Offers a managed health care plan for Medicaid-approved individuals. Services for clients include 24 hour nurses hotline, claims processing, case/medical management, provider relations and medical transportation.
Offers a managed health care plan for Medicaid-approved individuals. Services for clients include 24 hour nurses hotline, claims processing, case/medical management, provider relations and medical transportation.
What's Here
State Medicaid Managed Care Enrollment Programs
Provides assistance with paperwork for Medicare, Medicaid, Social Security, housing, food stamps, insurance, etc.
Provides assistance with paperwork for Medicare, Medicaid, Social Security, housing, food stamps, insurance, etc.
What's Here
Medicaid Applications
Certificates/Forms Assistance
SSI Applications
Medicare
Social Security Retirement Benefits
Provides services in certified residential care facilities to help delay or prevent nursing facility placement.
* Assisted living is a long-term care option for individuals who can no longer get the care they need in their homes but who do not require the intensive, around-the-clock care of a nursing home.
Provides services in certified residential care facilities to help delay or prevent nursing facility placement.
* Assisted living is a long-term care option for individuals who can no longer get the care they need in their homes but who do not require the intensive, around-the-clock care of a nursing home.
What's Here
State Medicaid Waiver Programs
Assisted Living Facilities
Semi-Independent Living Residences for Adults With Disabilities
Provides public insurance to cover medical services that may include doctor visits, some prescription drugs, hospital care, home care, long-term care, medical equipment, transportation, mental health, vision, dental, substance abuse services and other services. Medicaid is the payer of last resort - Medicare will be billed first if client is eligible.
Provides public insurance to cover medical services that may include doctor visits, some prescription drugs, hospital care, home care, long-term care, medical equipment, transportation, mental health, vision, dental, substance abuse services and other services. Medicaid is the payer of last resort - Medicare will be billed first if client is eligible.
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Provides low income persons who are Medicare recipients with several programs including Qualified Medicare Beneficiary (QMB), Specified Low-income Medicare Beneficiary (SLMB), and Qualifying Individual-1 (QI-1) that offer different levels of assistance to pay Medicare premiums and, in some cases, deductibles and co-payments.
Provides low income persons who are Medicare recipients with several programs including Qualified Medicare Beneficiary (QMB), Specified Low-income Medicare Beneficiary (SLMB), and Qualifying Individual-1 (QI-1) that offer different levels of assistance to pay Medicare premiums and, in some cases, deductibles and co-payments.
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Medicare Savings Programs
Home and community-based waivers are programs of in-home and community care that help Ohio Medicaid consumers remain at home instead of being in a nursing home, hospital or facility for people with mental retardation and/or developmental disabilities.
Home and community-based waivers are programs of in-home and community care that help Ohio Medicaid consumers remain at home instead of being in a nursing home, hospital or facility for people with mental retardation and/or developmental disabilities.
What's Here
Medicaid Applications
State Medicaid Waiver Programs
Provides public health insurance for individuals who have been determined to be disabled by Social Security or Medicaid, but are currently able to work. Clients earning over a certain amount may be required to pay a monthly premium.
Provides public health insurance for individuals who have been determined to be disabled by Social Security or Medicaid, but are currently able to work. Clients earning over a certain amount may be required to pay a monthly premium.
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Medicaid Buy In Programs
Medicaid Applications
Provides funds to cover the cost of care in an assisted living center for those who meet eligibility and require a residential setting but not the services of a nursing home. Does not cover medication, co-pays, or services such as a visiting nurse. Assisted living facilities must have agreed to accept this reimbursement and must be certified by this agency.
Provides funds to cover the cost of care in an assisted living center for those who meet eligibility and require a residential setting but not the services of a nursing home. Does not cover medication, co-pays, or services such as a visiting nurse. Assisted living facilities must have agreed to accept this reimbursement and must be certified by this agency.
What's Here
State Medicaid Waiver Programs
Provides financial rewards for keeping prenatal and well baby appointments(checkups, lead screening, immunizations, flu shots) and for items like diapers and baby food for new and expecting parents. Members can redeem rewards through organization's online rewards hub. Rewards are available for those getting preventive care such as dental exams, annual physicals, flu shots, diabetes well care visits and testing and more.
Provides financial rewards for keeping prenatal and well baby appointments(checkups, lead screening, immunizations, flu shots) and for items like diapers and baby food for new and expecting parents. Members can redeem rewards through organization's online rewards hub. Rewards are available for those getting preventive care such as dental exams, annual physicals, flu shots, diabetes well care visits and testing and more.
What's Here
Medicaid Healthy Rewards Programs
Pregnant Individuals
Provides services to older adults in their homes as an alternative to nursing home care. PASSPORT services may include personal care/respite, homemaker, adult day care, home delivered meals, chore service, minor home modifications, adaptive devices, home medical equipment, pest control services, transportation, social work, counseling, emergency medical response systems, independent living assistance, and community transition services.
Provides services to older adults in their homes as an alternative to nursing home care. PASSPORT services may include personal care/respite, homemaker, adult day care, home delivered meals, chore service, minor home modifications, adaptive devices, home medical equipment, pest control services, transportation, social work, counseling, emergency medical response systems, independent living assistance, and community transition services.
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Long Term Home Health Care
State Medicaid Waiver Programs
Accepts applications and determines eligibility for the Medicaid program; and reinstate individuals who have lost their Medicaid benefits due to incarceration, institutionalization, noncompliance or other reasons.
Accepts applications and determines eligibility for the Medicaid program; and reinstate individuals who have lost their Medicaid benefits due to incarceration, institutionalization, noncompliance or other reasons.
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Provides programs administered by the state that provides medical benefits for individuals and families with limited incomes who fit into an eligibility group that is recognized by federal and state law. Programs include the following:
- Modified Adjusted Gross Income (MAGI): Medicaid for parents, caretaker relatives, pregnant women, newborns, children, extension adults, transitional Medicaid, and possible dual eligibility with Aged Blind and Disabled Medicaid and Medicare recipients.
- Aged Blind and Disabled (ABD): Categorically Needy. Medicaid for 65 and older. Meets Social Security Administration (SSA) definition of blind or disabled.
- MPAP: QMB, SLMB, QI-1, QWDI: Medicare Premium Assistance for those in receipt of Medicare.
- MBIWD: Medicaid for individuals between ages of 16 and 64 who meet the SSA definition of blind and disabled and are working. Possible premium required.
- SRS: Medicaid for those age 21 and over who are receiving SSI or SSDI, meet SRS diagnosis, and are in receipt of another Medicaid category.
- Non-Citizen Emergency Medicaid Assistance (NCEMA): Apply at any time. Requires state approval to receive Medicaid eligibility and span.
- LTC and Waiver Services: Medicaid for individuals in nursing facilities, assisted living, or home care.
Provides programs administered by the state that provides medical benefits for individuals and families with limited incomes who fit into an eligibility group that is recognized by federal and state law. Programs include the following:
- Modified Adjusted Gross Income (MAGI): Medicaid for parents, caretaker relatives, pregnant women, newborns, children, extension adults, transitional Medicaid, and possible dual eligibility with Aged Blind and Disabled Medicaid and Medicare recipients.
- Aged Blind and Disabled (ABD): Categorically Needy. Medicaid for 65 and older. Meets Social Security Administration (SSA) definition of blind or disabled.
- MPAP: QMB, SLMB, QI-1, QWDI: Medicare Premium Assistance for those in receipt of Medicare.
- MBIWD: Medicaid for individuals between ages of 16 and 64 who meet the SSA definition of blind and disabled and are working. Possible premium required.
- SRS: Medicaid for those age 21 and over who are receiving SSI or SSDI, meet SRS diagnosis, and are in receipt of another Medicaid category.
- Non-Citizen Emergency Medicaid Assistance (NCEMA): Apply at any time. Requires state approval to receive Medicaid eligibility and span.
- LTC and Waiver Services: Medicaid for individuals in nursing facilities, assisted living, or home care.
What's Here
Youth
Families
Older Adults
People With Disabilities/Health Conditions
Pregnant Individuals
Medicaid Applications
Former Foster Children
Provides public insurance to cover medical services that may include doctor visits, some prescription drugs, hospital care, home care, long-term care, medical equipment, transportation, mental health, vision, dental, substance abuse services and other services. Most clients will have to choose and enroll in (will have their care provided by) a Managed Care Plan (MCP). When it is time to renew, Enrollees will receive a packet, including information regarding Medicaid status and forms for re-certifying coverage.
Provides public insurance to cover medical services that may include doctor visits, some prescription drugs, hospital care, home care, long-term care, medical equipment, transportation, mental health, vision, dental, substance abuse services and other services. Most clients will have to choose and enroll in (will have their care provided by) a Managed Care Plan (MCP). When it is time to renew, Enrollees will receive a packet, including information regarding Medicaid status and forms for re-certifying coverage.
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Program provides accurate and objective counseling and assistance relating to Medicare, Medicaid, and private health insurance.
Program provides accurate and objective counseling and assistance relating to Medicare, Medicaid, and private health insurance.
What's Here
Medicare
Medicaid
Medicaid Planning
Health Insurance/Dental Coverage
Accepts and investigates long term care and MyCare Ohio complaints for Ohioans covered by both Medicare and Medicaid through this program. Services include:
- Provides Ombudsman Core Services (information, advocacy, and complaint investigation) for dual-eligible members of MyCare Ohio and the community-well.
- Provides information regarding rights and benefits to members, families, and providers within the MyCare Ohio service delivery system.
- Investigates and resolves complaints regarding MyCare Ohio enrollees and other LTC consumers receiving care from Managed Care Organizations.
- Assists and represents MyCare members and families in administrative hearings and appeal situations in accordance with Ombudsman policy.
Accepts and investigates long term care and MyCare Ohio complaints for Ohioans covered by both Medicare and Medicaid through this program. Services include:
- Provides Ombudsman Core Services (information, advocacy, and complaint investigation) for dual-eligible members of MyCare Ohio and the community-well.
- Provides information regarding rights and benefits to members, families, and providers within the MyCare Ohio service delivery system.
- Investigates and resolves complaints regarding MyCare Ohio enrollees and other LTC consumers receiving care from Managed Care Organizations.
- Assists and represents MyCare members and families in administrative hearings and appeal situations in accordance with Ombudsman policy.
What's Here
Long Term Care Ombudsman Programs
State Medicaid Waiver Appeals/Complaints
Medicaid Information/Counseling
Provides health care coverage to families who may not otherwise have access to health care.
Provides health care coverage to families who may not otherwise have access to health care.
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Offers monetary incentives to managed care plan members for engaging in healthy behaviors, such as receiving vaccines, attending annual exams, and completing preventative screenings.
Offers monetary incentives to managed care plan members for engaging in healthy behaviors, such as receiving vaccines, attending annual exams, and completing preventative screenings.
What's Here
Medicaid Healthy Rewards Programs
Provides the Ohio Home Care Waiver Program (OHCW) to meet the needs of individuals people who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting. CareSource has contracted with the Ohio Department of Medicaid in the role of a Case Management Agency. CareSource in partnership with Area Agency on Aging, Region 9, delivers Case Management services for the OHCW program to eligible individuals.
Management services for the OHCW program to help people meeting Medicaid financial criteria, who are
under 60 years of age and assessed with an Intermediate or Skilled Level of Care, along with other program
requirements.
Provides the Ohio Home Care Waiver Program (OHCW) to meet the needs of individuals people who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting. CareSource has contracted with the Ohio Department of Medicaid in the role of a Case Management Agency. CareSource in partnership with Area Agency on Aging, Region 9, delivers Case Management services for the OHCW program to eligible individuals.
Management services for the OHCW program to help people meeting Medicaid financial criteria, who are
under 60 years of age and assessed with an Intermediate or Skilled Level of Care, along with other program
requirements.
What's Here
People With Disabilities/Health Conditions
State Medicaid Waiver Programs
Case/Care Management
Helps people eligible for Medicare who have limited income and assets get help paying the cost of Medicare premiums, deductibles or coinsurance.
Helps people eligible for Medicare who have limited income and assets get help paying the cost of Medicare premiums, deductibles or coinsurance.
What's Here
Medicare Savings Programs
Provide assistance with location of non-custodial parents, paternity establishment, establishment and enforcement of child support orders, establishment and enforcement of medical support orders, review and modification of support orders, request other states to enforce an Ohio order of support for parents who live-out-of-state, collecting and disbursing child support payments, and termination of Support Orders.
Provide assistance with location of non-custodial parents, paternity establishment, establishment and enforcement of child support orders, establishment and enforcement of medical support orders, review and modification of support orders, request other states to enforce an Ohio order of support for parents who live-out-of-state, collecting and disbursing child support payments, and termination of Support Orders.
What's Here
Hearing Screening
Medicaid Applications
Welfare to Work Programs
TANF Applications
Adult Protective Intervention/Investigation
Paternity/Maternity Establishment
Child Care Expense Assistance Applications
General Physical Examinations
Child Support Wage Assignment Assistance
Health Insurance/Dental Coverage
Child Support Assistance/Enforcement
Non-Emergency Medical Transportation
Food Stamps/SNAP Applications
Vision Screening
Homemaker Assistance
Physician Referrals
Welfare Rights Assistance
PASSPORT (Pre-Admission Screening System Providing Options and Resources Today) provides an alternative to nursing home placement through coordinated in-home services to Medicaid eligible older adults. This program provides Medicaid and state funds to assist and enable an individual with long-term care needs to remain in their own home. Services provided include: Personal Care Assistance, Homemaker, Respite Care, Home Delivered Meals, Chore Service, Medical Transportation, Adult Day Care, Minor Home Modification and repairs, Durable Medical Equipment and Supplies, Nutrition Consultation, Social Work Counseling, Case Management, by an RN or LSW, to coordinate the care plan is provided to all PASSPORT clients.
PASSPORT (Pre-Admission Screening System Providing Options and Resources Today) provides an alternative to nursing home placement through coordinated in-home services to Medicaid eligible older adults. This program provides Medicaid and state funds to assist and enable an individual with long-term care needs to remain in their own home. Services provided include: Personal Care Assistance, Homemaker, Respite Care, Home Delivered Meals, Chore Service, Medical Transportation, Adult Day Care, Minor Home Modification and repairs, Durable Medical Equipment and Supplies, Nutrition Consultation, Social Work Counseling, Case Management, by an RN or LSW, to coordinate the care plan is provided to all PASSPORT clients.
What's Here
State Medicaid Waiver Programs