Applications, Case Status & Change Reporting

Important Note: We strongly encourage you to use the More Information links to find complete eligibility information, information about other community resources, and complete application procedures.

View Case Information for Current Child Support Customers:

You can now access the Ohio Child Support Customer Service Portal which provides customers with an active child support case a secure environment in which you are able to view and print up to two years of child support payment data, as well as view address, employment, health insurance and support order information that is on file with the child support agency.

For more information on Child Support, go to our Child Support Page.

View Case Status and Report Changes for Current Food Assistance & Medicaid Recipients:

Health Care Coverage for Workers with Disabilities

Health Care Coverage for Workers with Disabilities is provided through the Medicaid Buy-In for Workers with Disabilities (MBIWD) program.

Medicaid Buy-In for Workers with Disabilities (MBIWD) is a new Ohio Medicaid program that provides health care coverage to working Ohioans with disabilities. Historically, people with disabilities were often discouraged from working because their earnings made them ineligible for Medicaid coverage. MBIWD was created to enable Ohioans with disabilities to work and still keep their health care coverage.

Who is eligible?

To qualify for MBIWD, a person must:

  • Be 16 to 64 years old.
  • Be disabled as per the Social Security Administration or as determined by Ohio Medicaid or eligible under the MBIWD medically improved category.
  • Be employed in paid work (includes part-time and full-time work.
  • Pay a premium (if applicable).
  • Meet certain basic requirements and financial criteria.

Income Eligibility Guidelines

Persons in Family
or Household
Family Income
Each Add'l PersonAdd $10,150

Eligibility based on 250% of the
2014 Health and Human Services Poverty Guidelines
published March27, 2014

Individuals eligible for the MBIWD medically improved group must:

·    Have been eligible for the MBIWD basic coverage group in the previous calendar month, and continue to meet all eligibility criteria except the disability criterion; and

·    Be working at least forty hours per month earning at least the state or federal minimum wage, whichever is lower.

The MBIWD program considers only an individual's own resources. If resources are jointly owned, determine the value of the individual's countable resources under rules 5101:1-39-05 and 5101:1-39-26. To be resource-eligible for the MBIWD program, an individual must have no more than $10,000 in countable resources.

Monthly premiums are required for those eligible for MBIWD with an annual gross income greater than 150% of the federal poverty level (FPL).

Persons in Family
or Household
Family Income
Each Add'l PersonAdd $6,090

Eligibility based on 150% of the
2014 Health and Human Services Poverty Guidelines
published March27, 2014

Each MBIWD enrollee will receive a monthly statement with their monthly premium amount. To obtain and maintain health coverage, the full amount of the premium must be received by the due date or it will be considered non-payment. Late payments will be applied to the most delinquent premium.

Enrollees who do not pay their premiums for two months in a row will be subject to termination. If they are terminated, they may reapply for MBIWD but they must pay all MBIWD delinquent premiums for the months of coverage before they can be re-enrolled.

Individuals with higher income are encouraged to apply because certain deductions are given.


How do I Apply?

You may apply by mail. No office visit is necessary.

1) Obtain & Complete an Application

Print both an application for Medicaid JFS07200,  English      Español.   
And a MBIWD Addendum JFS7211,  English      Español
Also, Form JFS 07236  or Español Form JFS 07236 Rights & Responsibilities (retain a copy for your records). 

Or, You may call our office at 419-447-5011 or 800-825-5011 to have the applications mailed to you.  Ask for the Intake Screening Department.
Or, you may come to our office and pick up the applications.  Click here for our hours and location.

A case worker at Seneca County DJFS can help you if you are having problems getting needed information.

2) Return the Applications

By Mail to:
Seneca County DJFS
 900 E CR 20
Tiffin, OH 448830

By Fax to:  419-447-5345

Or come to our office.    Click here for our hours and location.

At the time of application items such as citizenship, income, resources and expenses must be verified.  Normal processing requires that benefits be issued or the application be denied within 30 days after the date the application is filed.

For More Information

To learn more about  Medicaid Buy-In for Workers with Disabilities  call the Ohio Department of Job and Family Services Medicaid Hotline at 1-800-324-8680 or TDD: 1-800-292-3572, or view the Ohio Health Plans website.

Our Hours & Location Calendar of Events Customer Satisfaction Survey
Business Administration
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Financial Assistance
Child Support Enforcement
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Phone: 419-447-5011
Toll-Free: 800-825-5011
Fax: 419-447-5345