Ohio Medicaid says it will continue to enforce a new rule requiring background checks of Medicaid providers. Some of them say the new practice will cost some good providers their jobs and will worsen tight staffing situations.
The state auditor is urging lawmakers to tell Ohio Medicaid to halt its plan to change its contracts with two pharmacy benefits managers over the way those prescription drug middlemen price their services.
It’ll be at least a week before the state will release a full report it commissioned on how much it’s paying its pharmacy benefit managers compared to how much those PBMs are paying out to pharmacies for drugs for Medicaid recipients.
In a little over two weeks, mental health and addiction services for low income Ohioans will be moved into Medicaid managed care. But many behavioral health and family services providers say this huge change is straining their finances. But the group that represents Ohio’s health insurers says the move can’t be delayed.
While the Speaker saga drags on, there are more than 150 bills that are awaiting action in the House. One is a measure that would preserve money for a program that serves more than 800 at risk kids with severe behavioral needs each year.
The state is moving mental health and addiction services for low income Ohioans into Medicaid managed care by July 1, and it’s the biggest and most complicated change the behavioral health system in Ohio has ever seen. But a survey of more than a hundred of those providers shows the redesign is straining their finances and could shut them down.
State lawmakers want more information about the billing practices of companies that handle prescription drug benefits for millions of Medicaid recipients in Ohio. That's because they’re being accused of using the pharmacies they operate to drive smaller pharmacies out of business.
The Trump Administration is clearing the way for states to attach work requirements for Medicaid. The announcement has sparked outrage among health care advocates. This can mean some changes for the state’s program.
Time is running out for Congress to approve more funding for the Children’s Health Insurance Program before the money dries up. It's operated by states and Ohio has a plan for the program known as CHIP in case Congress doesn’t act.
The Trump Administration has signaled it’ll give flexibility to states when it comes to how they operate their Medicaid programs. That will likely open the door for Ohio to implement a controversial measure.
For the first time since lawmakers required it in the budget, Gov. John Kasich’s administration made a trip to the Statehouse to ask a panel of legislators to release hundreds of millions of dollars to fund Medicaid.
The state is redesigning the way mental health and addiction services are covered under health care plans. Those services are critical in fighting the deadly opioid crisis. That means a lot of testing is needed before implementing the new system.
For months, Republican Gov. John Kasich has been talking about his work with Democratic Colorado Gov. John Hickenlooper on health insurance reform. A proposal from the governors may be close, but it won’t touch one of the most expensive and controversial points of the federal health care law.
There were a lot of cuts in this new state budget, largely because tax revenues were off nearly $850 million dollars for the last fiscal year. There’s one budget cut that’s small, but some worry it could have a huge impact on people who really need that money.
Nine of the 11 vetoes that state representatives voted to override in the state budget this week are related to Medicaid, though not the big veto on the plan to freeze Medicaid expansion enrollment next year. That was likely no accident, because Medicaid was in the spotlight and under the microscope this time.
The state budget director was off by almost a billion dollars in its projections on tax collections for the fiscal year. But his prediction that the year that ended last week would close in the black was right.
There may have been occasional disagreements between Ohio’s Republican-dominated House and Senate and Republican Gov. John Kasich, but he’d issued more than a hundred vetoes in his seven years in office without one being overturned. Today, that changed dramatically.
State lawmakers are trying to hash out a final budget deal that they can send to the governor’s desk. This includes how they’ll spend money to fight the opioid epidemic while closing a more than $1 billion budget hole. But there’s a big issue that looms over the discussion.
Lawmakers and the Kasich administration have gone back and forth on a budget issue that would change the way people with long term health problems would receive medical care. That provision is still on the table as the Senate works to craft their final draft of the budget bill.
The state wants to change to the way mental health and addiction services are billed and coded, to align with national standards. But providers of those services, which are already stressed because of the opioid crisis, are very concerned.
Gov. John Kasich has been gaining national attention for criticizing the health care proposal coming from Congressional Republicans, especially when it comes to cutting Medicaid coverage. Kasich says there’s not much he and other state leaders could do if those cuts happen.