The Ohio Department of Medicaid (ODM) is seeking new contracts with managed care companies that oversee care for most Medicaid enrollees in the state and is interested in hearing from family physicians about their experience with the current managed care system. Medicaid is specifically looking for ideas to improve physician experience, service quality, and system accountability.
According to Medicaid Director Maureen Corcoran, “We want firsthand experience about what’s working and what’s not…We want to hear from everyone who wants to be heard.”
Individual physicians or family medicine practices can submit comments directly to the ODM by Wednesday, July 31. Ohio Academy of Family Physicians members can submit comments to the OAFP by Wednesday, July 24, and the OAFP will synthesize the comments for submission prior to the deadline.
- How Medicaid could promote greater consistency of prior authorization requirements across managed care plans (e.g., requiring all managed care plans to use the same form, or having the state establish what can or cannot be prior authorized)?
- What other functions or processes should be standardized?
- How could policy updates and notification about plan policy changes be improved?
- How could managed care plans help physicians with navigating administrative requirements?
- How could data sharing between the state, managed care plans, and physicians be improved?
- How could managed care plans support primary care practices with integration of care?
- How could the state and managed care plans support workforce development for primary care physicians?
Feedback provided will help Medicaid develop a formal request for proposals from managed care companies interested in the work. New contracts tentatively will take effect in January 2021.