Form ODM02219 Affidavit of Tax Payment Compliance for Non-agency Odm-Administered Waiver Service Providers - Ohio

What Is Form ODM02219?

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.

Form Details:

• Released on February 1, 2023;
• 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 ODM02219 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.