My Care Ohio
The federal government has approved Ohio’s implementation of an integrated care delivery system called My Care Ohio. This system is for dual-eligible adults with disabilities that are not developmental and for adults aged 60 and older. Dual eligibility means a person receives all health care and long-term care through Medicare and Medicaid. The target date for starting My Care Ohio in Northeast Ohio is March 2014. Participants will be required to receive their Medicaid coverage through one of three managed-care organizations: Buckeye Community Health Plan, CareSource, or United Community Plan. This a major change for persons with disabilities. To learn more about this program, read the My Care Ohio information sheet for consumers.
The U.S. Supreme Court has held that Medicaid expansion under the Affordable Care Act is voluntary on the part of the states. Ohio is still discussing whether it will “reform” Medicaid in 2014, as the law allows, covering Ohioans up to 138 percent of the federal poverty level (FPL). If expansion is adopted, access to health care will be based primarily on income and not on a person’s disability. This would provide more coverage for individuals with disabilities, working parents, and adults without minor children who are not covered under current law.
Medicaid Buy-in for Workers with Disabilities
As part of the state's discussion of "Medicaid reform," a bill has been introduced in the Ohio House that would eliminate the Medicaid Buy-in for Workers with Disabilities (MBIWD) program. Earlier in the discussion, the administration had proposed a rule that would give the state Medicaid director the authority to alter or terminate MBIWD and other optional eligibility groups. Advocates worked to have this section deleted from the budget, but we will need to monitor progress of the current bill and be prepared to protect this important program. As a member of the Ohio Olmstead Task Force, LEAP is distributing an easy-to-understand guide on how the buy-in program helps people with disabilities. Contact us to request a copy.