Richland County Job & Family Services - Mansfield, Ohio

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MEDICAID

Medicaid is a large, multidimensional health coverage program that provides health care coverage to more than 1 million lower-income Ohioans. Coverage is administered by the state and funded by federal and state dollars. Eligibility for coverage is determined by ODJFS.

The ODJFS Office of  Medicaid serves the needs of consumers through several program functions. They include:

1. Member services
2. Provider network management
3. Quality assurance and improvement
4. Coordination of benefits
5. Claims processing and payment
6. Benefit design and pricing
7. Information services
8. Utilization review and management
9. Program integrity

 

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Stephanie.Cook@jfs.gov.us

 

The Medicaid program provides health care coverage to three primary markets: children to age 19 whose families fall within income guidelines ( Healthy Start , Ohio's Title XIX Medicaid and Title XXI Children's Health Insurance Program), Working families with limited income, pregnant women and families participating in OWF, including persons who are 65 or older, blind or have disabilities.

A web site at: http://jfs.ohio.gov/OHP/   fully describes the Medicaid program, eligibility guidelines, health benefit plans and covered services. The Office of Medicaid operates a toll-free Consumer Hotline that can provide general Medicaid information. The number is 800.324.8680, or TDD 800.292.3572.

The Basic Medicaid Health Plan covers a wide range of services, including:

  • Doctor visits

  • Hospital care

  • Prescription drugs

  • Preventive health care

  • Dental care

  • Transportation

  • Vision services

  • Mental health and substance abuse treatment service

  


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