Ohio Medicaid
Ohio Medicaid
Apply or call
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. Apply at https://ssp.benefits.ohio.gov/ or call 1-800-324-8680.
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.
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).
Ohio Medicaid, topic by topic
Eligibility
Income limits & who qualifies
Ohio Medicaid covers pregnant women up to 205% of the federal poverty line — $52,930 annual income for a family of three in 2025.
How to apply
How to apply step by step
Apply online at https://ssp.benefits.ohio.gov/ or by phone at 1-800-324-8680. Federal law requires a 45-day decision on non-disability appl…
Doula coverage
Doula coverage details
Ohio Medicaid has a Medicaid doula benefit pending CMS approval.
Postpartum extension
12-month postpartum status
Ohio Medicaid extended postpartum Medicaid coverage to 12 months, effective 2022-04-01.
Pregnant women
Pregnancy coverage in full
Ohio Medicaid covers pregnancy-related care up to 205% of the federal poverty line — about $52,930 annual income for a family of three in 2…
Renewal
Annual renewal & unwinding
Ohio Medicaid redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly 69% of disen…
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/.
More on Ohio from Black Health
FQHCs
Federally Qualified Health Centers in Ohio
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in Ohio
Filter our directory to Ohio by specialty.
Health data
Black Health outcomes in Ohio
Maternal mortality, life expectancy, uninsured rate by race.
Data sources
- Ohio Medicaid — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
Data refreshed: