Step 1: Case Review
After you apply, you may get a letter asking for more information. If you need help getting the information, you should ask your case worker with the county department of job and family services. After the county office has all of the information needed to review your case, the eligibility determination process will begin.
Step 2: Approval
If your application for Medicaid is approved, you are automatically enrolled in Fee-For-Service coverage. You will get a letter with your Medicaid card and can start using services right away.
Ohio Medicaid has a statewide network of providers including hospitals, family practice doctors, pharmacies and durable medical equipment companies. Always ask a provider if they accept Medicaid before you schedule an appointment.
Most individuals covered by Medicaid receive benefits from one of five Medicaid managed care plans (below). However, some individuals will continue receiving benefits through the Medicaid Fee-for-Service program.
Individuals who remain on Fee-for-Service will receive a new card every month.
Step 3: Managed Care
In Ohio, most individuals who have Medicaid must join a managed care plan to receive their health care. Shortly after you are approved for Medicaid you will get a letter asking you to pick a plan. Below are the links to the five managed care plans for more information. You can also compare the plans by viewing the Managed Care Plans Report Card. Individuals who do not choose a managed care plan will be automatically enrolled in one to receive coverage.
The best way to enroll in managed care is online with the Consumer Hotline.
Managed care acts just like regular private health insurance. Once you are enrolled in a managed care plan, you will get a new card in the mail. Here’s what they look like:
Keep this card for as long as you are on the plan. Your plan will also send information about the doctors, providers, health services and benefits that are available to you
Step 4: Keep Us Informed
Individuals covered by Medicaid should be aware that their eligibility will be reviewed every 12 months. Individuals that experience a change affecting their eligibility within that 12 month period must notify their case worker within 10 days of the change.