaid Rules - Modified Adjusted Gross Income Changes to Medicaid

1. What does “MAGI-Based Eligibility” mean?
“MAGI” stands for “Modified Adjusted Gross Income.” MAGI-Based Eligibility methodology is used to calculate a person’s household size and income.

2. When did MAGI rules go into effect?
The new MAGI rules for determining Medicaid eligibility became effective on January 1, 2014.

3. Will MAGI rules apply to everyone seeking Medicaid coverage?
MAGI-Based Eligibility applies to individuals who are considered Covered Families and Children (CFC) Medicaid categories including families, children up to age 19, pregnant women and adults 19 – 64 who are below 138% Federal Poverty Level (FPL).  
MAGI rules also apply to time-limited coverage for individuals who were enrolled in Medicaid’s parent category and lost eligibility due to increased earnings or spousal support.

4. What are the categories of Medicaid that are not impacted by MAGI rules?
The following people or groups will NOT use the new MAGI rules to determine eligibility:

  • People not subject to an income decision by Medicaid including children in foster care and individuals found eligible under the Breast and Cervical Cancer Project
  • Medicare-age adults (65 or older) seeking Medicaid due to medical needs caused by age
  • Qualified Medicare Beneficiaries
  • Individuals certified as blind or disabled by the Social Security Administration (excluding individuals who are seeking coverage as a parent)
  • People seeking Long-Term Care

*This list is a general guideline; there are some situations where an individual can be considered in more than one Medicaid program category. This includes an applicant being eligible for both a MAGI and Non-MAGI program category. If you think you or the applicant you are working with may fall into more than one category, please visit your local CDJFS for detailed information.

5. Why is Ohio using MAGI rules to determine who is counted in Medicaid households and what income is being counted?
The introduction of MAGI rules is a federal requirement introduced to all states. MAGI rules make calculating household size and income consistent across the United States.
The new MAGI standards are based on federal income tax rules and uses a tax filer’s family size and income to determine eligibility. If you do not file taxes, your family size will be based on the number and age of the immediate family members who live with you. In general, only income included for federal tax purposes is counted. Income that is not included when filing federal taxes is most likely not counted for MAGI calculations.
For example:

  • Child support is not considered income when filing federal taxes. Child support is not counted as income when determining Medicaid eligibility.
  • Spousal support is considered income when filing federal taxes. Spousal support is counted as income when determining Medicaid eligibility.

For additional help please visit your local CDJFS or call the Medicaid Hotline at (800) 324-8680.

6. Right now, I have a Medicaid Spenddown. Do I now qualify for full Medicaid benefits due to recent eligibility changes?
If you have a spenddown, you may qualify for Medicaid through recent eligibility changes. To determine if you are eligible under a MAGI Medicaid category, you must re-apply and submit a new Medicaid application and meet all of the following criteria:

  • Income must be at or below 133% federal poverty level (FPL);
  • Must be between the ages of 19 – 64;
  • Must not be eligible under another category of Medicaid;
    • Cannot be a Medicare beneficiary. However, you may be included if you are determined disabled by SSA and currently in the two year waiting period for Medicare
    • Parents residing with minor children cannot qualify UNLESS the child has creditable coverage (through Medicaid or privately).

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