PATIENT SUPPORT SERVICES

Medicaid Help & Resources

Medicaid in Ohio is changing. Whether you need to apply, renew, or keep your coverage under the new rules, our Outreach & Enrollment team can help, free of charge. You don’t need to be a Five Rivers Health Centers patient.

Medicaid eligibility and coverage are changing

Some changes took effect October 1, 2026, and community-engagement requirements begin January 1, 2027. Eligibility and exemptions depend on your situation, so please don’t assume you’ll lose coverage. Our team can help, free of charge.

Free help from our Outreach & Enrollment team

Our Outreach & Enrollment team helps eligible individuals keep Medicaid coverage and access to care. Reach us by phone, email or walk-in. These services are free and open to anyone in our community, whether or not you’re a Five Rivers patient.

Apply for Ohio Medicaid or renew your coverage

Understand the new work and community engagement requirement

Check whether you qualify for an exemption

Gather and upload proof of hours or exemptions to Ohio Benefits

Explore Marketplace or sliding-fee options if your coverage changes

Contact our team

Have questions, or has your coverage changed or ended? Call, email or walk in. Bring your Medicaid ID card, a photo ID and any letters you’ve received from Ohio Medicaid or your county.

Hours
Monday–Friday, 8:00 a.m.–4:30 p.m.
Walk-ins welcome
Edgemont, Family Health, Samaritan and Xenia locations
Find a coordinator at your location →

Contact a coordinator at your location

You can also reach our Outreach & Enrollment coordinators directly.

Family Health Center

Xenia Campus

Samaritan, St. Vincent & DPS School-Based Health Center (at Samaritan Health Center)

What’s changing with Medicaid

Medicaid is changing in two phases. Because eligibility and exemptions vary by individual circumstances, please don’t assume you will lose Medicaid based solely on age, income or immigration status. Our team can help you understand what applies to you.

Effective October 1, 2026

Coverage changes for some noncitizens

Federal Medicaid funding is no longer available for certain noncitizen categories. This may affect some refugees, asylees, humanitarian parolees and trafficking survivors. Some patients may move to Emergency Medicaid, which is generally limited to qualifying emergency conditions.

Effective January 1, 2027

Community-engagement requirement begins

Certain adults in the Medicaid expansion group will generally need 80 hours a month of work, community service, a work program or education, unless they qualify for an exemption. Some may meet it through qualifying income.

Starting January 1, 2027

Renew every 6 months

Renewals move from once a year to every six months. Report changes in income, address, household or pregnancy within 10 days.

Ways to meet the 80 hours each month

1

Work

Paid work, self-employment or unpaid caregiving. Earning $580+ a month also counts.

2

Volunteer

Community service with a nonprofit, government agency or faith group.

3

Work program

Job training or a program such as those offered through OhioMeansJobs.

4

School

Enrolled at least half-time in high school, GED, college or technical school.

5

Combination

Mix any of these to reach at least 80 hours in the month.

You may not have to meet the requirement if you are…

Our team can help you check whether an exemption applies and what proof to send.

Check with our team
Pregnant, or within 12 months after giving birth
A parent or caregiver of a child 13 or younger, or of a person with a disability
Enrolled in Medicare, or eligible for Medicaid in another category
Getting SNAP (food assistance) or TANF (cash assistance)
Blind or disabled, or living with a serious or complex medical condition
In treatment for a drug or alcohol use disorder
A current or former foster youth under age 26
A veteran with a total disability rating
Released from incarceration within the last 3 months
American Indian or Alaska Native

Latest updates

Page last reviewed: October 23, 2026

Frequently asked questions

Don’t see your question? Our Outreach & Enrollment team is happy to help.

Contact our team

Do I need to be a Five Rivers patient to get help?

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No. Our Outreach & Enrollment team helps anyone in the community apply for, renew or keep Medicaid, free of charge.

Will I lose Medicaid because of these changes?

Not necessarily. Eligibility and exemptions vary by individual circumstances, so please don’t assume you will lose Medicaid based solely on age, income or immigration status. If you have questions, or your coverage has changed or ended, contact our Outreach & Enrollment team. Our help is free.

Will the new work requirement affect me?

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It applies to adults ages 19–64 who have Medicaid through expansion (Group VIII), generally with income at or below 138% of the Federal Poverty Level. Children, adults 65 and older, people who are pregnant or postpartum, and several other groups are not affected or are exempt.

When does it start?

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Ohio Medicaid has set January 1, 2027 as the start date. You should get a notice at least 3 months before the requirement applies to you.

What is Emergency Medicaid?

As of October 1, 2026, some patients who lost federally funded Medicaid or CHIP may move to Emergency Medicaid. It is generally limited to qualifying emergency medical conditions and does not provide the same coverage as full Medicaid. Our team can help you understand your options.

What counts toward the 80 hours?

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Paid work or self-employment, unpaid work such as caregiving, volunteering with a community organization, a work program such as OhioMeansJobs, or being enrolled at least half-time in school or a GED program. You can combine activities. Earning at least $580 a month also meets the requirement.

How do I report my hours or an exemption?

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Upload documents through the Ohio Benefits self-service portal (benefits.ohio.gov), mail or drop them off at your county Job & Family Services office, or call (800) 324-8680. Our team can help you gather and send them.

What proof will I need?

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Examples include pay stubs from the last 30 days, a letter from your employer, a letter from a volunteer organization with your hours and start date, a class schedule or enrollment record, or documents that show an exemption.

How often will I need to renew?

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Starting January 1, 2027, renewals happen every six months instead of once a year. At each renewal you’ll need to show you met the requirement for at least one month, or that you’re exempt.

What happens if I lose my Medicaid?

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You’ll have 30 days to send more information when Ohio Medicaid can’t verify your case. If coverage ends, you can reapply at any time. Our team can also help you look at Marketplace coverage (HealthCare.gov) and Five Rivers’ sliding-fee options so you can keep getting care.

Official Medicaid resources

State and federal tools to apply, renew, report changes and find other coverage.

Ohio Benefits

Apply, renew, report changes and upload documents online.

benefits.ohio.gov
Go to Ohio Benefits

Ohio Medicaid Consumer Hotline

Questions about your Medicaid coverage, notices or managed care plan.

(800) 324-8680
Call the hotline

Ohio Department of Medicaid

Official news and details on the work and community engagement requirement.

medicaid.ohio.gov
Learn more

Montgomery County Job & Family Services

Drop off documents or get help with your case in person.

25 Thorpe Dr., Dayton, OH 45420 · (888) 496-6565
Learn more

Greene County Job & Family Services

Drop off documents or get help with your case in person.

541 Ledbetter Rd., Xenia, OH 45385 · (937) 562-6000
Learn more

HealthCare.gov

Marketplace health coverage if you no longer qualify for Medicaid.

1-800-318-2596
Explore coverage