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Ohio

Ohio Financial Alignment Demonstration

SPOTLIGHT & RELEASES
08/14/2019 - Ohio Medicare-Medicaid Plan Quality Withhold Analysis Results for Demonstration Year 3
07/23/2019 - Three-Way Contract (effective 07/01/2019) & Summary of Contract Changes (effective 07/01/2019)

 

On December 11, 2012, the Centers for Medicare & Medicaid Services (CMS) announced that the State of Ohio will partner with CMS to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience.

Under the demonstration, Ohio and CMS will contract with health plans that will coordinate the delivery of and be accountable for all covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. 

Key Dates

December 11, 2012 - CMS and Ohio sign MOU

February 11, 2014 - CMS, Ohio and participating plans execute three-way contract

May 1, 2014 - Start of opt-in enrollment

January 1, 2015 - Scheduled start of passive enrollment

July 1, 2019 - CMS, Ohio and participating plans execute updated three-way contract

More information from CMS:

Information for Plans:

Information for Beneficiaries and Providers:

Information from the State of Ohio:

Funding Support: