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Form ODM10193 Qualified Income Trust Verification - Ohio
What Is Form ODM10193?
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 ODM10193?
A: Form ODM10193 is a Qualified Income Trust Verification form used in Ohio.
Q: What is a Qualified Income Trust (QIT)?
A: A Qualified Income Trust (QIT) is a legal document that allows individuals with income over the Medicaid limit to still qualify for Medicaid benefits.
Q: Why do I need to complete Form ODM10193?
A: You need to complete Form ODM10193 if you are applying for or receiving Medicaid benefits in Ohio and have income over the Medicaid limit.
Q: What information is required on Form ODM10193?
A: Form ODM10193 requires information about your income, assets, and expenses.
Q: Who needs to sign Form ODM10193?
A: Form ODM10193 needs to be signed by the applicant or their legal representative.
Q: What happens after I submit Form ODM10193?
A: After you submit Form ODM10193, it will be reviewed by the Ohio Department of Medicaid. They will determine if you are eligible for Medicaid benefits.
Form Details:
- Released on April 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 ODM10193 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
