Category: Medicaid

August 10, 2016

Marketplace Take-Up Rates in Northeast Ohio: Coverage Growth and Coverage Gaps

With 20 million more Americans with healthcare coverage just six years after its passage, it is undeniable that the Patient Protection and Affordable Care Act (ACA) has had a profound impact on the uninsured rate in the U.S. and here in Northeast Ohio. Due to the combination of Medicaid extension and the Federally-facilitated Marketplace, Ohio...

July 8, 2016

Healthy Ohio Waiver Released

On June 30, the Ohio Department of Medicaid (ODM) submitted its application for the legislatively required 1115 Demonstration Waiver known as “Healthy Ohio” to the U.S. Department of Health and Human Services (HHS). Throughout the state development process, we have written and posted about Healthy Ohio in order to address our concerns and questions regarding...

June 3, 2016

JMOC: Redesign Update and Panel Discussion

The Joint Medicaid Oversight Committee (JMOC) had a lengthy discussion on May 26th regarding alcohol and drug addiction. During the meeting, which featured a panel of experts in the field, there were two main points of conversation. First, there was a “status update” by Dr. Mark Hurst, Medical Director of the Ohio Department of Mental...

May 18, 2016

An Update on the Extension of Medicaid

Ohio’s Medicaid extension has received a lot of scrutiny from the media, policymakers, and policy experts since its implementation in 2014. This scrutiny has only increased in the past few months during Governor Kasich’s Presidential run and as the Ohio Department of Medicaid (ODM) finalizes its statutorily required 1115 demonstration waiver, Healthy Ohio. While many...

May 13, 2016

Update on Disability Determination Redesign (DDR)

As the state prepares to transition to a unified disability determination system, thus ending the Medicaid spend-down program, additional information about who will be affected by the transition, and the impact of these changes, has been released. The Governor’s Office of Health Transformation (OHT) published an overview of the changes. The impact of the state’s...

April 26, 2016

CMS Release Final Managed Care Rule

On April 25th, the Centers for Medicare and Medicaid Services (CMS) released the much anticipated final rule significantly updating regulations pertaining to managed care organizations (MCOs) participating in Medicaid and the Children’s Health Insurance Program or (CHIP). MCOs are private insurance companies that provide, or arrange the provision of, services for Medicaid enrollees in exchange...

April 22, 2016

JMOC Update and Healthy Ohio’s First Public Comment Hearing

On April 21st, the Ohio Department of Medicaid was busy with Director John McCarthy offering testimony before the Joint Medicaid Oversight Committee (JMOC) in the morning as well as serving as host to the first of two required hearings for Ohio’s 1115 Demonstration proposal known as “Healthy Ohio” in the afternoon. During JMOC, the director...

March 29, 2016

Joint Medicaid Oversight Committee: Medicaid Budget Update

On March 24th, the Joint Medicaid Oversight Committee (JMOC) received a Medicaid budget update from JMOC’s Executive Director Susan Ackerman and Policy Aide Gregory Craig. The update included a review of trends in enrollment and spending as well as a review of major policy initiatives in Ohio and across the nation. In part, this update...

March 21, 2016

Updates on Changes to Disability Determination and Elimination of Medicaid Spend-down, now known as Disability Determination Redesign (DDR)

Earlier this year, a CCS blog post, and subsequent Common Ground, provided an overview of the State of Ohio’s plan to transition to a unified disability determination system thus ending the Medicaid spend-down program. Advocates have worked closely together, and with the Ohio Department of Medicaid (ODM), to learn about this change and how current...

January 27, 2016

Over 30,000 Ohioans Affected by the End of Medicaid “Spend-down” Eligibility

The Ohio Department of Medicaid (ODM) is preparing to change the program’s disability determination process. Starting in July, 2016, the program will have a unified disability determination system, so that individuals who qualify for Supplemental Security Income (SSI) will automatically qualify for Medicaid. (In legal terms, this means the state is implementing section 1634 of...