What are the rules for Medicaid in Ohio?
Asked by: Dr. Alfredo Buckridge Sr. | Last update: November 8, 2025Score: 4.2/5 (50 votes)
- Be a United States citizen or meet Medicaid citizenship requirements. Your local county Job and Family Services office can help to explain these requirements and can help get you enrolled.
- Have or get a Social Security number.
- Be an Ohio resident.
- Meet financial requirements.
What are the guidelines for Medicaid in Ohio?
- Adults under age 65 with household income up to 138% of federal poverty level.
- Children with household income up to 211% of poverty.
- Pregnant women with household income up to 205% of poverty (coverage for the mother continues for 12 months after the baby is born).
What disqualifies you from Medicaid?
In general, a single person must have no more than $2,000 in cash assets to qualify. If you're over 65, the requirements are more complex. Whatever your age, there are strict rules about asset transfers. Medicaid may take into consideration any gifts or transfers of cash you've made recently.
What assets are exempt from Medicaid in Ohio?
- Primary residence (with an equity value of up to $688,000)
- One automobile.
- Household goods and personal effects.
- Prepaid funeral arrangements (with certain restrictions)
- Life insurance policies with a combined face value of $1,500 or less.
- Term life insurance with no cash value.
How do I protect my assets from Medicaid in Ohio?
A MAPT is an irrevocable trust designed to protect your assets from being counted as resources when applying for Medicaid benefits. Medicaid considers the trust assets unavailable, which doesn't count toward your eligibility limits.
How To Apply for Medicaid in Ohio (2025) - Step by Step
How often does Medicaid check your bank account?
Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.
Can you own a home and be on Medicaid in Ohio?
Your house is exempt for up to $552,000 after you sign up for Medicaid so long as you have an intent to return there. That means if you own a house that's worth less than the exempt amount, without having to sell it to pay for care. The house of any value is exempt if your spouse or disabled child lives there.
How can I protect my assets from Medicaid?
A Medicaid Asset Protection Trust is exactly as it sounds—a trust designed to protect assets from being counted for Medicaid eligibility. An MAPT allows a person to qualify for long term care benefits from Medicaid, while protecting assets from being depleted if long-term care is needed.
What happens if you make too much money while on Medicaid?
If you're over the Medicaid income limit, some states let you spend down extra income or place it in a trust to help you qualify for Medicaid. If you receive long-term care but your spouse doesn't, Medicaid will allow your spouse to keep enough income to avoid living in poverty.
Who gets denied Medicaid?
The most common reason an applicant is denied Medicaid is income or assets above the eligibility criteria. In most states in 2025, an applicant's monthly income must be less than $2,901/month, and their assets (including money in bank accounts) must be less than $2,000.
Does Medicaid actually check your income?
Some states use a computerized system to cross reference a Medicaid applicant's reported income. For instance, in California, an electronic database, the Income Eligibility Verification System (IEVS), is used to match the income information provided by the applicant to other databases to verify it is accurate.
What triggers a Medicaid investigation?
Although each state statute is slightly different, MFCU investigations always involve: billing fraud involving the Medicaid program; abuse and neglect of residents within facilities that receive Medicaid payments; and. misappropriation of patient funds by such health care facilities.
How much can you make a month to get Medicaid in Ohio?
Family Size Monthly Income* 1 $1,883 2 $2,555 3 $3,228 4 $3,900 5 $4,573 6 $5,245 7 $5,918 8 $6,590 9 $7,263 10 $7,935 Families with monthly incomes higher than the amount in the first column, but lower than the amount in the second column MUST apply if they do not have private health insurance.
Do you have to pay back Medicaid in Ohio?
In fact, many people who have benefited from Medicaid do indeed die with money. If that person dies owning assets, the state of Ohio has the right to get paid back for the benefits it paid for that person to be on Medicaid and in the nursing home.
How do I avoid Medicaid estate recovery in Ohio?
Purchasing a life estate can sometimes impact your Medicaid eligibility, as the state can see this activity and decide to count the home against your asset limit. However, you can usually avoid this penalty by creating a life estate at least five years before you need Medicaid.
Do I have to sell my house to get Medicaid?
Note: California stands apart from the other states. CA eliminated their Medicaid (Medi-Cal) asset limit effective 1/1/24. Medi-Cal applicants and beneficiaries can have unlimited assets and still be eligible for Medi-Cal. They could sell their home and it have no impact on their eligibility.
Can Medicare take money out of your bank account?
Medicare Easy Pay is a free way to set up recurring payments to pay your Medicare premiums. With this service, we'll automatically deduct your Medicare premiums from your checking or savings account each month. The amount being deducted from your account will update automatically when your premium changes.
How do I protect my inheritance from Medicaid?
Medicaid Asset Protection Trust (MAPT)
The grantor names a trustee, who manages the trust, and a beneficiary (or beneficiaries) who inherits the assets contained in the trust following the grantor's death. MAPTs also protect assets from Medicaid's Estate Recovery Program (MERP).
Can you keep your car on Medicaid?
An applicant is allowed to own one car that's not included in your resource limit if it's used for transportation or by another person living in the house, such as a spouse. You also don't have to be the driver of the vehicle. It's important to know that the value of the vehicle doesn't matter.
How to avoid nursing home taking your house?
- Purchase Long-Term Care Insurance. ...
- Sell or Transfer Assets. ...
- Create a Medicaid Asset Protection Trust. ...
- Choose Home Health Instead. ...
- Form a Life Estate. ...
- Purchase a Medicaid-Compliant Annuity. ...
- Pay With Your Life Insurance Policy.
Can social services see my bank account?
According to the California Department of Social Services, if you don't have pay stubs or an income statement from your employment, the caseworker at the food stamp office may use the bank records to prove your income.
How can I protect my IRA from Medicaid?
Your first option is creating an irrevocable Medicaid asset protection trust and transferring IRA funds that exceed Medicaid's limits. This way, your IRA's funds will fall beneath the eligibility threshold.