Federal & State Updates


Federal Regulatory Activity


CMS Issues Guidance on State Medicaid Eligibility Processes.  CMS has issued guidance to state Medicaid agencies describing the necessary assurances that states should make to ensure that Medicaid program benefits are available only to those who meet eligibility requirements.


Ohio Department of Medicaid:

ODM Releases RFI.  ODM released a RFI to gather public input on the re-procurement process.

https://medicaid.ohio.gov/Portals/0/For%20Ohioans/Managed-Care-Procurement-Press-Release.pdf and below:

Ohio Medicaid seeks public input on making the program work better DeWine Administration begins process to select Medicaid managed care partners

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. ODM’s first step in the process is collecting feedback on current Medicaid services, what is working and ideas for improvement.

Ohio Governor Mike DeWine called on Ohio Medicaid in early January to ensure Ohioans get the best value in providing quality care. “Our mission in this process is to focus on the individual rather than on the business of managed care,” said Governor DeWine. “The request for feedback released today seeks information specifically from individuals receiving Medicaid services, providers and advocates. Their voices are vital to a just and fair managed care program.”

Feedback is being sought from individuals and providers in multiple areas, including:  • How managed care organizations communicate and support individuals and providers • What benefits are most helpful • How to best coordinate individual care • How to file complaints and appeal managed care organization decisions

All feedback is important and will be considered throughout this process. Anyone that would like to share their experience with the current Medicaid managed care program or ideas and solutions for the new program are able to submit feedback through the RFI webpage.

“Hearing from stakeholders is an essential part of Medicaid’s mission to put individuals first throughout the entire process to select managed care partners,” said Maureen M. Corcoran, director of ODM. “We encourage anyone whose life is touched by Medicaid and the health coverage it provides to share their input.”

ODM Seeks Public Comment on HCBS Statewide Transition Plan.  ODM is seeking public comment on the final HCBS Statewide Transition Plan that is being submitted to CMS for final approval. You can find the plan at: https://medicaid.ohio.gov/RESOURCES/Public-Notices/HCBS-Statewide-Transition-Plan6152019.