Medical Assistance (Medicaid)

Once approved for most Medicaid categories, members choose a managed care plan that coordinates their care — including doctor visits, hospital care, prescriptions and more.

Could I be eligible?

• Children, families and pregnant women within income guidelines
• Older adults (age 60+) and individuals who are aged, blind or disabled
• Individuals needing long-term care services (Nursing Facility or Home & Community-Based Waiver)

Many families qualify with a gross monthly income at or under 133% of the federal poverty level. The figures below show the monthly income limit by household size.

Income limits are updated periodically. Other Medicaid categories — including coverage for older adults and individuals who are aged, blind or disabled — use different guidelines.

Managed care

"Managed care" is the insurance that Medicaid works through. After approval you'll be assigned a plan, and you can change plans within your first 90 days or during open enrollment each November. For more detailed explanations of these programs, visit or call:

• AmeriHealth — amerihealthcaritasoh.com
• Anthem — anthem.com
• Buckeye — buckeyehealthplan.com
• CareSource — caresource.com
• Humana — humana.com
• Molina — molinahealthcare.com
• UnitedHealthcare (UHC) — uhc.com

Transportation: You may also contact the agency to arrange for non-emergency transportation.

Nursing home & waiver

Medicaid can cover care in Nursing Facilities and Intermediate Care Facilities, and Home & Community-Based Services Waivers for individuals who wish to stay in their home but otherwise need that level of care. Waiver services may require an additional application and interview.

How do I apply?

If you would like to schedule an appointment (phone or face-to-face), contact Joyce Dugan at 1-740-444-7607.

What happens after I submit my application?

You will receive a checklist in the mail with the verifications needed to process your Medicaid application. If the requested verifications are not received within ten days, a second checklist will be mailed, giving you an additional ten days to provide the documents. If the required verifications are not received within 20 days, the application will be denied. If you need additional time to submit your documents, please contact Joyce Dugan at 1-740-444-7607. Please keep in mind that all Medicaid eligibility determinations must be completed within 45 days; therefore, we are unable to grant an extension beyond this timeframe.

Disability — Aged, Blind, or Disabled (ABD)

What happens after I submit my application?

You will receive a checklist in the mail with the verifications needed to process your Medicaid application. If the requested verifications are not received within ten days, a second checklist will be mailed, giving you an additional ten days to provide the documents. If the required verifications are not received within 20 days, the application will be denied.

A caseworker may contact you if they have questions about the information you submitted. A face-to-face interview can be arranged upon request.

How to apply

1. Apply online

   Visit ssp.benefits.ohio.gov to answer a series of questions that route you to the correct application.

2. Or apply in person / by mail

   Complete a Medicaid application at our office, by mail to 175 Race St., Middleport, OH 45760, or in the 24-hour drop box.

3. Choose a managed care plan

   Once approved, select the plan that best fits your family's needs.

Report a change

If your income, address, or household changes, contact the agency at 1-844-640-6446 to speak to a caseworker.

Frequently asked questions