The increase in Ohio Medicaid caseloads could have blown a hole in the new two-year state budget. But the spending plan includes a huge infusion of federal cash for the state’s largest part of the budget, the health insurance program for the poor.
Advocates are worried about the process that will eventually require thousands of Ohioans in Medicaid expansion to work 20 hours a week or lose their benefits, which the state got permission to impose earlier this year.
As of last Friday, the state has federal permission to require 20 hours of work per week for many non-disabled people on Medicaid expansion. The state’s Medicaid director has put a number on how many people might be affected – and how much it might cost to put those requirements in place.