Medical Eligibility Criteria

For the CMH Diagnostic Program, a child must:

• Be under the age of 21
• Be a permanent resident of Ohio
• Be under the care of a CMH-approved doctor (MD or DO)
• Have a possible special health care need

For the CMH Treatment Program, a child must:

• Be under the age of 22
• Be a permanent resident of Ohio
• Be under the care of a CMH approved doctor (MD or DO)
• Have an eligible special health care need
• Be financially eligible

For the Service Coordination Program, a child must:

• Be under the age of 21
• Be a permanent resident of Ohio
• Be under the care of a CMH-approved hospital specialty team approved for service coordination
• Have a diagnosis eligible for service coordination

Financial Eligibility Criteria

The CMH Treatment Program has a financial eligibility requirement.

Financial eligibility for CMH is determined case by case based on:

Meeting federal estimated income guidelines

• The family’s gross income
• The medical care the child needs
• A calculation of the family’s maximum ability to pay for health care
• Amount spent on private health insurance
• Amount spent on weekly childcare

For financial eligibility CMH does not count income from child support, stepparent, or social security. Also, CMH does not count personal assets such as a home, a car, or a savings account.

When a child’s Doctor applies to ODH for CMH treatment services, CMH will send the parent or legal guardian a financial application packet. The Financial Application Form must be filled out and sent to CMH along with pay statements from each working parent and a copy of the most recent tax forms (1040). An independent young adult, under the age of 22 can apply on his/her own, providing pay statements and tax forms. A child/young adult receiving benefits through Medicaid or SSI is automatically financially eligible for CMH treatment services, regardless of the parent’s income.