PPT-CGI Ohio RAC Medicaid Update

June 2012 Agenda Similarities to the ODJFS Medicare RAC Program Differences to the ODJFS Medicare RAC Program Medicaid RAC Operations Provider Assistance and Online Tools Customer Service Ohio RAC Website. June 2012. Agenda. Similarities to the ODJFS Medicare RAC Program. Differences to the ODJFS Medicare RAC Program. Medicaid RAC Operations. Provider Assistance and Online Tools. Customer Service. Ohio RAC Website. Chicago Regional Office. Centers for Medicare Health Plan Operations. Yolanda Burge-Clark. August 19, 2014. 10 million (aprox) individuals that are enrolled in both Medicare and Medicaid (or “dual eligibles”).. Lon C. Herman, M.A.. Director, Best Practices in Schizophrenia Treatment (BeST) Center. Project Funded By:. Best Practices in Schizophrenia Treatment (BeST) Center. The BeST Center’s mission:. Promote recovery and improve the lives of as many individuals with schizophrenia as quickly as possible . OACAC Articulation 2017. Fall 2017. 1. OACAC Articulation. The Value of a Degree. (. Bachelor’s Degree compared to H.S. Diploma). Annual earnings are about . 134 percent . higher.. Lifetime earnings are approximately . Debbie Krider, GSIL COO . and Compliance Officer. January 17,2017. What is Medicaid Fraud?. Being paid for services that have not been provided or have not been provided in a reasonable standard of quality care.. Quality Management & Improvement. . Kelly Crosbie. Project Lead—Quality & Population Health. Jaimica Wilkins. Senior Program Analyst. March 16, 2018. DHHS Quality Management. Quality Strategy. Bob Applebaum. October 2017. Year 2000 2020 2040. Total Pop 11.4 11.7 11.7. (millions). 60 plus 1.9 (17%) 3.0 (25%) 3.4 (29%). How it Impacts . Hispanic Communities. Nita Carter, Health Equity Director UHCAN Ohio . Chair UHCAN Ohio Statewide Health Equity Committee. 1. What I Will Cover Today. Mediciad. Expansion. Status of Medicaid Expansion. Medicaid Expansion in Ohio How it Impacts Hispanic Communities Nita Carter, Health Equity Director UHCAN Ohio Chair UHCAN Ohio Statewide Health Equity Committee 1 What I Will Cover Today Mediciad Expansion Specialty Pharmacy NetworkThe Specialty Pharmacy Network applies to all Paramount Commercial and Paramount Advantage enrolled members Contact these pharmacies directly for assistance with your prescri Cost of Drugs for Individuals Served by Ohio Department of Developmental Disabilities. Who Does This Analysis Include?. Medicaid claims data was used to gather information about individuals who are served by the Ohio Department of Disabilities, and who had Medicaid claims in 2015.. Richard Benator, M.D., F.A.C.R.. ACR Pediatric Chair Economics. SPR Chair Public Policy. Vice Chair Division of Radiology. All Children’s Hospital. St. Petersburg, FL. My Story. October 1988. All Children’s Hospital 115 beds. Mandy Smith, Regulatory Director, OHCA. HSE|CEAL|CEHCH|LNHA|LMT|LPTA|RAC-CTA|WCC . msmith@ohca.org. 614-288-0613. What we will cover?. Group discussion. Infection control focus. Survey update. Top 10 deficiencies. Uninsured rate for adults below 138% went from 32.4% to 14%. 88% of 700,000 were uninsured. 51% age 45 and older. 27% diagnosed with chronic condition after eligibility. 38.8% had a chronic condition and 59.1% reported easier to manage .