Ohio Announces Three-Stage Medicaid Managed Care Transformation Roll-Out

MM Curator summary

[MM Curator Summary]: Ohio has announced a schedule to restart all its paused reforms.


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In May 2022, the Ohio Department of Medicaid (ODM) announced that it would implement its Medicaid transformation initiatives in a three-stage rollout from July 1, 2022 through December 31, 2022. The first to go live is OhioRISE (Resilience through Integrated Systems and Excellence), a coordinated managed care program for children with complex behavioral health needs. In October, ODM will launch its centralized provider credentialing; and its single pharmacy benefit manager (SPBM). During the last three months of 2022, ODM will launch the seven Next Generation managed care organizations (MCOs).  ODM said the goal is to ensure member continuity of . . .

Clipped from: https://openminds.com/market-intelligence/news/ohio-medicaid-staggers-launch-dates-for-medicaid-managed-care-transformation-initiatives/