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Order Form. Form Name. ODM 07216. (ORDER FORM) Application for Health Coverage & Help Paying Costs. ODM 03528. (ORDER FORM) Healthchek & Pregnancy Related Services Information Sheet. ODM 10129.
To apply/renew online, click here or keep reading and we will walk you through the steps in the next few pages. You can apply/renew in person or by mail at your local county Job and Family Services office. You can apply/renew by phone by calling the Consumer Hotline.
Apply faster online. What you may need to apply. Apply faster online at HealthCare.gov or benefits.Ohio.gov. • Social Security Numbers (or document numbers for any legal immigrants who need insurance) • Employer and income information for everyone in your family (for example, from paystubs, W-2 forms, or wage and tax statements)
Ohio Department of Medicaid | 50 West Town Street, Suite 400, Columbus, Ohio 43215. Consumer Hotline: 800-324-8680 | Provider Integrated Helpdesk: 800-686-1516
This video reviews step-by-step instructions on how to apply for benefits (Cash, Food, Medical, or Child Care Assistance) within the Ohio Benefits Self-Service Portal.
If you, someone in your household or on your tax return is not already on Medicaid and would like to apply for health insurance, a new application must be completed. You can apply online at healthcare.gov or benefits.ohio.gov or by calling (844)640-6446 or in person at your local CDJFS.
STEP 1: SUBMIT AN APPLICATION. You can submit your application in the following ways: ONLINE: Access the Self Service Portal at ssp.benefits.ohio.gov, click "Apply For Benefits," and follow the prompts. For help creating an account, check out these How To videos. PHONE: Call 1-844-640-OHIO (6446) STEP 2: GATHER VERIFICATION DOCUMENTS.