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Medicaid 101

Medicaid is a state and federally funded health care coverage plan providing assistance to certain low-income and medically vulnerable people. Ohioans eligible for Medicaid are entitled to all medically necessary services. The state cannot limit the number of eligible persons enrolled in Medicaid or deny access to medically necessary services in order to control costs. Unlike most private insurance plans, Medicaid carries no deductibles or copayments. If a doctor accepts a Medicaid card, Medicaid pays the entire bill.

The program is administered by state agencies, thus the regulations governing Medicaid vary from state to state.  In Ohio, Medicaid applications are processed through county Job and Family Services offices.  Depending on which Medicaid service(s) you are receiving, other state agencies and non-profits may administer your care.  At the federal level, Medicaid is administered by the Center for Medicare and Medicaid Services.

In southwestern Ohio, Council on Aging administers several Medicaid programs that provide home and community based services for older and disabled adults: PASSPORT and the Assisted Living Waiver are the two primary programs. 

If you are new to Medicaid, the information in this section of our resource directory -- Medicaid 101 -- should help you gain a broad understanding of what services Medicaid provides and how to apply.   To help you navigate this section, we`ve organized the Medicaid topics as lessons.  If you are new to Medicaid -- or don`t know anything about Medicaid -- we suggest clicking through the lessons in order (01, 02, 03, etc.).  If you are familiar with Medicaid and know what information you are looking for, just click the lesson description that best meets your needs.

If you need help, you can always contact our Call Center at (513) 721-1025.

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Centers for Medicare and Medicaid Services

7500 Security Boulevard
Baltimore , MD  21244
https://www.cms.gov/
HHSTips@oig.hhs.gov
Phone: 800-633-4227
Phone Extension: N/A
Area(s) Served: Nationwide Contracted Provider: Not Applicable
Description:   The Centers for Medicare and Medicaid Services (CMS) falls under the U.S. Department of Health and Human Services and provides four primary services for the country's Medicare and Medicaid programs: administration of Medicare health plans; Medica... read more
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Healthcare.gov


 
http://www.healthcare.gov/index.html

Phone: 1-800-318-2596
Phone Extension: N/A
Area(s) Served: Nationwide Contracted Provider: Not Applicable
Description:   A federal government website managed by the Find Insurance Options" tool is a personalized search tool to help you find the health insurance best suited to your needs, whether it's private insurance for individuals, families, and small busin... read more
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Medicaid Fraud and Abuse Hotline


 


Phone: 1-800-642-2873
Phone Extension: N/A
Area(s) Served: Nationwide,
Statewide
Contracted Provider:
Description:   You are encouraged to report matters involving Medicaid fraud, waste and abuse.  To assist you in combating fraud you are being provided with the following guidelines. Before you get in touch with your state Medicaid contact or call the Nationa... read more
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Medicaid.gov

Centers for Medicare and Medicaid Services (CMS)
Baltimore , Maryland  21244
http://www.medicaid.gov

Phone: 1-877-267-2323
Phone Extension: N/A
Area(s) Served: Nationwide Contracted Provider: Not Applicable
Description:   The Center for Medicaid and CHIP Services (CMCS) is one of six Centers within the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services (HHS). CMCS serves as the focal point for all national progr... read more
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Ohio Medicaid


 
http://jfs.ohio.gov/OHP/index.stm

Phone: 800-324-8680
Phone Extension: N/A
Area(s) Served: Statewide Contracted Provider: Not Applicable
Description:   Ohio's Medicaid program is managed by the Ohio Department of Job and Family Services.  On the department's Web site, you (consumers) can enroll or get information and programs and services available through or covered by Medicaid. You ca... read more
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Ohio Medicaid Providers

505 South High Street
Columbus , OH  43215
http://www.ohiomcec.com/providersearch/

Phone: (800) 324-8680
Phone Extension: N/A
Area(s) Served: Statewide Contracted Provider: Not Applicable
Description:   Use this website to search for a Medicaid provider in the state of Ohio.  Users can search by zip code, county, hospital affiliation, managed care provider, language and medical specialty. 

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