Starting February 1, 2003, OHP/Medicaid will offer two benefit packages - OHP Plus and OHP Standard.

Covered benefits in the OHP Plus package include physician services, hospital services, limited dental, mental health, immunizations, prescriptions, family planning services, maternity, and most preventive services. Some non-pregnant adults pay a monthly premium, and there are small co-payments for ambulatory services and prescription medications for people not enrolled in a managed care plan.

To qualify for OHP Plus, a person must:

• Be blind or disabled and receiving SSI or Medicaid long term care services; or
  
• Be age 65 or older and receiving SSI or Medicaid long term care services; or
  
• Receive Temporary Assistance to Needy Families (TANF); or
  
• Be a child under 6 years of age, with household income under 133 percent of Federal Poverty Level (FPL) or a child under age 19 with household income under 100 percent FPL; or
  
• Be a pregnant woman with household income under 185 percent of FPL; and
  
• Meet other eligibility criteria, including residency, citizenship, and asset tests.

People who recieve OHP Standard will have a leaner benefit package (less services covered) and pay premiums and co-pays for services much like a commercial insurance plan.

Effective July 1, 2004 OHP program requirements were changed to limit the number of clients allowed into the program.

To qualify for OHP Standard, a person must:

• Not meet the requirements for OHP Plus (usually single adults/childless couples).
  
• Have a gross income of less than 100 percent of FPL.
  
• Meet other eligibility criteria, including residency, citizenship, and asset tests.
  
• Find out what your should bring to your interview when applying for OHP.