Ohio preparing plans, waiver to require cost-sharing in Medicaid

March 29, 2016

Republican Gov. John Kasich's administration said it's moving forward with plans to require more than 1 million Ohioans on Medicaid to pay a monthly cost for their health coverage or potentially lose it. If successful, officials plan to begin requiring Medicaid recipients to pay into a health savings account to support the cost of their coverage beginning in 2018. Under the plan, the administration must seek a waiver so Ohio can require certain Medicaid recipients to pay into a health savings account regardless of their income. Beneficiaries, except pregnant women, could be cut from the safety net program if they don't annually contribute 2% of their family income or $99, whichever is less. Ohio Medicaid Director John McCarthy said the administration will make a draft of its waiver available for public comment beginning April 15. Two public hearings are planned over the 30-day comment period that ends May 13. The state will then incorporate the feedback into its draft, though legislators left few areas open to change. The administration tentatively plans to send the waiver application to CMS for approval in mid-June.
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