95 East Main Street, Carrollton, OH 44615

Same as site hours.

- Accepts applications from the medical social worker or the billing office at the hospital involved. Or call the office to schedule an appointment. - All medical bills related to the event should be submitted (except for labor and delivery up to 2 days). Application will be reviewed and determination will be made of medically necessary days and charges which will be paid for.

- No fee. - If eligibility is satisfied, the hospital will be paid directly for the care received. Other providers whose services are directly connected to the emergency event may also be paid, as determined on a case-by-case basis.

- Serves anyone who is not a United States citizen who is staying in Carroll County (may be documented or undocumented). - Must have experienced the sudden onset of an emergency medical condition, including labor and delivery, which requires immediate medical attention. - Must be both categorically and financially eligible for Medicaid other than its citizenship requirement. NOTE: This means aged (over 65), blind or disabled, a child in a family with income up to 206% of the Federal Poverty Level, a pregnant woman with income up to 200% of of the Federal Poverty Levely, or parents of a childwith income up to 90% the Federal Poverty Level. - If not already determined, disability status will be determined by the County Medical Services Board (a State agency). - NOTE: The date of entry into this country and the current alien status may affect eligibility, which is determined on a case-by-case basis. Call for detailed information. - NOTE: Does not cover routine pre- or post-natal care, or service related to organ transplant. - Service providers must be Medicaid providers.

None.

Carroll County, Ohio