OH HEA 4460 2010 free printable template

Ohio Department of Health WIC Program Application A. Parent, guardian or applicants name Telephone Street address Mailing address (if not the same as street address) State City B Home B Work B Cell

How to fill out ohio department of health

How to fill out OH HEA 4460

1. Obtain the OH HEA 4460 form from your local health department or online.
2. Read the instructions carefully to understand the requirements.
3. Fill in your personal information in the designated sections, including full name, address, and contact details.
4. Provide information regarding your health status and any relevant medical history.
5. Specify the purpose for which you are submitting the form.
6. Review all the information for accuracy and completeness.
7. Sign and date the form where indicated.
8. Submit the completed form according to the instructions (either online or in person).

Who needs OH HEA 4460?

1. Individuals seeking health services or reporting health conditions.
2. Healthcare providers submitting patient information for public health monitoring.
3. Organizations that require health data for compliance or reporting purposes.

People Also Ask about

How much does WIC pay per month Ohio?

What are Top 10 Highest Paying Cities for Wic Jobs in Ohio CityAnnual SalaryMonthly PayAkron$54,541$4,545Cleveland$50,144$4,178Toledo$49,399$4,116Dayton$48,477$4,0396 more rows

What does Ohio WIC pay for?

WIC provides nutrition education, breastfeeding education and support; supplemental, highly nutritious foods such as cereal, eggs, milk, whole grain foods, fruits and vegetables, and iron-fortified infant formula; and referral to prenatal and pediatric health care and other maternal and child health and human service

Can anyone get WIC in Ohio?

Pregnant and breastfeeding women; women who recently had a baby; infants birth through 12 months; children age 1 to 5 years; who are: Present at the clinic appointment, and provide proof of identity; Residents of the State of Ohio; Determined by health professionals to be at medical/nutritional risk; and.

What do I need to bring to my WIC appointment in Ohio?

What to Bring to Appointment WIC Nutrition Card. Proof of household income (check stubs, letter from employer, government assistance benefits statement) Identification (ID) that includes birth date (preferably photo ID) Children under age 5 with ID that includes birth date (birth certificate, crib card, shot record)

Is Ohio WIC income based?

An applicant/participant must meet specific income guidelines to participate in WIC. The Ohio WIC program income guidelines are equal to 185% of the HHS poverty income guidelines.

Is there an income limit for WIC in Ohio?

Total monthly household income before taxes, including job, self-employment, and other income like social security, disability, child support, worker's comp, unemployment, and pension income. The gross income limit for WIC is 185% of the federal poverty level.

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What is OH HEA 4460?

OH HEA 4460 is a form used by healthcare entities in Ohio to report on healthcare costs, revenues, and other financial data related to healthcare services provided.

Who is required to file OH HEA 4460?

Healthcare providers, including hospitals, long-term care facilities, and other licensed healthcare entities in Ohio, are required to file OH HEA 4460.

How to fill out OH HEA 4460?

To fill out OH HEA 4460, organizations must gather financial data related to their operations, follow the guidelines outlined by the Ohio Department of Health, and ensure all sections of the form are completed accurately before submission.

What is the purpose of OH HEA 4460?

The purpose of OH HEA 4460 is to collect standardized financial data from healthcare providers to analyze cost trends, reimbursement rates, and overall financial health within the healthcare system in Ohio.

What information must be reported on OH HEA 4460?

The information reported on OH HEA 4460 includes revenue, expenses, patient volumes, service types, payer sources, and other relevant financial metrics pertaining to healthcare services provided.