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OHIO DEPARTMENT OF JOB AND FAMILY SERVICES Request for Rx Prior Authorization 38291 Request Date / PATIENT INFORMATION Patient's Medicaid ID Number / Patient's Date of Birth / / Patient's Full Name
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Ohio JFS PA stands for Ohio Job and Family Services Public Assistance. It is a form used to determine eligibility for social service programs in Ohio.
Individuals or families seeking assistance from social service programs in Ohio are required to file Ohio JFS PA form.
Ohio JFS PA can be filled out online on the Ohio Benefits website or in person at a local Job and Family Services office.
The purpose of Ohio JFS PA is to assess eligibility for various social service programs such as food assistance, cash assistance, and Medicaid.
Ohio JFS PA requires information about income, household size, expenses, and other relevant financial details.
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