Job & Family Services Ohio Medicaid

How to apply for Medicaid coverage

Step One Please choose which Ohio Medicaid program you would like to apply for and complete the application. 
Step Two 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.
Step Three 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. 
Voter Registration Along with your application, you have an opportunity to register to vote or change your address. Please complete form JFS 07200-VR and submit it with your application for benefits. We will submit your form to the local board of elections. If you need assistance completing this form, please ask for help at your local county department of job and family services. Completing the voter registration form is optional and is not required to apply for any public assistance program. 

Application

Use

Healthy Start & Healthy Families (JFS 07216) 
English / Espaņol
  • 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 / Espaņol / 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 Refugee Medical Assistance programs.
Help with Medicare Expenses (JFS 07103)
English / Espaņol
  • 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 / Espaņol

Please note: You must apply for Medicaid to receive waiver services.

Medicaid Buy-In for Workers with Disabilities Addendum (JFS 07211)
English / Espaņol

*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.