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The transition to managed care has been launched

The transition to managed care has been launched

On June 24, PCSAO co-hosted a meeting with the Ohio Association of Health Plans to officially launch the transition of children in custody and youth on adoption assistance to managed care.

Over 130 participants from county Public Children Services Agencies (PCSAs), Ohio’s Medicaid five managed care plans, Ohio Department of Job and Family Services (ODJFS), Ohio Department of Medicaid (ODM), and the Ohio Children’s Hospital Association attended this meeting. Jennifer Justice, ODJFS deputy director of the Office of Families and Children, provided an overview of Ohio’s child protection system and Patrick Stephan, ODM deputy director of managed care, provided an overview of Ohio’s managed care system and. Each managed care plan (Buckeye Health, CareSource, Molina Healthcare, Paramount, and UnitedHealthCare) presented on the following specific managed care topics: covered benefits, utilization management, denials/appeals/grievances, care coordination, and information sharing.

Several PCSAs who have been intimately involved in the planning of this transition were available to lead the discussion and encourage additional questions from the audience. Those PCSAs include Clark, Fairfield, Franklin, Knox, Medina, Montgomery, and Trumbull. This was a great opportunity for PCSAs to become more informed about the benefits and opportunities this transition will provide to children in custody and youth on adoption assistance.

Starting in January 2017, all children in custody of county PCSAs and youth receiving adoption assistance will be receiving their health care through a Medicaid managed care plan. The county PCSAs will have to select which managed care plan to enroll each child in care beginning this fall with those currently in custody. Adoptive families will have to select which managed care plan to enroll their adoptive youth in this November. ODM and ODJFS are planning to host regional trainings in July and August at the Ohio Child Welfare Regional Training Centers for PCSA staff, private agencies staff, adoptive parents and foster parents. The presentations from the June 24 Launching the Transition to Managed Care meeting include:

Ohio Department of Job and Family Services’ Child Protection Overview
Ohio Department of Medicaid’s Managed Care Overview
Managed Care Topics