Tanya Salyers · December 9, 2021
Innovation Ohio Education Fund (IOEF) released an analysis of the DeWine Administration’s decision to require all consumers participating in Medicaid managed care — over 2.9 million Ohioans — to take action to keep their current plan or risk being assigned to a new plan by computer algorithm.
IOEF’s review found that this new policy could result in two million or more Ohioans experiencing a change in healthcare coverage.
The change, scheduled for spring 2022, coincides with the rollout of a new set of managed care plans. Last year, the DeWine Administration announced that it was renewing the contract of four of the five existing managed care companies, while one — Toledo-based Paramount Advantage — was not selected for renewal. Three new providers were selected to join the four incumbent plans beginning in July.
Before the policy change, the Ohio Department of Medicaid allowed members to change healthcare plans during the annual open enrollment period, but no action was required for a member who wished to stay on their current plan. Per the DeWine Administration’s new policy, even consumers whose provider was retained will be forced to affirmatively state their intention to keep their current healthcare plan. Medicaid members who do not make this proactive effort will be reassigned to one of now-seven providers.
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