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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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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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