Form ODM10252 Acknowledgement of Terms and Conditions Governing the Presumptive Eligibility Determinations Authority Granted by the Ohio Department of Medicaid to a Qualified Entity - Ohio

Form ODM10252 Acknowledgement of Terms and Conditions Governing the Presumptive Eligibility Determinations Authority Granted by the Ohio Department of Medicaid to a Qualified Entity - Ohio

What Is Form ODM10252?

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 Form ODM10252?
A: Form ODM10252 is an acknowledgement of terms and conditions governing the presumptive eligibility determinations authority granted by the Ohio Department of Medicaid to a qualified entity in Ohio.

Q: What does this form acknowledge?
A: This form acknowledges the terms and conditions that govern the presumptive eligibility determinations authority granted by the Ohio Department of Medicaid to a qualified entity.

Q: What is the purpose of the form?
A: The purpose of the form is to ensure that the qualified entity understands and agrees to comply with the terms and conditions for carrying out presumptive eligibility determinations.

Q: Who grants the presumptive eligibility determinations authority?
A: The Ohio Department of Medicaid grants the presumptive eligibility determinations authority to a qualified entity.

Q: What is a qualified entity?
A: A qualified entity is an organization or entity that has been approved by the Ohio Department of Medicaid to perform presumptive eligibility determinations.

Q: What are presumptive eligibility determinations?
A: Presumptive eligibility determinations are preliminary assessments made by a qualified entity to determine if an individual is eligible for Medicaid coverage.

Q: Why are presumptive eligibility determinations important?
A: Presumptive eligibility determinations help ensure that individuals who may be eligible for Medicaid can receive immediate healthcare coverage while their full eligibility is being determined.

Q: What are the terms and conditions for presumptive eligibility determinations?
A: The terms and conditions for presumptive eligibility determinations are the rules and guidelines set by the Ohio Department of Medicaid that the qualified entity must follow.

Q: Who should fill out this form?
A: This form should be filled out by the qualified entity who has been granted the presumptive eligibility determinations authority.

ADVERTISEMENT

Form Details:

  • Released on August 1, 2019;
  • 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 ODM10252 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM10252 Acknowledgement of Terms and Conditions Governing the Presumptive Eligibility Determinations Authority Granted by the Ohio Department of Medicaid to a Qualified Entity - Ohio

4.3 of 5 (6 votes)
  • Form ODM10252 Acknowledgement of Terms and Conditions Governing the Presumptive Eligibility Determinations Authority Granted by the Ohio Department of Medicaid to a Qualified Entity - Ohio

    1

  • Form ODM10252 Acknowledgement of Terms and Conditions Governing the Presumptive Eligibility Determinations Authority Granted by the Ohio Department of Medicaid to a Qualified Entity - Ohio, Page 2

    2

  • Form ODM10252 Acknowledgement of Terms and Conditions Governing the Presumptive Eligibility Determinations Authority Granted by the Ohio Department of Medicaid to a Qualified Entity - Ohio, Page 1
  • Form ODM10252 Acknowledgement of Terms and Conditions Governing the Presumptive Eligibility Determinations Authority Granted by the Ohio Department of Medicaid to a Qualified Entity - Ohio, Page 2
Prev 1 2 Next
ADVERTISEMENT