Form ODM07124 Eligibility Information Worksheet for Nursing Home and Home & Community Based Services (Hcbs) Waivers - Ohio

Form ODM07124 Eligibility Information Worksheet for Nursing Home and Home & Community Based Services (Hcbs) Waivers - Ohio

What Is Form ODM07124?

This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is ODM07124?A: ODM07124 is the Eligibility Information Worksheet for Nursing Home and Home & Community Based Services (HCBS) Waivers in Ohio.

Q: What is the purpose of ODM07124?A: The purpose of ODM07124 is to gather information about an individual's eligibility for nursing home and HCBS waivers in Ohio.

Q: Who is this worksheet for?A: This worksheet is for individuals who are seeking eligibility for nursing home and HCBS waivers in Ohio.

Q: What information is required on ODM07124?A: ODM07124 requires information about the individual's personal details, medical history, income, assets, and other relevant information.

Q: How do I complete ODM07124?A: To complete ODM07124, you need to provide accurate and complete information about your eligibility for nursing home and HCBS waivers in Ohio.

Q: Are there any fees associated with ODM07124?A: No, there are no fees associated with completing ODM07124.

Q: What happens after I submit ODM07124?A: After you submit ODM07124, the Ohio Department of Medicaid will review the information provided and determine your eligibility for nursing home and HCBS waivers.

Q: Can I appeal if my eligibility is denied?A: Yes, if your eligibility is denied, you have the right to appeal the decision and request a fair hearing.

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Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Ohio Department of Medicaid;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ODM07124 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM07124 Eligibility Information Worksheet for Nursing Home and Home & Community Based Services (Hcbs) Waivers - Ohio

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