Ohio Department of Medicaid · January 12, 2023 · Primary source
Congress sets April 1, 2023, as the official start date for Medicaid eligibility renewals Ohio Medicaid to resume regular eligibility operations and encourages enrollees to update their contact information. January 12, 2023
Summary
Ohio Medicaid announced that federally mandated Medicaid eligibility redeterminations will begin April 1, 2023, following Congress's passage of the Consolidated Appropriations Act decoupling the continuous coverage requirement from the federal public health emergency. The Ohio Department of Medicaid will conduct renewals over a 12-month unwinding period, using both automatic ex parte renewals and manual eligibility packets. ODM is directing members to update contact information and is coordinating with county departments, managed care organizations, and provider groups through an unwinding partner toolkit.
What this may mean
Ohio Medicaid's unwinding process directly affects managed care organizations, FQHCs, BH/SUD treatment facilities, and other Medicaid-dependent providers by creating a 12-month period during which enrollment may decline as ineligible members are disenrolled. Providers serving high volumes of Medicaid patients face potential disruption to their patient panels and revenue streams as renewals are processed. ODM's prioritization of cases deemed 'likely ineligible' signals concentrated administrative activity around that subset first.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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