This version of the form is not currently in use and is provided for reference only. Download this version of Form ODM10239 for the current year.
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.
Q: What is Form ODM10239?
A: Form ODM10239 is the Home Choice Application form for the state of Ohio.
Q: What is the purpose of Form ODM10239?
A: The purpose of Form ODM10239 is to apply for the Home Choice program in Ohio.
Q: What is the Home Choice program in Ohio?
A: The Home Choice program is a Medicaid program that helps individuals with disabilities and older adults transition from institutions to home and community-based settings.
Q: Who is eligible for the Home Choice program?
A: Eligibility for the Home Choice program is based on meeting certain criteria, including being a Medicaid recipient and requiring the level of care provided in an institution.
Q: Is there a fee to submit Form ODM10239?
A: No, there is no fee to submit Form ODM10239.
Q: What documents do I need to include with Form ODM10239?
A: You may need to include documents such as proof of income, proof of disability, and medical records with Form ODM10239. The specific requirements will be outlined in the instructions.
Q: How long does it take to process Form ODM10239?
A: The processing time for Form ODM10239 can vary, but it is typically completed within 45 days.
Q: Can I appeal if my application is denied?
A: Yes, if your application is denied, you have the right to appeal the decision. The appeal process will be outlined in the notification you receive.
Form Details:
Download a fillable version of Form ODM10239 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.