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Ohio Medicaid Basics 2009 provides an overview of Ohio Medicaid, including eligibility, key programs, and financing and expenditures. |
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Ohio Medicaid Basics 2009
NOTE: For specific information about Ohio's Medicaid
program, including individual eligibility and Medicaid provider claims,
please go to http://jfs.ohio.gov/ohp or call 1-800-324-8680.
Download Ohio Medicaid Basics 2009
(February 2009, pdf format, 3.3 MB)
Need Adobe Acrobat Reader? Download here.
Ohio Medicaid Basics
provides an overview of Ohio Medicaid, including eligibility, key
programs, and financing and expenditures. The publication is updated
every two years.
Introduction
Medicaid is Ohio’s largest health and
long-term care program. It combines state and federal funds to purchase
health care coverage for low-income and medically vulnerable citizens.
In reality, Medicaid is not one program but many:
- An insurance program for children, parents, pregnant women, elders,
and people with disabilities who meet certain low-income requirements;
- A program of chronic and long-term care for people with
disabilities, including people with mental illness, and low-income
elderly;
- A supplement to Medicare for low-income elderly and people with disabilities; and
- A source of funding for uncompensated care in hospitals.
Overview of Ohio Medicaid
Congress
created Medicaid in 1965 as Title XIX of the Social Security Act. Each
state administers its own Medicaid program. The federal Centers for
Medicare and Medicaid Services (CMS) monitor state-run programs and
establish requirements for service delivery, quality, funding, and
eligibility standards. Medicaid is voluntary for states but every state
participates. Ohio Medicaid began in 1968.
In Ohio, Medicaid
is administered by the Ohio Department of Job and Family Services
(ODJFS) through six state agencies, 88 county departments of job and
family services, 88 county boards of mental retardation and
developmental disabilities (MR/DD), 56 behavioral health boards, eight
managed care organizations, and 46,800 health care providers. Medicaid
accounts for 3.0% of Ohio’s economy and 26.8% of total state government
spending.2 Ohio spends more on Medicaid ($13.3 billion in 2006) than
any other program, including primary, secondary and higher education
combined ($12.2 billion).
Medicaid is not only Ohio’s largest
governmental program, it is growing faster than most other state
programs. As a result, Medicaid policy receives considerable attention
when the Governor and Ohio General Assembly put together the State’s
two-year operating budget. The next two budgets are due in June 2007
and June 2009.
Online Medicaid Resources
Prior versions of Medicaid Basics may be downloaded below: