Ohio Medicaid

Medicaid Buy-In for Workers with Disabilities (MBIWD) Application

Applications are now being accepted for MBIWD.

Please complete:

Form JFS 07200, Form JFS 07211 MBIWD Addendum, and  Form JFS 07236 Rights & Responsibilities (retain a copy for your records).

If you need help filling out your application, please call:

The Medicaid Consumer Hotline: 1-800-324-8680, TTY: 1-800-292-3572 or  Your local county of job and family services.

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