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Medicaid Managed Care became effective in Fairfield
County on December 1, 2006 Managed Care is medical coverage
provided to a consumer in place of Medicaid or the Healthy
Families/Healthy Start program. Managed Care Plans (MCP)
contract with physicians, hospitals, and other medical providers
to build and expand a network of care for consumers. Fairfield
County is considered to be in the Central region. This will
allow consumers to access care in 18 counties within the Central
region. Fairfield County became a mandatory Managed Care
county effective December 1, 2006. To find out more about
Medicaid Managed Care please
click here or see
OhioSSC.com
 Healthy
Start/Healthy Families offer free and low-cost health coverage
to families, children (up to age 19) and pregnant women. Coverage
includes: doctor visits, hospital care, pregnancy related
services, prescriptions, vision, dental, substance abuse, mental
health and more. Most families will receive coverage at no cost to
them. Some families, depending on family income, will be required
to pay a small premium. An application is submitted to determine
eligibility.
Medicaid Programs
There are numerous Medicaid programs administered by each
County Department of Job and Family Services. The main
categories of Medicaid that the Fairfield County Job & Family
Services, Community Services Division, determines eligibility
for is Healthy Start, Healthy Families and Transitional
Medicaid. Medical coverage is based on financial and other
eligibility requirements and varies according to household type.
Many families may qualify for coverage for their child(ren) even
when they are working. Family income determines if they are
eligible for these programs. General information about these
programs is listed below.
Healthy Start (also known as MA P) is free and low-cost
health coverage for children from birth to age 19 and for
pregnant women who qualify based on family income.
Healthy Families (also known as MA C) provides no-cost
health coverage for the entire family - parents and children.
Transitional Medicaid (also known as MA Y) is a type of
medical coverage that allows families to transition to work and
still be eligible for medical coverage. Any family member who
has received at least three of the previous six months of
Healthy Families (MA C) is automatically eligible for six months
of extended coverage. An additional six months may be available
for those who are income eligible during these extended months.
Healthy Start,
Healthy Families and Transitional Medicaid cover these services:
Doctor Visits
Hospital Care
Substance Abuse
Dental Care
Prescriptions
Immunizations
Vision Services
Mental Health
Some Other Services
Need help finding a provider?
Click here
Applying for
these programs is simple.
It requires an application, called a
Combined Program
Application (CPA). Applicants should submit their application
with any available documents that support their answers to
questions on the CPA. Applying for medical-only does not require
a face-to-face interview, as other categories of assistance do.
The previous
description is NOT an all-inclusive list of medical programs
administered by Fairfield County Job & Family Services. The
other two categories that the Community Services division
administers is Medicaid for disabled individuals and young
adults 18 up to 22 years of age who qualify. These categories of
assistance are also known as MA D and MA T, respectively. These
programs require the same application as those applying for Food
Stamps and Ohio Works First (OWF) Cash Assistance.
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Fairfield JFS Nav
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