The governor’s office has indicated that they don’t believe the state budget appropriates enough funds for Medicaid and that a physician/provider payment cut of 6% will be required. However, this cut won’t be across the board. Medicaid plans to meet with impacted associations in the next several weeks to discuss how the cuts will be applied.
In addition, language that would have abolished the Ohio CPC Program was removed from the final version of the bill, however, the budget does not include specific funding for the program. The Ohio CPC program remains a priority for the Kasich administration and the next payments to CPC practices will go out as planned. In July, the Office of Health Transformation and the Ohio Department of Medicaid will assess the Medicaid appropriation deficit in the current budget and evaluate options for the Ohio CPC program going forward, with a goal of extending the pilot and then opening the program to additional practices.
As for next steps, Ohio CPC practices will receive third quarter payments for the patients attributed to their practices, along with their third quarter member attribution file. The expectation is that practices will continue to engage with these patients consistent with the Ohio CPC model. Ohio CPC practice reports for second quarter are expected to be delivered in July.