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The Ohio budget would cut Medicaid for nearly 770,000 Ohioans if the feds cut their payment percentage
By: Karen Kasler | Statehouse News Bureau
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COLUMBUS, Ohio (Statehouse News Bureau) — There are 769,869 Ohioans receiving Medicaid through expansion of the program under the Affordable Care Act – which could end under a provision in… Read More
Bill seeks to help Ohio Medicaid patients being denied dental care based on age
By: Jo Ingles | Statehouse News Bureau
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COLUMBUS, Ohio (Statehouse News Bureau) — Some Ohioans who rely on Medicaid coverage for dental care are running into a problem: They are being denied coverage for that care because… Read More
More than 1 million people are dropped from Medicaid as states start a post-pandemic purge of rolls
By: David A. Lieb | Andrew DeMillo | AP
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More than 1 million people have been dropped from Medicaid in the past couple months as some states moved swiftly to halt health care coverage following the end of the… Read More
Supreme Court looks at whether Medicare and Medicaid were overbilled under fraud law
By: Nina Totenberg | NPR
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WASHINGTON (NPR) — The U.S. Supreme Court will hear arguments on Tuesday in a case that could undermine one of the government’s most powerful tools for fighting fraud in government… Read More
Medicaid renewals are starting. Those who don’t reenroll could get kicked off
By: Maria Godoy I NPR
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WASHINGTON (NPR) — Dominique Jackson has been on Medicaid for seven years. But the Columbus, Ohio, resident didn’t realize he’d have to verify his eligibility every year to keep his… Read More
Pandemic rules for Medicaid enrollment are ending soon. Here’s what that means
By: John Yang | Andrew Corkery | PBS NewsHour
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WASHINGTON (NewsHour) — The nation’s uninsured rate reached an all-time low during the pandemic, largely because Congress temporarily blocked states from kicking people off Medicaid even if they were no… Read More
Hidden audits reveal millions in overcharges by Medicare Advantage plans
WASHINGTON, D.C. (NPR) — Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage health plans, with some plans overbilling the government more than $1,000… Read More
Ohio House approves bill allowing doula services to be covered by Medicaid
By: Andy Chow | Statehouse News Bureau
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COLUMBUS, Ohio (Statehouse News Bureau) — A bill to expand access to doula services is moving to the Ohio Senate after receiving a near unanimous vote out of the Ohio… Read More
Advocates worry new law could lead to vulnerable Ohioans being kicked off Medicaid
By: Karen Kasler | Statehouse News Bureau
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COLUMBUS, Ohio (Statehouse News Bureau) — The COVID-19 Public Health Emergency that the federal government declared in January 2020 is set to expire on Saturday. That’s likely to be extended… Read More
A staffing crisis is causing a monthslong wait for Medicaid, and it could get worse
By: Bram Sable Smith | Rachana Pradhan | Kaiser Health News
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SALEM, Mo. (NPR) — Korra Elliott has tried to avoid seeing a doctor while waiting to get on Medicaid. She worries she can’t afford more bills without any insurance coverage…. Read More
Ohio AG Settles With Pharmacy Benefits Manager For $88.3 Million
By: Karen Kasler | Statehouse News Bureau
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COLUMBUS, Ohio (Statehouse News Bureau) — Ohio has settled a lawsuit filed just three months ago with a pharmacy benefits manager it accused of using subcontractors to overcharge Ohio’s Medicaid program…. Read More
Ohio Bill Toughening Welfare Program Eligibility Criticized
By: Associated Press
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COLUMBUS, Ohio (AP) — Social service advocates are criticizing an Ohio bill that would toughen eligibility for food stamps and Medicaid benefits. Beefed up monitoring of changes in food stamp… Read More
$2.4 Billion In Federal Medicaid Funds Helps Ohio Avoid Big Budget Hole
By: Karen Kasler | Statehouse News Bureau
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COLUMBUS, Ohio (Statehouse News Bureau) — 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… Read More
Ohio’s Medicaid Program To Get Major Overhaul
By: Jo Ingles | Statehouse News Bureau
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COLUMBUS, Ohio (Statehouse News Bureau) — Ohio Gov. Mike DeWine is ready to tackle reforming managed care in the Ohio Medicaid program. Three million people – one in three Ohioans –… Read More
Ohio Tax Collections Up, But So Are Medicaid Caseloads
By: Karen Kasler | Statehouse News Bureau
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COLUMBUS, Ohio (Statehouse News Bureau) — After three months of declines, Ohio took in 8 percent more in taxes than the Office of Budget and Management estimated, though much of that… Read More
Ohio Medicaid Seeks Ideas for Improving Patient Experiences
By: Associated Press
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COLUMBUS, Ohio (AP) – Ohio’s Medicaid department is asking for input from companies and organizations familiar with the program on how to improve the experience of patients. A formal request… Read More
Trump Administration Offers States A Way To Block Grant Medicaid
By: Selena Simmons-Duffin | NPR
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States can now apply to set up their Medicaid program with capped funding from the federal government. With this move, the administration delivers on a long-held conservative goal.
Waiver Gives Ohio More Options in Treating Opioid Addiction
By: Associated Press
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COLUMBUS, Ohio (AP) – The federal government is allowing Ohio more flexibility in what services it can provide to Medicaid patients addicted to opioids. The expanded options are coming through… Read More
Governor: Ohio Medicaid Lead Abatement Plan Gets Federal OK
By: Associated Press
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COLUMBUS, Ohio (AP) — Gov. Mike DeWine says Ohio’s Department of Medicaid has received federal approval for its plan to enhance and expand Medicaid’s lead abatement program. DeWine said in… Read More
State Data: Number of Children Enrolled in Medicaid Declines
By: Associated Press
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AKRON, Ohio (AP) – State data shows the number of children enrolled in Ohio’s Medicaid program declined over a 15-month period, with nearly 37,000 fewer children enrolled as of May… Read More
Feds Announce $17M Settlement with Health Care Firm in W.Va.
By: Associated Press
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CHARLESTON, W.Va. (AP) – Federal prosecutors say they’ve reached a $17 million settlement with a health care company accused of Medicaid fraud in West Virginia. U.S. Attorney Mike Stuart announced… Read More
Ohio Medicaid Wellness Initiatives To Include Quitting Smoking
By: Karen Kasler | Statehouse News Bureau
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Gov. Mike DeWine is revealing more about the wellness initiatives that he wants to implement for the 2.8 million people on Medicaid in Ohio, including the 677,000 in Medicaid expansion…. Read More
Federal Judge Again Blocks New Medicaid Rules in Kentucky
By: Associated Press
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FRANKFORT, Ky. (AP) – A federal judge has once again blocked new rules for Kentucky’s Medicaid program that would require people to get a job, go to school or volunteer… Read More
Ohio Gets Go-Ahead For Work Requirements For Medicaid Expansion
By: Karen Kasler | Statehouse News Bureau
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The federal government says Ohio can join the eight other states that have been given permission to impose work requirements on people in Medicaid expansion. When it’s implemented, recipients who… Read More
State Saved $4.4B According To Report From Health Plans
By: Andy Chow | Statehouse News Bureau
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The group that represents Ohio’s Medicaid health plans says their managed care process is saving the state about $2.2 billion a year. But critics say there are several improvements that… Read More