Category: Medicaid

April 1, 2020

Flatten the curve, raise the bar; The role of telehealth in the pandemic

The State of Ohio’s strategy to mitigate mortality tied to the novel coronavirus, which causes coronavirus disease (COVID-19), centers on two tactical threads. The first thread is a set of actions to suppress the spread of the virus through distancing measures such as school closures, the prohibition on large public events and the stay-at-home order....

March 27, 2020

Benefit changes: Redeterminations, requirements affected by coronavirus

  Due to the coronavirus pandemic, the State of Ohio and Cuyahoga County have issued new guidance surrounding the public benefits many Ohioans rely on, including Supplemental Assistance for needy Families (SNAP), Ohio Works First (OWF) and Medicaid. Medicaid recipients can now utilize telehealth services even for first time appointments. Redeterminations are suspended for 180...

March 25, 2020

Policy recommendations to flatten the coronavirus curve

On March 15, The Center for Community Solutions released a memo outlining steps the State of Ohio and the federal government could take to help flatten the coronavirus curve and to boost Ohio’s economy. Since then, Ohio and the federal government have adopted some of our policy suggestions. This is meant to be a status...

March 16, 2020

Ohio needs emergency health & human services Coronavirus policy changes

In light of the first, and hopefully only, global pandemic in our lives, my colleagues and I, with help from others, have pulled together a list of policy steps that we think are essential. The challenges the health and humans services sector face are unlikely any in our lifetime. Unless we take extraordinary steps, lives...

March 13, 2020

Coronavirus: How Ohio Medicaid can help flatten the curve

While the United States is responding to the COVID-19 pandemic, it may be helpful to understand how Ohio Medicaid can play a role in “flattening the curve” and ensuring the health care delivery system’s capacity isn’t overwhelmed. Medicaid is a state/federal partnership, meaning steps can vary depending on the level of government initiating a policy....

February 3, 2020

New Medicaid block grant waiver: Risk disguised as flexibility

On January 30, the Centers for Medicare and Medicaid Services (CMS) unveiled a Medicaid block grant policy guidance to states calling it the ‘Healthy Adult Opportunity’ (HAO). CMS describes the new waiver program as a way for states to seek flexibility in program design for non-disabled adults and to achieve better outcomes. Upon review, however,...

January 15, 2020

Ohio Medicaid’s end-of-year report reveals problems stemming from eligibility system; what does it mean and how will it be addressed?

Yesterday, the Ohio Department of Medicaid (ODM) released a 13-page end-of-year report that detailed myriad issues across the health care program. Being the big, complex program that it is, when issues arise, they’re big and complex too. Here’s our first take as we dive into this. Readers should be fully prepared to read more about...

January 13, 2020

Impact SNAP changes will have on Ohio, Medicaid

On January 10, the Ohio Department of Job and Family Services (ODJFS) submitted a request to the United States Department of Agriculture (USDA) to update its Supplemental Nutrition Assistance Program (SNAP) work requirement waiver. The number of counties in Ohio that would be exempt from the work requirements would drop from 42 to 13 and...

January 13, 2020

Medicaid enrollees asked state for more collaboration from managed care plans and providers. Will they listen?

Each time the Ohio legislature deliberates the state’s $65 billion biennial budget, its members are translating the power granted to them through elections into policy, appropriating dollars on behalf of the 11 million Ohioans who are served by the state government. It is true most of the resources budgeted for Medicaid come from the federal...