Category: Medicaid

August 23, 2017

Senate Veto Overrides: Senate Veto Overrides: Implications for Ohio’s Medicaid Program

On Tuesday, August 22, the Senate voted to override six of Governor Kasich’s Medicaid-related vetoes. In July, the House had overridden 11 of the governor’s vetoes, 10 of which dealt with Medicaid, meaning that the Senate can still act on four of those Medicaid-related provisions pushed forward by the House. Several of the veto overrides...

June 29, 2017

JMOC Hears Testimony from ODM, ODMHAS, and Behavioral Health Providers as Redesign Implementation is Delayed

After over two years of preparing to carve new behavioral health benefits into Medicaid managed care plans and recode all Medicaid behavioral health services to align with national coding standards, the Ohio Departments of Medicaid (ODM) and Mental Health and Addiction Services (ODMHAS) had announced they were ready to go live with the Behavioral Health...

June 23, 2017

Ohio Senate Medicaid Provisions Could Jeopardize Self-Reliance

Changes to the Medicaid program included in the Senate version of Ohio’s biennial budget would make it more difficult for some Ohio families to move toward self-sufficiency. By grandfathering individuals who are enrolled in Medicaid expansion at the end of the next fiscal year and closing all future enrollment in Group VIII (expansion), the Senate...

February 22, 2017

JMOC: The Medicaid Group VIII Assessment Findings and Highlights on the Medicaid Portion of the Executive Budget

Director Barbara Sears cemented her first 56 days as Director of the Department of Medicaid by briefing the Joint Medicaid Oversight Committee (JMOC), a committee she once chaired, on the Ohio Medicaid Group VIII Assessment (Expansion) report and Medicaid highlights from the executive budget, House Bill 49. The Medicaid Group VIII Assessment report highlights key...

January 4, 2017

The Return on Investment of Medicaid Expansion: Supporting Work and Health in Rural Ohio

When debating the Medicaid expansion in 2013, the Ohio legislature appropriately questioned whether expanding the program to non-disabled adults would be done so efficiently, supporting the health, welfare, and economy of Ohio and its citizens. The subsequent policy process reflected this focus on program performance, including a legislative committee tour around Ohio to understand the...

December 16, 2016

The Gift of the MAGI?

Medicaid is big and complicated. As I have written about before, the intertangled state and federal monies, processes, and policies that comprise the Medicaid program vary greatly from state to state and, as the saying goes, if you’ve seen one state Medicaid program, you’ve seen one state Medicaid program. With that said, Medicaid occupies a...

October 25, 2016

JMOC: Setting the Rate

In September, the Joint Medicaid Oversight Committee (JMOC) met to discuss the preliminary report from the JMOC actuary, Optumas. During that meeting, Optumas laid out the basic process for determining the JMOC per member per month (PMPM) growth rate, and there was a review of the statutory obligations of JMOC when setting said rate. To...

September 28, 2016

JMOC: Preliminary Report from the Actuary

It has been a couple months since the last Joint Medicaid Oversight Committee (JMOC) hearing, and the latest meeting covered a lot of ground in a five-hour-plus session. The majority of JMOC dealt with the behavioral health redesign, including testimony from providers and the administration. If you want to learn more about what was shared...

September 15, 2016

Census Review: The Impact of the Affordable Care Act on the Uninsured

The Center for Community Solutions team has been analyzing the implications of the latest U.S. Census information. To learn more about this data more broadly, please click here to see the blog post by Kate Warren. With that said, I wanted to dive a bit more deeply into one set of metrics around the uninsured...

August 31, 2016

Digging into Ohio Medicaid’s SFY16 Report

This month, the Ohio Department of Medicaid (ODM) submitted its Annual Report to the governor. The document, which has been released each year since State Fiscal Year (SFY) 2014, provides an overview of the initiatives (and the related messaging) behind some of the work of ODM. As we wait for the final budget from Governor...