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.