Lucas County Job and Family Services Medicaid Extension
Lucas County Job and Family Services Medicaid Extension December 5 th, 2013
The Affordable Care Act and Medicaid �The Affordable Care Act significantly changes state Medicaid programs: � Requires online, real time web based application, verifications, and determinations. � Changes the concept of Medicaid to applying for health insurance � Uses new Modified Adjusted Gross Income (MAGI) methodology to determine income, household composition and family size � Requires states to align systems and determinations with the new Health Insurance Marketplace � Allows states to extend Medicaid coverage to additional adults � Mandates ‘go live’ dates: � � Process applications for health coverage beginning Oct 1, 2013 With effective dates of coverage beginning Jan 1 st, 2013
MAGI AND NON MAGI GROUPS MAGI �Parent/Caretaker/Relative �Children (under 19) �Pregnant Women �Extension population Non-MAGI �Aged, blind, disabled �Medicare cost share recipients �Long term care/waiver
Who can be Included in Extension? �An additional group of residents, also referred to as Group 8, are now eligible for Medicaid coverage in Ohio �Individuals with income below 138% of the FPL �Individuals between the ages of 19 -65 �Individuals not found eligible under another Category �Individuals not eligible for Medicare (it’s okay if the person has been found disabled and is in the 2 -year waiting period) �If the individual is a parent residing with a minor child, the child must have Creditable coverage) �No retro coverage before 1/4/14!
Eligibility requirements • Citizenship • Identity • Birth • Income– must be under 138% of the FPL • Residency—must be resident of Ohio
How can I apply for Medicaid? To see if you are eligible for Medicaid benefits, you should complete an application online at Benefits. Ohio. Gov �If you cannot complete an application online you can go to your local JFS office to obtain a paper application (JFS 7216) �Tip--- providing a SSN on the application will speed up proces �Ohio benefits is compatible with mobile devices. The portal is compatible with browsers that work on mobile platforms including: � Safari on i. Phones and i. Pads � Chrome on Android phones and tablets � Internet Explorer on Windows phones and tablets
When can citizens apply? � Benefits. Ohio. Gov will begin accepting Medicaid applications for newly eligible adults on December 9 th, 2013. �Paper applications are available today. Please submit a 7216 Medicaid application if applying for Medicaid only. The 7200 application is you are applying for additional benefits such as Food Assistance �Coverage is effective Jan 1 st, 2014 �When a citizen applies and wishes to have an authorized representative, a citizen may submit a written statement stating as such.
What does 138% FPL look like for an individual or household?
Agency Information Building is open to the public Monday –Friday 8: 304: 30 Closed Dec 24 th, 25 th, 31 st, and Jan 1 st Applications will be available in the lobby in the Extension Center Will have additional information sessions
� Questions? ? ?
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