CMS Denies Healthy Ohio Program Waiver

Previously, we informed you of the 1115 Demonstration Waiver request the Ohio Department of Medicaid (ODM) submitted to the Centers for Medicare & Medicaid Services (CMS) to implement the Healthy Ohio program, as required in law by the FY16/17 Operating Budget (review the article here). Now, CMS has announced that they have denied the waiver for several reasons, which you can read in the letter they sent to Medicaid Director John McCarthy.

In 2015, Gov. John Kasich proposed Medicaid enrollees who are not disabled and have income above 100% of poverty pay a portion of their insurance premiums, which is the norm for private health insurance. The final version of the budget replaced the Administration's premium program with a legislative requirement to enroll most Medicaid recipients into health savings accounts regardless of income. The Kasich Administration has stated that they will restart talks with the General Assembly about other options to ensure greater personal responsibility as they had outlined in their request.

For more information about the Healthy Ohio program, click here.

The Pollen Line is now closed. See you in the spring!

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