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Medicaid Managed Care



Effective July 1, 2013, the Ohio Medicaid managed care program, which serves more than 1.6 million residents across Ohio, has chosen five managed care plans charged with coordinating and improving the health outcomes for Medicaid beneficiaries.

The five managed care plans awarded contracts to serve Ohio’s Medicaid population are:
All five of the selected plans will be made available across the state by way of three service regions. Medicaid managed care plans will provide coverage to all Ohio Medicaid populations: Covered Children and Families (CFC) and Aged, Blind, and Disabled (ABD) populations, Group VIII (expansion population) as well as approximately 37,000 children with special health care needs who are currently eligible for Medicaid due to a disability.

My Care Ohio – Integrated Care Delivery System for Dual Eligible Population

Congress created the federal Center for Medicare and Medicaid Innovation (CMMI) to encourage states to integrate services into a seamless and comprehensive care experience for dual eligible beneficiaries. Approximately 182,000 Ohioans are covered by both the Medicare and Medicaid programs.

The Ohio Demonstration project was approved by the Centers for Medicare and Medicaid Services (CMS) in December 2012 and discussions are underway about the financial alignments, integrated enrollment processes, capitation rates, and other considerations to help consumers make informed choices. Detailed information can be found here.

The Kaiser Foundation on Medicaid and the Uninsured published an issue brief about the demonstration projects approved in California, Illinois, Massachusetts, Ohio, Virginia, and Washington states. See more at: http://ohiohospitals.org/Policy-Advocacy/Finance-Policy/Medicaid/Medicaid-Managed-Care.aspx#sthash.P0MGwMBN.dpuf
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