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Proof of Medicaid Coverage
2020 1095B/Proof of Medicaid Coverage Form Is Available Upon Request
Proof of Medicaid Coverage

If you would like a copy of your 1095B form stating that you had minimum essential coverage through Medicaid during 2020, you may request it by any of the methods below:

Call: 1-844-640-6446
Visit: Contact Us Form
Email: medicaid@medicaid.ohio.gov
Mail: Ohio Department of Medicaid - ATTN ODM-TA
50 West Town Street
Suite 400
Columbus, OH 43215