Medicaid is a federal entitlement program that funds health care for people with limited income and resources, including people with disabilities. Each state administers its own Medicaid program and has substantial authority over the eligibility criteria, so Medicaid programs vary widely from state-to-state. Certain services are required by federal law for the state programs to cover, while many of the covered services are determined by the state. In Ohio, the Ohio Department of Medicaid administers the state's Medicaid program. Ohio also has several Medicaid home and community-based service (HCBS) waiver programs that provide long term services and supports to people with disabilities. The Ohio Department of Medicaid partners with other entities and state agencies, such as the Ohio Department of Developmental Disabilities and the Ohio Department of Aging, to administer its Medicaid waiver programs. This section provides information about Medicaid in Ohio.

General Information

• 2023 Medicaid Changes
• Busting Medicaid Myths
• Navigating The Medicaid Managed Care System For Pediatric Patients (September 2020)
• Facebook Live Event: Accessing Healthcare for Children (November 2019)
• Medicaid: Glossary of Commonly Used Terms (December 2018)
• Medicaid: Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (December 2018)
• Medicaid: Managed Care Plans (August 2019)
• Medicaid: Prior Authorization (August 2019)
• Medicaid Buy-In for Workers with Disabilities (MBIWD)
• Medicaid: Electronic Visit Verification
• Medicaid: Denials and Reductions of Nursing Services (August 2019)

Medicaid Appeals

• Medicaid: Appeals Overview (December 2018)
• Medicaid Appeals Flowchart (July 2019)
• Medicaid Appeals: Things to Consider When Requesting a State Hearing (July 2019)
• Medicaid Appeals: Preparing For and Participating in State Hearings (August 2019)
• Medicaid Appeals: Administrative Appeals (August 2019)
• Medicaid Appeals: Judicial Review (August 2019)

Medicaid Waivers

• Medicaid: Denials or Reductions of Service Based on 'Natural Support' (August 2019)
• Medicaid: Self-Empowered Life Funding (SELF) Waiver
• Level of Care
• Service Denials and Reductions
• Community Integration: Disenrollment from Ohio Home Care Waiver Based on Change in Level of Care
• Community Integration: Independent Provider Overtime Rule Changes
• Community Integration: DD Waiver Waiting Lists: Since September 2018, county boards of developmental disabilities have been conducting assessments of people on waiting lists under the previous system (and for those who request assessments). These assessments determine whether someone will receive a waiver or be placed on a waiting list for a waiver, or whether they need alternative services or no services at all. People have a right to challenge these decisions, which are not always correct. Read our Factsheet and Flowchart on these assessments.