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Learn About Requirements for Medicaid in Ohio

Who is eligible for Medicaid in Ohio? In Ohio, you must learn how to qualify for Medicaid prior to applying for the state’s government-sponsored medical coverage benefits. What are the requirements for Medicaid? There are general qualifications as well as Medicaid income requirements.

Who meets the requirements for Medicaid in Ohio?

Applicants should be aware that how to qualify for Medicaid varies by state. Even though Medicaid benefits funding is shared by both the state government and the federal government, applicants you must meet the Medicaid eligibility requirements in Ohio – not elsewhere – in order to qualify for the state’s medical assistance program.

Learn more about Medicaid requirements by downloading our comprehensive guide.

Those deemed eligible for Medicaid in Ohio include:

  • Low-income individuals.
  • Pregnant women and their infants.
  • Children.
  • Elderly adults.
  • Patients with disabilities.

Candidates can only attain Medicaid eligibility if they are a member of one of these groups, and also meet the additional requirements to be eligible for Medicaid. Continue below to review both the non-financial OH Medicaid requirements and the Medicaid income requirements.

What Are the Requirements for Medicaid in Ohio?

Once a petitioner has confirmed that he or she belongs to a Medicaid eligibility group, the next step is to meet the non-financial requirements to ensure eligibility for Medicaid benefits in Ohio. Again, the Medicaid qualifications are determined on a state level. However, the below Ohio Medicaid eligibility requirements tend to apply to applicants across the United States.

  • You must be a U.S. citizen – Candidates are eligible for Medicaid if, and only if, they have documentation to support that they are a legal citizen of the United States. If the applicant does not have citizenship papers, he or she must meet the state’s citizenship requirements that confirm legal presence in the country. If you need assistance in determining if your status is indeed legal as it applies to obtaining Medicaid benefits in OH, you can contact a representative at your local Job and Family Services office. In addition, if you are not a U.S. citizen, you may be eligible to receive Alien Emergency Medical Assistance or Refugee Medical Assistance in the state of Ohio, instead of Medicaid. Learn more about requirements in our detailed guide.
  • You must have a Social Security Number (SSN) – Your Social Security Number acts as a federal identification number of sorts regarding many different circumstances and programs in the U.S. Since your Social Security Number is associated with your annual tax forms and income statements, it is of great importance that you share you registered SSN with the Ohio state department when applying for Medicaid. If you do not have an SSN, you must register for one prior to applying for Medicaid benefits.
  • You must be an Ohio resident – Even though Medicaid funding is shared by both the state and federal governmental bodies, you must be a resident in OH in order to collect Medicaid benefits specific to the state. You will be asked to present proof of your Ohio residency during your Medicaid application process, so prepare accordingly. Keep in mind that once you are deemed eligible for Medicaid in OH, you cannot, then, relocate and expect to be a beneficiary in a new state of residence as well. Instead, you must inform the new state of your circumstances, and let the Medicaid department there decide on your eligibility for Medicaid again.

After determining that you have met all three of the above non-negotiable requirements for Medicaid, your final step in confirming that you qualify for Medicaid is to review the Medicaid income requirements in Ohio.

What Are the Income Requirements for Medicaid?

What are the Medicaid application guidelines in terms of income limits? Like most states, Medicaid income requirements are determined by the Modified Adjusted Gross Income (MAGI) calculator. Ohio income requirements for Medicaid take into account your household size, your income and any assets you may have – all measured up against the current federal poverty levels, divided into patient groups.

Adults ages 19 to 64 can earn no more than 133 percent of the federal poverty level in order to qualify for Medicaid in Ohio. If you are a pregnant woman, you must make less than 200 percent of the federal poverty level’s determined income limits in order to be eligible for Medicaid in OH.

Children with insurance qualify for Medicaid benefits so long as they reside in households that make no more than 156 percent of the federal poverty level’s monthly allotment. And, children without insurance who are seeking Medicaid benefits eligibility must have family incomes within the range of 206 percent of the federal poverty level in Ohio.

Note that the limits for the Medicaid income requirements are broken down into the MAGI estimates based on the size of your household. If you are one individual seeking Medicaid, your monthly income limit is set much lower than a household of anywhere from two to 10 persons.