Who Qualifies for Coverage?

The following individuals may qualify for Medicaid coverage in Ohio:

Children and Families:

  • Children up to 19 years old
  • Parents or caretaker relatives of children up to 19 years old
  • Some 19 and 20 year olds
  • Adults up to age 64 living at or below 138% FPL

Women:

  • Pregnant women
  • Some women with breast and/or cervical cancer

Older Adults and Individuals with Disabilities:

  • Adults aged 65 and older
  • People with disabilities, including blindness as determined under the Social Security rules

Refugees and Immigrants:

  • Some immigrants may be eligible for Medicaid
  • There are some programs to help immigrants who are not eligible for Medicaid. Learn more here.

To be eligible for coverage, you must:

  1. Be a United States Citizen or meet Medicaid citizenship requirements. Your local county Job and Family Services office can help to explain these requirements and can help get you enrolled.
  2. Have or get a Social Security number.
  3. Be an Ohio resident.
  4. Meet certain financial requirements. Learn more about Ohio’s financial requirements or read the Federal Poverty Guidelines.
    • Please Note: Financial requirements vary depending on the program. Some people who are blind or disabled may have too high an income to quality for Medicaid. In this case, you may have a spenddown plan that allows you to qualify on a month-by-month basis. If you are an older adult or an individual with a disability, you may need to meet a resource requirement to qualify. For more information, you may read the Medicaid Eligibility Manual.

The following figures are the 2015 HHS poverty guidelines which are scheduled to be published in the Federal Register on January 22, 2015. (Additional information will be posted after the guidelines are published.)

2015 POVERTY GUIDELINES FOR THE 48 CONTIGUOUS STATES
AND THE DISTRICT OF COLUMBIA
Persons in family/household Poverty guideline
For families/households with more than 8 persons, add $4,160 for each additional person.
1 $11,770
2 15,930
3 20,090
4 24,250
5 28,410
6 32,570
7 36,730
8 40,890