FINANCE NEWS - MEDICAID Connect here to view Medicaid-specific Finance News prepared by OHA's Health Economics & Policy team.
Ohio Large Provider Group OHA members can log in and view details of quarterly meetings of the Large Provider Group here.
MEDICAID AND OHIO HOSPITALS Medicaid was the payer in 23% of Ohio hospital encounters in 2020. Enrollment in Medicaid jumped to 27% of the state's population during the COVID-19 pandemic as many lost employer-sponsored coverage.
MEDICAID EXPANSION Ohio expanded Medicaid program eligibility in 2014 to include additional uninsured adults with incomes up to 138% of the federal poverty level. To be eligible for Medicaid coverage, individuals must: Be a United States citizen or meet Medicaid citizenship requirements Have or get a Social Security number Be an Ohio resident Meet financial requirements according to Modified Adjusted Gross Income
WHO IS COVERED The Ohio Department of Medicaid reports beneficiaries and expenses by four eligibility categories. Each group has its own income requirements: Covered Families and Children, or CFC—Pregnant women, infants and children Group VIII, expansion population—Individuals at or below 138 percent of the federal poverty level, including childless adults Aged, Blind and Disabled, or ABD—Individuals with disabilities Other—Including elderly
WHAT MEDICAID COVERS Medicaid assists in paying for: Inpatient and outpatient hospital care Physician, midwife and specific nurse practitioner care Laboratory and x-ray services Nursing home and home health care Early and periodic screening, diagnosis and treatment for children under age 19 Family planning Rural health clinics/federal qualified health centers Prescription drugs
QUICK LINKS Ohio Department of Medicaid Ohio Medicaid Quality and Utilization Program See Bluemark financial management and audit tools available to OHA members