Category: Medicaid

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...

October 28, 2019

Medicaid Substance Use Disorder waiver is a critical tool

On September 24, the Centers for Medicare and Medicaid Services (CMS) approved Ohio’s 1115 Substance Use Disorder Demonstration waiver (SUD waiver). The approval of the SUD waiver represents years of Medicaid policy debate about the role and scale of the behavioral health delivery system as Ohio grapples with the consequences of the opioid epidemic and...

September 20, 2019

Medicaid oversight committee meets for first time in months, gets updates from Ohio Medicaid director

The Director of the Ohio Department of Medicaid (ODM) Maureen Corcoran appeared before the Joint Medicaid Oversight Committee (JMOC) for the first time in her tenure on Thursday. Since this was the first JMOC meeting of the 133rd General Assembly, there was a lot of content to cover, followed by a lot of questions over...

August 26, 2019

Creating quality for kids: A review of Ohio Medicaid’s focus on value based reimbursement

Before taking office, then Governor-elect Mike DeWine signaled that children’s issues would be a central component of his policy platform with the creation of the Office of Children’s Initiatives in January 2019. Ohio Medicaid plays a major role in the health care of Ohio’s children, with nearly half of all kids (1.2 million) receiving coverage...

July 17, 2019

One waiver out, one waiver in

The Center for Community Solutions is committed to monitoring and researching the impact of waivers or other proposed changes to Medicaid eligibility or access. During this biennial Ohio budget process, we kept track of a variety of proposed changes that had the potential to affect this population. After some deliberation, the Healthy Ohio proposal from the House...

April 22, 2019

The Chopping Block: How Medicaid Block Grants Will Create Access Problems for Ohio’s Kids

More than 1 million children, or 40 percent of all children in Ohio are covered by the Medicaid program. As the largest single source of health coverage in the United States, Medicaid plays an integral role in ensuring successful outcomes for children from birth and throughout adolescence. It is primarily responsible for decreasing the uninsured rate...