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Lucas County Job and Family Services

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.

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Lucas County Job and Family Services

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  1. Lucas County Job and Family Services Medicaid Extension December 5th, 2013

  2. 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 1st, 2013

  3. 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

  4. 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!

  5. Eligibility requirements • Citizenship • Identity • Birth • Income– must be under 138% of the FPL • Residency—must be resident of Ohio

  6. 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 iPhones and iPads • Chrome on Android phones and tablets • Internet Explorer on Windows phones and tablets

  7. When can citizens apply? • Benefits.Ohio.Govwill begin accepting Medicaid applications for newly eligible adults on December 9th,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 1st, 2014 • When a citizen applies and wishes to have an authorized representative, a citizen may submit a written statement stating as such.

  8. What does 138% FPL look like for an individual or household?

  9. Agency Information • Building is open to the public Monday –Friday 8:30-4:30 • Closed Dec 24th, 25th, 31st, and Jan 1st • Applications will be available in the lobby in the Extension Center • Will have additional information sessions

  10. Questions???

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