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Odm 10172 form 2025

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The document outlines the Ohio Department of Medicaid's Home and Community-Based Services (HCBS) Settings Evaluation Tool, which is designed to assess compliance with federal requirements for HCBS programs. It details the qualities required for settings to ensure they are not institutional in nature, promote community integration, support employment opportunities, protect individual rights, and provide personal choice and privacy. The evaluation includes specific criteria and examples of acceptable evidence for each quality, along with remediation steps if compliance is lacking.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What documents do I need to apply for Medicaid in ohio?

You can manage your Medicaid account, complete renewals, upload documents, and find out the status of your coverage by logging into your Ohio Benefits Self-Service Portal account at ssp.benefits.ohio.gov. For additional questions, help is available in person or via phone at your CDJFS. You can also call 1-844-640-6446.

What is VA form 10-10172 for?

Community Care Provider-Request for Service (RFS), VA Form 10-10172, is used to request additional services or continued care from VA. The requested care may be performed within VA or in the community based on a Veterans eligibility. The signed RFS is required to facilitate care review and authorization.

Is my ohio Medicaid still active?

Renewal information can also be mailed to your local JFS office or dropped off in person. You can find your local JFS office by selecting your county from our dropdown menu. Renewals can also be completed over the phone by calling 1-844-640-6466 Monday through Friday 8 a.m. to 4 p.m. ET.

Can Veterans see doctors outside the VA?

The Veterans Choice Program (VCP) is a benefit that allows eligible Veterans to receive health care from a community provider rather than waiting for a VA appointment or traveling to a VA facility.

What qualifies for VA community care?

You must meet both of these requirements: Youre enrolled in or eligible for VA health care, and. You have approval from your VA health care team before you get care from a community provider (except for certain cases like urgent or emergency care)