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 ODM07120?
A: Form ODM07120 is the Residential State Supplement (RSS) Referral for Enrollment form for Ohio.
Q: What is the Residential State Supplement (RSS)?
A: The Residential State Supplement (RSS) is a program in Ohio that provides additional income to eligible individuals who are living in certain residential facilities.
Q: Who is eligible for the Residential State Supplement (RSS) program?
A: Eligibility for the RSS program in Ohio is based on various factors such as income, assets, and residency requirements. It is best to contact the Ohio Department of Medicaid for specific eligibility criteria.
Q: What is the purpose of Form ODM07120?
A: The purpose of Form ODM07120 is to refer individuals living in residential facilities for enrollment in the Residential State Supplement (RSS) program.
Form Details:
Download a fillable version of Form ODM07120 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.