Medicaid Expansion in 2014 ACA creates new option to expand Medicaid eligibility Ensures Medicaid...
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Transcript of Medicaid Expansion in 2014 ACA creates new option to expand Medicaid eligibility Ensures Medicaid...
Medicaid Expansion in 2014
• ACA creates new option to expand Medicaid eligibility
• Ensures Medicaid coverage for all adults 19-64
with incomes up to 138% FPL
• Shifts to simplified way of calculating income to determine eligibility and streamlines the application process
Simplifying Medicaid
• October 1, 2013 - Ohio launch a new Medicaid eligibility system, Ohio Benefits - http://Benefits.Ohio.gov
– Those who do not qualify for Medicaid will be directed to other opportunities for coverage through the federal health insurance exchange.
• 2016 – It is anticipated that Job and Family Service will add eligibility determination to Ohio Benefits for the Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance for Needy Families (TANF) and other programs.
• 12 month eligibility period
Medicaid Eligibility Requirements
• Be United States Citizen or meet Medicaid citizenship requirements
• Be an Ohio resident
• Have or be able to obtain a social security number
• Meet certain financial requirements- Medicaid
More information is found at the Medicaid Websitemedicaid.ohio.gov/forohians/GetCoverage/WhoQualifies.aspx
How to Apply - On Line Applications
www.benefits.ohio.gov
Simple Streamline ApplicationSept 1: Create an account
Enter Demographic Information
Income Guidelines
In Person or By Mail
In person
By Mail
Over the Phone
Call the Medicaid Consumer Hotline1-800-324-8680
Things Clients Can Do To Get Ready
1. Create their account for Medicaid on Benefits.ohio.gov
2. Start gathering basic information. Family information such as DOB, income, and relationship in the family
3. Make a list of questions you have before it’s time to choose your health plan. For example, How do I select a MCP? Is my doctor in network? My Hospital?
Managed Care Plans
• Buckeye Community Health Plan
• CareSource
• Molina Healthcare of Ohio
• Paramount Advantage
• United Healthcare Community Plan of Ohio
Reporting Life Changes
Individuals must report changes within 10 days
• Address• Marital status• Pregnancy status• Changes in income• Addition or loss of Insurance
Post Enrollment Issues
• Status of application
• Questionable denial
• How do I select a Managed Care Organization – MCP
• Understanding how insurance works
• Medicaid renewals
Medicaid Renewals
• Online – renewal tab
• Call the county hotline to complete a short Supplemental Tax Questionnaire
• Contact the Ohio Medicaid Consumer Hotline
• Complete the paper renewal form
• Passive renewals
Benefits.ohio.gov
Questions?