​Through Medicaid, family or individual health care coverage is available based on income and other factors.

Medicaid is a state and federally funded health care coverage plan administered by ODM (Ohio Department of Medicaid). Medicaid provides health care coverage to low-income and medically vulnerable individuals of all ages.

Depending on each individual’s coverage type, monthly premiums or co-pays may apply.

In order to access Ohio Medicaid benefits, a person must be a citizen of the U.S., have a Social Security number, meet certain financial requirements, and be a resident of Ohio. In addition, Medicaid qualifications do in some cases limit other resources, such as property, stocks, bonds, or other assets. However, a residence, personal belongings and a vehicle are typically not taken into account in the limit on resources when Medicaid determines whether a person qualifies for the program.
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Medicaid provides health care coverage to a number of different groups of people who meet the financial requirements. There are two major groups and each major group has several programs. ​

Who is covered by Medicaid?

Medicaid provides health coverage to several different groups of individuals who meet financial requirements. There are three major groups, Covered Families and Children, Medicaid Expansion, and individuals who are Aged, Blind or have a Disability. Each major group has several programs.

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Covered Families and Children

Provides family or individual coverage based on income and the presence of a child or pregnant woman in the home. This group is required to select a Managed Care Provider to render Medicaid services once the individual is determined eligible. Current managed care providers for Champaign County include Caresource, Molina, Buckeye, Paramount, & UHC (United Healthcare).

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Coverage for People Who are Aged, Blind or Have a Disability

Available to individuals who meet income and asset limits. Adults 65 or older may be eligible for Medicaid. Individuals of any age with a disability, including individuals who are legally blind, can also qualify for Medicaid. This also includes specialized Medicaid services in the Long-Term Care settings.

• Institutional long-term care services are provided to individuals who can not care for themselves at home who may require services through a facility care setting as nursing home or assisted living.
• Home and Community Based Service allows individuals with mental illnesses, intellectual or developmental disabilities, and or physical disabilities to receive services in their homes rather than in long- term setting.

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How Do I Apply?

You can file an application in person during regular business hours, by mailing in a completed application, dropping an application in our drop box (In parking lot outside the BMV), via email at Champ_FoodCashMedical@jfs.ohio.gov or by faxing a completed application to 937-484-1506. You can also apply online at Self Service Portal Home Page (ohio.gov).

Apply for Medicaid

Medical Expansion

Effective January 1, 2014 – all individuals with income at or below 138% federal poverty level are eligible for expanded Medicaid benefits. Applications are encouraged for this benefit through benefits.ohio.gov website.

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What Services Are Covered by Medicaid?

In general, Medicaid provides comprehensive coverage for necessary health services. There are two benefit packages: The Basic Health Plan, and the Long-Term Care Health Plan.

The Basic Health Plan is available to all Medicaid-eligible people. Services include:

• Doctors’ visits
• Prescription drugs
• Hospital care
• Dental care
• Vision care
• Long Term Care, Assisted Living, and Home health services
• Mental health and substance abuse treatment services

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Other Health Coverage Programs:

Medicare Premium Assistance Program (MPAP)
This program helps individuals eligible for Medicare. Medicare is a federally funded and administered health coverage program for individuals determined disabled or age 65 and over by the Social Security Administration. MPAP can assist an individual who has limited income and assets get help in paying the cost of one or more of the following:

• Medicare B premium
• Medicare deductibles
• Medicare coinsurance