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ODM04076 - Resource Assessment Worksheet

ODM04076 - Resource Assessment Worksheet 2025

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The document is a Resource Assessment Worksheet from the Ohio Department of Medicaid, used to evaluate the combined countable resources of a couple for Medicaid eligibility. It includes sections for listing various types of resources, their documentation methods, and values as of the first period of institutionalization. Additionally, it outlines the rights of individuals regarding state hearings if they disagree with resource allocations or income assessments related to Minimum Monthly Maintenance Needs Allowance (MMMNA). Instructions for requesting a hearing and obtaining assistance are also provided.

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Versions	Form popularity	Fillable & printable
2014	4.7 Satisfied (48 Votes)

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