About Medicaid

Covered Families and Children

Healthy Family Medicaid

  • Have child under 19 in the home
  • Family Income up to the following levels:

Family Size

Annual Income

Monthly Income

Hourly Wage

1 $9,360 $780 $4.63
2 $12,600 $1,050 $6.24
3 $15,840 $1,320 $7.84
4  $19,080 $1,590 $9.45
5  $22,320 $1,860 $11.05
6  $25,560 $2,130 $12.65
Add for each
additional person 		 $3,240 $270 $1.60

Healthy Start for Children and Pregnant Women

  • Verified pregnancy
  • Child under 19 years old
  • Family income up to the following levels (include fetus(es) in family size):

Family Size

Annual Income

Monthly Income

Hourly Wage

1 $20,800 $1,733 $10.30
2 $28,000 $2,333 $13.86
3 $35,200 $2,933 $17.43
4 $42,400 $3,533 $20.99
5 $49,600 $4,133 $24.55
6 $56,800 $4,733 $28.12
Add for each
additional person 		 $7,200  $600  $3.56

There are some deductions from income.  If your income is anywhere near these levels, you should apply.  If you would like help applying for Covered Families and Children Medicaid complete the Health Coverage Analysis.

New Ohio Program: Children's Buy in Program

On April 1, 2008, Ohio implemented new coverage for children in families with higher income.  Families will have to pay the following premiums for coverage:

Family Size

Annual Income

Premium for 1

 Premium 2+
1 $31,200 - $41,599 $100 $150
2 $42,200 - $55,999 $100 $150
3 $52,800 - $70,399 $100 $150
4 $63,600 - $84,799 $100 $150

Family Size

Annual Income

Premium for 1

 Premium 2+
1 $41,600 - $51,999 $125 $175
2 $56,000 - $69,999 $125 $175
3 $70,400 - $87,999 $125 $175
4 $84,800 - $105,999 $125 $175

Premiums for families with higher income have not been determined yet.  Families must also meet at least one of the following requirements:

  • Unable to obtain creditable coverage due to a pre-existing condition
  • Lost only available creditable coverage due to exhausting a lifetime benefit
  • Premium for the only creditable coverage available is greater than 200% of the state Medicaid premium for this program (TBD)
  • Participates in the program for medically handicapped children (ODH/BCMH)

For details about how to apply for this program go to http://jfs.ohio.gov/OHP/cbi/index.stm.

Medicaid For The Aged, Blind And Disabled

To be eligible for comprehensive low-cost medical coverage through the Medicaid for the Aged, Blind, and Disabled program, you must meet three eligibility requirements:

Categorical Eligibility

  • Aged: 65 years old or older
  • Blind: meet the Social Security Administration definition of blind
  • Disabled: meet the Social Security Administration definition of disabled

Resource Eligibility

  • An individual can have no more than $1500 in countable resources
  • Not all resources count
  • The home you live in, one vehicle, some life insurance, burial plans do not count

Income Eligibility

  • The income level in 2008 is $556 in countable income
  • If countable income is under $556, you can receive a medical card at the beginning of each month
  • If countable income is above $556, you still may be able to receive a medical card, but you must meet your spenddown.
  • A spenddown is the difference in your countable income and $556. 
  • You meet your spenddown by incurring medical bills equal to your spenddown, paying the amount of your spenddown, or applying old unpaid bills to your spenddown.

New Ohio Program: Medicaid Buy-in for Workers with Disabilities

On April 1, 2008, Ohio implemented new coverage for people between age 16 and 64 who are disabled and employed.  Program highlights include:

  • Countable income must be below $26,000
  • The first $20,000 of annual income is excluded
  • The first $10,000 in resources are excluded
  • People with gross annual income above $15,600 must pay a premium

For details about how to apply for this program go to http://jfs.ohio.gov/OHP/MBIWD_app.stm.

Ohio Medicaid

These guidelines are for the Ohio Medicaid Program. To get more information and to find out where and how to apply call 1-800-324-8680.  http://jfs.ohio.gov/OHP/index.stm

Ohio Benefit Bank logoIf you need help applying for Medicaid or other public benefits, trained counselors are currently staffing 120 Ohio Benefit Bank sites and clinics across the state to help prepare benefit applications and prepare and file federal and Ohio income tax returns at no cost to eligible Ohioans. Check here for an Ohio Benefit Bank location near you.

Kentucky Medicaid

For information about Kentucky Medicaid, call 1-800-635-2570. 
http://chfs.ky.gov/dms

Indiana medicaid

For more information about Indiana Medicaid, call 1-800-889-9949. 
http://www.in.gov/fssa

Other States

For all other states, call 1-877-Kids-Now (1-877-543-7669).
http://www.insurekidsnow.gov

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