Source: Health Policy Institute of Ohio
The U.S. Department of Health and Human Services (HHS) has announced availability of $15 billion to eligible Medicaid and Children’s Health Insurance Program (CHIP) providers. The funds are intended to help hundreds of thousands of Medicaid providers that did not receive funding through the general distribution in April and May. For example, community health centers, speech therapists, and physical therapists that primarily serve children with disabilities were not included in the initial distributions of funding.
Eligible provider organizations include behavioral health and substance abuse providers as well as dentists, OB-GYNs, assisted living facilities and other home and community-based service providers, and pediatricians. Providers who are eligible will have delivered health care to Medicaid recipients and directly billed a state Medicaid program or Medicaid managed care plan between January 1, 2018, and May 31, 2020. Also, providers must not have received funding for the earlier $50 billion release of funds to Medicare providers.
The payment to each provider will be at least 2% of reported gross revenue from patient care. The final amount each provider receives will be determined after they submit data, including information about the number of Medicaid consumers they serve.
The Ohio Department of Medicaid worked with the Ohio Office of Budget and Management, the Ohio Department of Administrative Services, the Ohio Department of Developmental Disabilities, the Ohio Department of Aging, the Ohio Department of Mental Health and Addiction Services, the Ohio Department of Education, the Ohio Department of Job and Family Services, and Ohio’s Medicaid managed care organizations to submit information to the Centers for Medicare & Medicaid Services to enable providers’ eligibility to receive this enhanced funding.
Before applying through the enhanced provider relief portal, applicants should read the
Medicaid provider distribution instructions and download the Medicaid Provider Distribution Application Form.