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Page 1 of 6FINANCIAL ASSESSMENT WORKSHEET DISCLAIMER: ODAS designees use this form to estimate if an individual will be eligible for Medicaid while waiting for the Ohio Department of Medicaid (ODM)
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Form ODA1115 - Financial is a document used to report financial information by individuals or entities to the relevant authorities.
Individuals or entities who meet certain financial reporting requirements are required to file Form ODA1115 - Financial.
Form ODA1115 - Financial can be filled out by providing accurate and detailed financial information as instructed on the form.
The purpose of Form ODA1115 - Financial is to provide transparency and accountability in financial reporting to relevant authorities.
Form ODA1115 - Financial requires reporting of detailed financial information such as income, expenses, assets, and liabilities.
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