Medicaid Roadmap for Foster Youth and Alumni

The Overcoming Hurdles in Ohio Youth Advisory Board is working to create a roadmap to help foster care youth and alumni navigate Medicaid and Managed Care Access.

If you are a former foster youth between ages 18-26 who aged out of foster care, you are eligible for Ohio Medicaid. Click here to view a flyer about the program.

It’s important for your PCSA or independent living services worker to send a ODM 01958 form to the County Department of Job and Family Services, in order to to identify you as a Former Foster Care Youth.

What To Do When:

I don’t know if I have healthcare or how to apply:

Call the Medicaid Consumer Hotline at (800) 324-8680. Visit this link if you need to reapply:

Why is staying in touch with Ohio Medicaid important?

If you don’t notify Ohio Medicaid whenever your address, phone number and email address change, this can lead to loss of benefits.

What can I do if my coverage is denied?

Call (800) 635-3748 within 90 days to request a hearing. It’s important to request a hearing as soon as possible. If you request a hearing within 15 days of receiving the termination notice, your Medicaid will continue until the hearing is held.

What is Managed Care, and why does it matter?

If you have Ohio Medicaid, you need to choose a managed care plan. Here’s a link to the latest report card that rates managed care plans to help you make an informed decision.

How can I check to see if a doctor accepts Medicaid?

To make sure that a medical provider accepts Medicaid, be sure to ask them in advance. You can also use this tool to find providers in your area.

What is a Single Case Agreement?

Let’s say you have a very specific medical need that can’t be met by doctors in your network. If the one medical specialist you need is out of network, you can see if they are willing to sign a Single Case Agreement with your insurance company.

What does preventative care mean?

Going to the doctor and dentist on a regular basis can avoid medical crises in the future. Doing this costs less than waiting until you need to go to Urgent Care or the emergency room. Tell them what you can about your family medical history; it’s okay that there might be things you don’t know.

How do I pick a primary care doctor?

You can also use this tool to find doctors in your area that accept Medicaid. Think about geography and what’s convenient to you. Consider Googling them to see how they’ve been rated by other patients.

What if my doctor doesn’t listen to me?

Your voice matters and you have options. You can seek a different doctor in the same office. You can ask the office to help you mediate with your doctor. You can choose to seek medical care at a different location.

This is part of an overall effort to ensure Right Diagnosis, Right Medication — if any diagnosis or medication are needed — for current and former foster youth.

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