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Ohio Medicaid

Ohio Medicaid

Expansion adopted (2014) 12-month postpartum Doula pending

Ohio Medicaid covers pregnant women up to 205% of the federal poverty line, roughly $52,930 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2014.

On maternal health specifically: Ohio Medicaid has extended postpartum Medicaid coverage to 12 months (effective 2022-04-01), and has a doula Medicaid benefit pending CMS approval.

Ohio launched a redesigned Medicaid managed-care program in February 2023, reducing seven plans to six and adding OhioRISE for children with complex behavioral health needs. SB 332 (2024) directed Ohio Medicaid to develop a doula benefit State Plan Amendment by July 2025.

Ways to apply for Ohio Medicaid

These are the channels Ohio names on its own Medicaid pages. Use whichever is easiest.

Online
Apply online

benefits.ohio.gov

In person
County Department of Job and Family Services.
HealthCare.gov
You can also apply at HealthCare.gov any time of year. If anyone in your household looks eligible for Medicaid, it sends your information to Ohio's agency.
Decision time
Federal rules give the state up to 45 days to decide, or 90 days if you apply based on a disability (42 CFR 435.912).

Read on the state's own pages, October 13, 2026.

Key facts at a glance

  • Pregnant women eligible up to 205% FPL ($52,930 for a family of three in 2025).
  • Children 0-5 eligible up to 211% FPL ($54,480 for a family of three).
  • Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
  • Postpartum Medicaid extended to 12 months (effective 2022-04-01).

For Black families

Roughly 545,000 Black residents are enrolled in Ohio Medicaid, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.

Ohio launched a redesigned Medicaid managed-care program in February 2023, reducing seven plans to six and adding OhioRISE for children with complex behavioral health needs. SB 332 (2024) directed Ohio Medicaid to develop a doula benefit State Plan Amendment by July 2025.

For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/oh/.

Data sources

Data refreshed:

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

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