Food Assistance and Medicaid
Intake/Redetermination Information
Please review the forms below to see all the information that you will need for your interview:
4059 - Explanation of State Hearing Procedures
7217 - Voter Registration Rights & Declination
7236 - Rights & Responsibilities as a Consumer of Medicaid Health Coverage
7400 - Ohio Medicaid Estate Recovery
8000 - Your Rights
8033 - Program Guide
8058 - Medicare Premium Assistance Program
- YOU MUST HAVE ADOBE READER INSTALLED TO OPEN THE ABOVE FORMS