Category: Medicaid

May 9, 2022

Bridging the COVID Cliff: preparing for the Public Health Emergency Unwind, watch webinar

The flexibility and expansions that kept many households afloat during the pandemic will end when the federal Public Health Emergency (PHE) expires, perhaps as soon as July, causing a COVID Cliff. Families still fighting to gain stability will face the end of enhanced Supplemental Nutrition Assistance Program (SNAP) benefits, the redetermination of the full Medicaid...

March 14, 2022

Unwinding the Public Health Emergency: Ohio Medicaid

On March 10, 2020, Ohio recorded its first case of Covid-19. In the two years after that case, the state Medicaid program played a critical role in ensuring access, providing coverage, and enabling budget stability as the state grappled with the complexities of the pandemic and its effects. And while the clinical science has not...

January 24, 2022

New guidance to implement 12 months of postpartum Medicaid coverage, up from 60 days  

Ohio’s 2022-23 state budget that was signed into law in June 2021 included a provision that would provide Medicaid coverage for birthing people up to 200 percent of the federal poverty level for a full year after giving birth. The current policy is to provide Medicaid coverage for 60 days postpartum for this group.   This policy change will go a long way toward improving access...

January 10, 2022

Vaccination efforts in Ohio have saved Medicaid millions

  Benjamin Franklin once said “an ounce of prevention is worth a pound of cure.” The original goal of this commonplace idiom was to encourage Philadelphians to remain vigilant about fire awareness and prevention. Coal, the common source of heating in homes during the time, was often carried “live” from room to room, up and...

November 29, 2021

Ohio Opioid Settlement of $800 Million Creates OneOhio Plan, and Need for Scrutiny 

Earlier this month, the United States hit a terrifying milestone with over 100,000 annual opioid related deaths.  According to an analysis by the Ohio Alliance for Population Health, Ohio’s overdose trends have reflected national data, with recent increases in mortality tied to fentanyl and an acceleration in those overdoses driven by access limitations induced by COVID. This trend, however, only...

August 30, 2021

In Medicaid, Money Talks (If You Listen)

A mentor of mine once told me that if I wanted to understand the stakeholders in a given public policy issue, I must first figure out how who gets paid. While this may be a pessimistic lens through which we can understand policy, it’s useful. Ohio Medicaid represents 4 percent of our state’s economy. And...

August 16, 2021

Feds reject Ohio’s Medicaid work requirement program

As of August 10th, 794,806 Ohioans received their primary source of health coverage through Ohio’s Medicaid expansion. On that same day, the Centers for Medicare and Medicaid Services (CMS) sent a letter to the Ohio Department of Medicaid notifying them that their previously approved 1115 Community Engagement (work requirements) waiver was withdrawn. As of August...

July 12, 2021

State Budget Reflection

At the beginning of 2021, when The Center for Community Solutions shared its state budget priorities, I don’t think we expected such a wild ride to reach the conclusion of the budget process. The versions of the budget presented by Governor Mike DeWine and those passed by the House and Senate certainly advanced some issues...

June 14, 2021

Ohio General Assembly Must Protect Procurement, Not Contractor Profits

For years, The Center for Community Solutions has written about Ohio’s managed care program, with pieces outlining federal standards, current performance and value-based contracting. And, when Ohio Medicaid announced they were rebidding the contracts, we paid close attention, monitoring the feedback process, providing written comment and reviewing, in detail, the hundreds of pages worth of...

April 29, 2021

OhioRISE

Why OhioRISE? A new managed-care approach, OhioRISE (Ohio Resilience through Integrated Systems and Excellence),[1] will focus on a population of children and youth with serious behavioral health needs, who are often involved in multiple public youth-serving systems, and their families. Many of these children and young people are often referred to as “multisystem” youth or...