ODJFS Online | Ohio Medicaid

Job & Family Services Ohio Medicaid

How to apply for Medicaid coverage

	Please choose which Ohio Medicaid program you would like to apply for and complete the application.
	Read the application carefully. Attach copies of your income, resources* (if applicable), proof of citizenship or qualified-alien status, pregnancy (if applicable) and other insurance you may have. If you are applying because you are age 65 or older or disabled, you will need to provide proof of your age or disability as well.
	Sign and date the application and send the application and any additional materials to your local county department of job and family services. You may either mail, fax or drop off the application. You may also have an authorized representative apply on your behalf.

Application	Use
Healthy Start & Healthy Families (JFS 07216) English / Español	Medicaid for children, pregnant women and families. This is also an application for WIC services, Child and Family Health Services and to get assistance through the Bureau for Children with Medical Handicaps.
Cash, Medical and Food Stamps (JFS 07200) English / Español / Soomaali	Medicaid for older adults or people who are blind or disabled This is also an application for cash, medical and/or food stamp assistance for all individuals This application is also used for Disability Medical Assistance and Refugee Medical Assistance programs.
Help with Medicare Expenses (JFS 07103) English / Español	For people who have Medicare and limited income. This program helps pay for Medicare premiums, coinsurance and deductibles.
Request for Medicaid Home & Community-Based Services (JFS 02399) English / Español	To be used with JFS 07200. This application is used to request services through Home and Community-Based Services Waiver programs Please note: You must apply for Medicaid to receive waiver services.
Medicaid Buy-In for Workers with Disabilities Addendum (JFS 07211) English / Español	Please use this addendum along with JFS 07200 and JFS 07236 to apply for the Medicaid Buy-In for Workers with Disabilities program

*Please note: Examples of resources include: cash, savings, checking, real property, stocks, bonds, etc. Also, some programs may require a meeting with a caseworker. If you need help completing your application, call 1-800-324-8680 (voice) or 1-800-292-3572 (TTY). Your local county office can also help.