You will need to report a change if:Įven though the preferred method of change reporting is the online benefit application, you may also call the agency to report changes. Reporting changes within 10 days to your case worker is very important. For additional questions you may call 1-84. Forms can be submitted by mail or in-person to 3737 Sylvania Ave Toledo, Ohio 43623. Please select ONE transportation contractor.Īll three of the above forms are needed to apply for Non-Emergency Medical Transportation.All addresses must be complete and include name, address, state, zip code and phone number. List all of your physicians and medical providers.This form must be completed by ONE of your physicians or ONE of your medical providers.To apply for Non-Emergency Medical Transportation you will need to submit the following forms: This program will assist you by providing you a ride to and from your Ohio Medicaid providers located in Lucas County. PRC Application Arabic (LCJFS 3800-ARA) (PDF)ĭo you need help getting back and forth to your medical appointments? If you are on Medicaid, do not have access to a vehicle, and your physician can verify a medical need, you may be eligible for our Non-Emergency Medicaid transportation program. PRC Application Spanish (LCJFS 3800-SPA) (PDF) HealthChek and Pregnancy Services Assessment Spanish (ODM 03528-SPA) (PDF) HealthChek and Pregnancy Services Assessment (ODM 03528) (PDF) Program Enrollment and Benefit Information Arabic (JFS 07501-ARA) (PDF) Program Enrollment and Benefit Information Spanish (JFS 07501-SPA) (PDF) Program Enrollment and Benefit Information (JFS 07501) (PDF) Ohio Medicaid Estate Recovery (ODM 07400) (PDF) Request for SNAP Benefits Replacement (JFS 07222) (PDF) Request for Cash Assistance Hardship Extension (LCJFS 1610) (PDF) State of Ohio - Online Benefit ApplicationĬash Assistance, Child Care Assistance, Food Assistance or Medicaid application (JFS 7200) (PDF)Ĭash Assistance, Child Care Assistance, Food Assistance or Medicaid application Spanish (JFS 7200S) (PDF)Ĭash Assistance, Child Care Assistance, Food Assistance or Medicaid application Arabic (JFS 7200ARA) (PDF) As an alternative, international students are eligible to participate in all of Ohio University’s Bobcats Helping Bobcats programs.Email Cash Assistance, Child Care Assistance, Food Assistance or Medicaid Unfortunately, international students are not eligible for SNAP, but an international student's kids may be eligible. ![]() While pandemic conditions persist, any student that qualifies for work study, may be eligible for SNAP and is encouraged to apply.
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