Ohio Healthy Start - Childrens Health Insurance Program Application Instructions

To apply for Healthy Start, you need to fill out the application form. You may use the Combined Programs Application or CPA - JFS Form No. 07216. You can download it online by clicking here.

Another way to get an application form is by requesting it from the Medicaid Consumer Hotline at 1-800-324-8680 (or TDD 1-800-292-3572 for individuals who have a hearing impairment). The staff can assist you in filling out the form and then send it to you by mail for your signature.

After completing the application form, you may send it by mail, fax, or bring it personally to your local County Department of Job and Family Services (CDJFS) along with the following documents:

• Proof of citizenship or alien status (must be the original document or a certified copy; do not fax)
• Proof of income
• Proof of pregnancy (if applicable)
• Proof of other health insurance (if any)

There is no face-to-face interview required when applying for the Healthy Start program.

After you have been qualified for the program, children need to reapply every 12 months to maintain coverage. On the other hand, families need to reapply every six months.

If you feel that you are not eligible because your family's income is a little higher than the income limits, you should still submit an application since certain monthly expenses will be deducted (for example, child support and child care).

Eligibility Requirements

The Healthy Start program is available to the following groups:

• Uninsured children (up to 19 years old) in households who have an income of up to 200% of the FPL
• Insured children (up to 19 years old) in households who have an income of up to 150% of the FPL
• Pregnant women in households who have an income of up to 200% of the FPL

To qualify for the program, you must also meet the following eligibility requirements:

• Must be a resident of the state of Ohio
• Must be a citizen of the United States, a lawful permanent resident, or a qualified alien
• Must have a Social Security number or have applied for one
• Must be within the income limits or meet certain financial requirements

Click here to view the income guidelines table for Healthy Start.

Children who are in families with an income ranging from 150% to 200% of the FPL must not have any insurance coverage to be qualified for the Healthy Start program. Those who do have other health insurance may still be eligible if the income of the family is below 150% of the FPL.