Medicaid

Change EFT

 

Additional Required Documents: Voided Check or Bank Verification Letter.

EFT/Direct Deposit accounts are tied to your address in the MITS system and must match the address on your bank verification.

 

Complete the forms above and submit by email: Supplier@Ohio.Gov or fax: 614-485-1052


NOTE:

  • The State of Ohio requires handwritten signatures. Please print completed forms, sign, scan and submit.
  • Once your registration has been processed, you will receive an email to the address provided containing your username, password, and instructions for accessing your account.