2021 PRESS RELEASES

COLUMBUS, Ohio – Today the Ohio Department of Medicaid (ODM) announced Myers and Stauffer as its Pharmacy Pricing and Audit Consultant (formerly known as Pharmacy Operational Support Vendor). In this capacity, the firm will serve a critical role in bringing greater transparency and accountability to the state’s Medicaid prescription drug benefit.

 

COLUMBUS, Ohio – Ohio Department of Medicaid Director Maureen Corcoran today announced the selection of six health care organizations to lead the department’s evolution of managed care services for its more than 3 million members and thousands of medical providers.

 

COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) selected Aetna to serve as the specialized managed care organization for the state’s children with the most complex behavioral health needs under the new OhioRISE (Ohio Resilience through Integrated Systems and Excellence) program.

 

COLUMBUS, Ohio – More than 860,000 Medicaid members have taken advantage of telehealth services filing more than 5.8 million claims in the year since Gov. Mike DeWine reduced restrictions on online medical visits due to the pandemic, the Ohio Department of Medicaid announced today.

 

COLUMBUS, Ohio – Pharmacists affiliated with the Ohio Medicaid program now have the opportunity to enroll as recognized providers, introducing a new dimension of clinically sound health care support to more than 3 million Ohioans.

 

COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agency’s single pharmacy benefits manager (PBM). The award moves Ohio closer to realizing greater transparency and accountability in Medicaid’s $3 billion pharmacy program.

 

2020 PRESS RELEASES

COLUMBUS, Ohio – Governor Mike DeWine signed Executive Order 2020-42D yesterday as an emergency rule to preserve the public health by providing the Ohio Department of Medicaid (ODM) the flexibility to ensure eligible individuals can quickly and efficiently receive health care services during the COVID-19 state of emergency.

 

  • 12/15/2020 Pacesetter prize awarded to Ohio Medicaid for improvements in long-term services and supports
    • COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) has been awarded the Pacesetter Prize by The SCAN Foundation in recognition of its continued efforts to improve the lives of older adults, people with disabilities, and their family caregivers across the state. ODM was specifically recognized for its leadership in transitioning people who need long-term services and supports (LTSS) out of institutions and back into the community.

     

    COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important step forward in delivering a person-centric next generation managed care program to Ohio.

     

    COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) is joining forces with the five Medicaid managed care organizations (MCO) and Area Agencies on Aging (AAA) to support Ohioans most vulnerable to COVID-19. From now through the holidays, individuals living in nursing and assisted living facilities can receive additional social and emotional supports through a joint “friendly caller” initiative.

     

    COLUMBUS, Ohio – Today the Ohio Department of Medicaid (ODM) released its request for proposals (RFP) inviting bids for its pharmacy operational support vendor (POSV). The POSV will strengthen ODM’s fiscal stewardship of the $3 billion pharmacy benefit program by assisting the agency with two critical functions:
    • Pharmacy reimbursement and benefits design.
    • Pharmacy program performance monitoring and financial oversight.
    COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) today released its request for applications (RFA) inviting bidders to submit proposals for OhioRISE (Ohio Resilience through Integrated Systems and Excellence), a specialized managed care program serving Ohio’s kids with the most complex behavioral health and multi-system needs.

     

    COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) will host a virtual announcement Oct. 28, releasing its request for applications (RFA) for OhioRISE (Ohio Resiliency through Integrated Systems and Excellence). OhioRISE will be a specialized managed care plan focused on serving Ohio kids with complex behavioral health needs. It is an integral component of ODM’s strategy to do better for the individuals served. ODM’s next generation managed care model intentionally unbundles select elements of the current program to provide greater oversight, improve health outcomes, and increase transparency and accountability.

     

    COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) has joined forces with the five Medicaid managed care organizations (MCO) to introduce new initiatives to address gaps in childhood immunizations – a side effect of the pandemic that emerged as families stayed home to slow the spread of COVID-19. The Centers for Disease Control and Prevention and the American Academy of Pediatrics confirmed a notable decline in routine pediatric vaccination rates due to the pandemic.

     

    COLUMBUS, Ohio – Ohio’s primary care providers are invited to enroll in Ohio Department of Medicaid’s 2021 comprehensive primary care (CPC) and CPC for Kids programs. Enrollment is open through Oct. 30.

     

    COLUMBUS, Ohio – Today the Ohio Department of Medicaid (ODM) released a Request for Applications (RFA) inviting managed care organizations (MCO) to submit proposals for Ohio’s next generation managed care program supporting more than 90 percent of Ohioans receiving health care services through Medicaid.

     

    COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) request for proposals (RFP) for a single pharmacy benefit manager (SPBM) closed Friday, Sept. 11. The agency is no longer accepting bids for this procurement.

     

    COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) announced today that it has filed permanent rules to continue expanded telehealth options throughout the COVID-19 pandemic and beyond. The proposed rules expand eligible telehealth services and eligible providers while relaxing barriers for patients accessing telehealth.

     

    COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) today released a request for proposal (https://medicaid.ohio.gov/RESOURCES/Legal-and-Contracts/RFPs) to move the agency’s managed care program to a single pharmacy benefit manager (SPBM). Once implemented, Medicaid’s pharmacy benefits strategy will ease provider administrative burdens, reduce operational costs and strengthen the state’s fiscal oversight of this vital health care benefit.

     

    COLUMBUS, Ohio – The Ohio Departments of Aging and Medicaid have introduced two measures to keep seniors connected to loved ones during the COVID-19 pandemic. Effective July 1, the state can begin reimbursing nursing facilities across the state for the purchase tablets and other online communications devices for residents to use to communicate with family and friends. Ohio Medicaid also eased rules that afford loved ones the opportunity to provide and be reimbursed for support services for seniors residing in home and community-based settings, thereby minimizing risk of external exposure to the virus.

     

    COLUMBUS, Ohio – Beginning today, Ohio pharmacies serving Medicaid beneficiaries can submit COVID-19 diagnostic testing claims for reimbursement by the Ohio Department of Medicaid (ODM).

     

    COLUMBUS, Ohio – The Ohio Department of Medicaid (ODM) today released a request for information (RFI) outlining its vision for a reimagined statewide managed care program. The RFI seeks input from providers, associations, advocacy groups, data and information technology vendors, and managed care organizations.

     

    COLUMBUS, Ohio – The Ohio Department of Medicaid is taking another step toward strengthening health care delivery for Ohio’s youngest Medicaid members. Ohio Medicaid will release the first payment for its new Comprehensive Primary Care (CPC) for Kids program, which has been launched to measurably improve child health and wellness across the state. To participate, pediatric primary care providers must adhere to a set of comprehensive access and care standards, work toward clinical and quality goals designed specifically for children, and serve a minimum of 150 children enrolled in Ohio Medicaid.

     

    COLUMBUS, Ohio – Today the Ohio Department of Medicaid (ODM) released results of the Centers for Medicare and Medicaid Services (CMS) fiscal year 2019 (FY2019) Payment Error Rate Measurement (PERM) audit along with the department’s corrective action plan addressing case backlogs. CMS recognized strategies proposed by ODM to strengthen regulatory compliance for shortcomings including eligibility and enrollment issues.
     

     

    COLUMBUS, Ohio - Today, the Ohio Department of Medicaid (ODM) Director Maureen Corcoran released a 2019 year-end summary memo to Governor DeWine. The memo (attached) summarizes a series of inherited issues that the Ohio Medicaid confronted during its first year under the DeWine administration. Ohio Medicaid provides health care coverage, services, and support to nearly 3 million Ohioans.

     

    2019 PRESS RELEASES

    COLUMBUS—On January 1, Ohio Department of Medicaid (ODM) members will realize another benefit of the agency’s commitment to transparency and access through the official introduction of a unified preferred drug list (UPDL).

     

    COLUMBUS – The Ohio Department of Medicaid (ODM) was awarded a seven-year, $16 million Integrated Care for Kids (InCK) grant from the Centers for Medicare and Medicaid (CMS).

     

    COLUMBUS – The Ohio Department of Medicaid (ODM) has finalized and published the Unified Preferred Drug List (UPDL) in preparation for January 1, 2020, implementation.

     

    COLUMBUS – The Ohio Department of Medicaid (ODM) today released an Analysis of Pass-Through Pricing Implementation report

     

    Columbus, Ohio —The Ohio Department of Medicaid (ODM) today released a request for information RFI) to gather public input as ODM begins the process to select new managed care partners.

     

    Ohio Medicaid promotes efforts to connect individuals with jobs.

     

    Directors Cornyn & Corcoran to visit Rocking Horse Community Health Center to discuss Gov. Mike DeWine’s budget priorities.

     

    COLUMBUS – The Centers for Medicare and Medicaid Services (CMS) has approved Ohio’s work requirement and community engagement waiver for able-bodied Ohioans in the Medicaid expansion population.

    Media Contacts

    Lisa Lawless
    Communications Director
    Lisa.Lawless@medicaid.ohio.gov
    O 614-752-3567
    C 614-813-5358

     

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