Form ODM03528 Healthchek and Pregnancy Related Services Information Sheet - Ohio

Form ODM03528 Healthchek and Pregnancy Related Services Information Sheet - Ohio

What Is Form ODM03528?

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 ODM03528?
A: ODM03528 is a Healthchek and Pregnancy Related Services Information Sheet in Ohio.

Q: What is Healthchek?
A: Healthchek is Ohio's Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program for Medicaid-eligible children.

Q: What are Pregnancy Related Services?
A: Pregnancy Related Services are medical services provided to pregnant women.

Q: Who is eligible for Healthchek?
A: Medicaid-eligible children under the age of 21 are eligible for Healthchek.

Q: Who is eligible for Pregnancy Related Services?
A: Pregnant women who are eligible for Medicaid are eligible for Pregnancy Related Services.

Q: What services are covered under Healthchek?
A: Healthchek covers a comprehensive set of preventive health services for children, including screenings, immunizations, and dental care.

Q: What services are covered under Pregnancy Related Services?
A: Pregnancy Related Services cover prenatal care, delivery, and postpartum care for pregnant women.

Q: How can I apply for Healthchek?
A: You can apply for Healthchek by contacting your local county Department of Job and Family Services.

Q: How can I apply for Pregnancy Related Services?
A: You can apply for Pregnancy Related Services by contacting your local county Department of Job and Family Services.

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Form Details:

  • Released on December 1, 2021;
  • The latest edition provided by the Ohio Department of Medicaid;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ODM03528 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM03528 Healthchek and Pregnancy Related Services Information Sheet - Ohio

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