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NewsNow - 04.13.2021

ODM Announces Six Partners to Further Next Generation of Managed Care

The Ohio Department of Medicaid (ODM) has announced the selection of six health care organizations to lead the department’s evolution of managed care services for its more than 3 million members and thousands of medical providers. Additional information about the announcement can be found in the press release and supplemental briefing document. The selection comes after more than two years of intensive stakeholder engagement to define opportunities to strengthen the structure of Ohio’s $20 billion managed care program. It addresses Governor Mike DeWine’s direction at the beginning of his term to re-evaluate Ohio’s managed care system with the goal of making the system more focused on individuals. The six MCOs selected for the next generation managed care program are: 

  • UnitedHealthcare Community Plan of Ohio, Inc.
  • Humana Health Plan of Ohio, Inc.
  • Molina Healthcare of Ohio, Inc.
  • AmeriHealth Caritas Ohio, Inc.
  • Anthem Blue Cross and Blue Shield
  • CareSource Ohio, Inc.

Ohio Medicaid is deferring for additional consideration its decision related to Buckeye Community Health Plan. Ohio Medicaid members will continue to receive services with their current managed care plans until the transition in early 2022 and will not lose coverage. Members will have the opportunity to select a new plan during the 2021 open enrollment period later this summer. If members do not select a plan, one will be automatically assigned to them, assuring continuous access to health care without interruption. Ohio Medicaid’s next generation managed care selection, contingent upon the signing of contracts, is slated to go live in early 2022. Members will continue to receive services with their current plans through the transition period and will have the opportunity to select a new plan through an open enrollment period beginning in late summer. Learn more about ODM’s next generation managed care program by visiting managedcare.medicaid.ohio.gov.

National Prevention Week Video Challenge

This year during National Prevention Week (NPW), May 9–15, 2021, the Substance Abuse and Mental Health Services Administration (SAMHSA) wants to highlight the work of young leaders involved in prevention programs by asking them to record a short video highlighting their work and motivation to take on leadership roles. To participate, youth leaders are encouraged to create and post videos to their social media accounts (Instagram, Facebook, Twitter, YouTube, etc.) and tag @SAMHSA and use the hashtag #YouthLeadingPrevention. SAMHSA will highlight #YouthLeadingPrevention throughout National Prevention Week and share some of the best videos. To be considered for inclusion in the NPW
10th anniversary video, entries must be posted no later than April 22. For questions or further information, please contact David Wilson at David.Wilson@samhsa.hhs.gov.

Work Incentive/Benefits Planning Training Opportunity – May 10-June 3

The Ohio Department of Mental Health and Addiction Services (OhioMHAS) will be sponsoring Work Incentives/Benefits Planning training, facilitated by Cornell University. This intensive certification program requires participation in a four-week virtual training, completion of a provisional certification on-line examination, and file review that upon successful completion, will result in full certification as a work incentive practitioner. The training session will begin May 10 and conclude June 3. Most trainings will take place on Mondays and Wednesdays from 8 a.m.-noon, with the exception of May 31 (Memorial Day). During the last week participants will have class Tuesday and Thursday from 8 a.m.-noon. This training is being offered, at no cost, to supported employment teams and others currently working at organizations that promote work/education as part of recovery and will use the service to assist individuals throughout their journey. For more information on Cornell’s certification program, please visit https://www.ytionline.org/webinarseries/1. Spots are limited and will accommodated on a first come first serve basis. Please email Kelly Malek kelly.malek@mha.ohio.gov the person from your organization who will attend the training by April 30. Please include their name, email, and best phone contact information.

Dual Medicaid Enrollment of Peer Recovery Supporters

The following information was shared via MITS BITS last week and is being amplified here as a courtesy.
OhioMHAS, the Ohio Chemical Dependency Board (OCDP), and Ohio Counselor, Social Worker and Marriage and Family Therapist Board (CSWMFT) have recently released guidance regarding practitioners who hold a Peer Recovery Supporter certification from OhioMHAS and a license from OCDP and/or CSWMFT boards. These statements provide general guidance regarding related considerations for practicing as a peer recovery supporter while also working as a practitioner licensed by CSWMFT and/or OCDP.
Full guidance statements can be found here:
Ohio Peer Recovery Supporter Webpage- can be found under the Dual Certification link (bottom of page)
Based on this guidance, the Ohio Department of Medicaid (ODM) and Medicaid Managed Care Plans will allow dual Medicaid enrollment of individuals certified as Peer Recovery Supporters by OhioMHAS and also licensed by the OCDP Board and/or CSWMFT Board. Once dually enrolled, and in accordance with licensing board guidance above, individuals will be eligible to render peer recovery support services as a Peer Recovery Supporter, and will be eligible to render other behavioral health services under their license when allowable within their scope of practice.

Instructions for practitioners seeking to add a credential to their current Medicaid enrollment:

For those already enrolled in MITS:
  • Either agency or practitioner email ODM Provider Enrollment (Medicaid_Provider_Update@medicaid.ohio.gov) requesting the specialty be added manually.
  • Include in the email an attachment documenting the license/credential being added.
  • Please also include your Name, Medicaid ID # and/or NPI #
  • ODM will reply to the email once the specialty has been added.
Once ODM receives the request, provider enrollment staff will review and set an effective date based on the individual circumstances of the applicant.
For new Medicaid applicants:
  • With the initial Medicaid application, add a note in the “Comments” section on the final screen that practitioner holds a second license/certificate.
  • Upload both licenses/certificates at time of application.
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