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Dual Eligibles and Ohio’s Integrated Care Delivery System (ICDS)

Dual Eligibles and Ohio’s Integrated Care Delivery System (ICDS)

Last week, the Midwest Care Alliance Public Policy Committee met to discuss key policy issues in Ohio around hospice, home care, and palliative care. The committee met with representatives from the Ohio Association of Health Plans to discuss the future of managed care in Ohio and implementation of the Integrated Care Delivery System (ICDS) in April 2013. Now that the health plans have been chosen for each of the seven ICDS regions, the selected plans are beginning to formalize their plans for implementing managed care for those dual eligible populations. The group discussed how Midwest Care Alliance members could contribute to planning and discussions on how members can be included in contracts with the Managed Care Organizations.  A major difficulty for everyone involved is not yet knowing what the “blended” payment rate for home care and hospice will be.

The committee also met with Larke Recchie, Executive Director from the Ohio Association of Area Agencies on Aging, who have been named in plans with the state as the “front door” and case manager of individuals in the ICDS over age 60 for home- and community-based services. Both associations expressed the need to work together with Midwest Care Alliance and our members to best serve individuals in Ohio who are dually eligible for Medicare and Medicaid.

Midwest Care Alliance will be setting up regional meetings with our members and health plans to help facilitate conversations and partnerships. Please look for more informations on meetings soon.