Ohio Medicaid Redetermination

Each year, you must renew your Medicaid eligibility. This is called redetermination. Redetermination is the process where the state checks to see if you still qualify for Medicaid. You must do this through your local County Department of Job and Family Services (CDJFS) office. You can complete the process in four easy steps. This is how it works:

Step 1: Prepare. Update your contact information. Make sure Ohio has your current:

• Mailing address
• Phone number
• Email
• Other contact info

Step 2: Notice.  You will get a letter from the Ohio Department of Medicaid. This letter tells you that it’s time to check if you still qualify. The letter will include:

• Information about your coverage
• A renewal form

Step 3: Complete.  You will need you fill out your form with information about:

• Income
• Household size
• Expenses
• Bank accounts
• Other financial info

You will need to show proof of your income and other information.

Ohio Medicaid Renewal Form

Step 4: Submit. Send the filled-out form back by the date in the letter. You should get the letter and form about 30 days before it is due. Return it right away so you don’t lose your benefits.

If you need help filling out your paperwork, call Member Services:

877-856-5702 (TTY:711)

Monday - Friday, from 7 a.m. - 8 p.m., Eastern time.

Humana can help you:

• Complete paperwork
• Answer questions you have while you fill out your forms

You will need:

• Birthdate and Social Security number for each person who lives with you
• Job information for each working person in your home
• Any other health insurance you get
• Tax forms and pay stubs
• Information about other income like Social Security, pensions, or unemployment

If you don’t renew in time

Send in your form even if it is late. If you qualify for Medicaid but miss the deadline, you have 90 days to sign up again without a new application.

If you don’t send in the needed information, you will lose Medicaid coverage.  If this happens, you can send in your renewal packet to try to get your coverage back. This is called re-enrollment.

To re-enroll:

• Contact your local CDJFS
• Call the Ohio Benefits Call Center:
  844-640-6446
  Monday - Friday, 8 a.m. - 4 p.m., Eastern time

What happens next?

After you send in your information, the Ohio Department of Medicaid looks at it. They check to see if you still qualify for Medicaid. They will make this decision based on the information you give them.

Then, you will get another letter. This one will tell you if you still qualify for Medicaid. If you do, your benefits will continue. If you do not, the letter will explain why.

If you don’t agree with the decision, you can appeal. The letter will tell you how to do this.

If you lose your Medicaid benefits

If you lose your benefits, you might be able to get other health coverage. The Health Insurance Marketplace can help you find insurance for you and your family. Some of the available plans are low-cost or free.

• Visit www.Healthcare.gov
• Call 800-318-2596 (TTY: 855-889-4325) 24/7.

You might still qualify for Medicare. Medicare is a health plan for people who are over 65 or disabled.

Humana offers Medicare Advantage plans. Our plans include all the original Medicare benefits and more. To learn more, call Humana Medicare services at 844-601-2229 (TTY:711) Monday - Friday, 8 a.m. - 8 p.m., Eastern time.

Have questions?

• Learn more about coverage and renewal
• Frequently asked questions