Explanation
BACKGROUND: The Ohio Department of Job and Family Services (ODJFS) has selected five qualified managed care organizations to provide service to Ohioans enrolled in Medicaid beginning July 1, 2013. These five plans were selected through a fair and open application process and an objective scoring methodology that was based on applicants’ past performance in coordinating care and providing high-quality health outcomes. The five managed care organizations are:
Buckeye Community Health Plan, Inc. FEIN - 32-0045282
Caresource FEIN - 31-1143265
Molina Healthcare, Inc. FEIN - 20-0750134
Paramount Advantage FEIN - 20-3376102
UnitedHealthCare of Ohio, Inc. FEIN - 31-1169935
The selection process is part of Ohio Medicaid’s commitment to paying for performance and value, which was a hallmark of the Medicaid reforms in the Jobs Budget (House Bill 153), which saved taxpayers $1.5 billion and will improve care for vulnerable Ohioans.
Columbus Public Health, through its various clinics, has provided needed care to Medicaid patients for many years and wishes to continue to be a provider. This ordinance authorizes the Board of Health to enter into revenue contracts beginning July 1, 2013, with the five selected managed care organizations, and with any other plans that the ODJFS may approve.
FISCAL IMPACT: These monies will be deposited into the appropriate Health Department Fund based on the clinic that provides the reimbursable services. Because this is just a new process and not a new revenue source, the monies are already included in Health’s Revenue Estimates and, as such, are already appropriated to the Health Department.
Title
To authorize the Board of Health to enter into revenue contracts beginning July 1, 2013, with the Ohio Department of Job and Family Services’ five selec...
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