Medicaid
OHA's Medicaid Web site has updates and information on the coverage and financing of Medicaid for Ohio's vulnerable and medically needy citizens, as well as OHA's advocacy efforts to keep payments to hospitals adequate to cover the cost of care.
Medicaid is a state and federally funded program for eligible low-income and medically vulnerable people. The State Children’s Health Insurance Program (SCHIP) came into existence as part of the Balanced Budget Act of 1997. SCHIP was designed to build on Medicaid to provide insurance coverage to “targeted low-income children” who are uninsured and not eligible for Medicaid, typically from families with incomes up to 200 percent of the federal poverty level. In Ohio, Medicaid is administered by the Ohio Department of Job and Family Services (ODJFS) in conjunction with 88 corresponding county departments. In 2009, the federal government reimburses the state almost three-quarters of every dollar spent on Medicaid health care services in Ohio.
View 10/5/11 ODJFS PowerPoint Presentation on 2012/2103 State Budget Medicaid Initiatives
View Archive Issues of Permedion's Ohio Medicaid Quality Monitor
View Archive Issues of OHA Finance News
ODJFS MITS to go Live August 2
April 8, 2011:
The Ohio Department of Job and Family Services (ODJFS) will launch its new Medicaid Information Technology System (MITS) Aug. 2 . MITS is a comprehensive software upgrade to the state Medicaid eligibility and claims processing systems that will have wide ranging effects on how ODJFS edits and pays fee-for-service Medicaid bills, including on-line, real time bill review, editing and adjustments. MITS will not affect Medicaid managed care bill processing.
Delayed since November, ODJFS reports tests are now showing consistent results on a set of comparative readiness criteria, so it is planing to go live with the new system Aug. 2. ODJFS has a MITS webpage with additional information and links to updates and newsletters. The department has also prepared a list of tasks providers should check and an outlibne of important MITS transition dates as part of their conversion planning. ODJFS will continue training sessions across the state in July.
Other Announcements