Overview
The Ohio Department of Job and Family Services (ODJFS) is the single state agency with responsibility for implementation and administration of the Ohio Medicaid program. As a value purchaser of health care, Ohio Medicaid has incorporated the use of managed care since 1978 to enhance system accountability for access and quality as well as to achieve greater cost predictability. Managed care offers an opportunity to assure access to a primary care provider, emphasize preventive care, and encourage the appropriate utilization of services in the most cost-effective settings.
Managed Care Plans (MCPs) cover Medicaid consumers in the Covered Families and Children category, which includes Healthy Start and Healthy Families. The Ohio Medicaid managed care program currently operates under a 1915(b) waiver approved by the Centers for Medicare and Medicaid Services and is administered by the Bureau of Managed Health Care (BMHC).
BMHC is responsible for the development, administration, and assessment of the Ohio Medicaid Managed Care Program. The responsibilities of BMHC are centered around enrolling and disenrolling Medicaid consumers into and from MCPs, assuring access to quality health services, and monitoring MCP performance.
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Medicaid Managed Care Updates
Bureau of Managed Health Care Reports
- Medicaid Managed Health Care Statewide Progress Reports
- Medicaid Managed Health Care Clinical Performance Measures
- Medicaid Managed Care Prompt Pay Semi-Annual Reports
- Medicaid Managed Care Enrollment Center Monthly Reports
- Medicaid Managed Care Monthly Enrollment Reports
- Membership Updates
- Customer Satisfaction Survey
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For additional information about Ohio's Medicaid managed care program, please contact:
Bureau of Managed Health Care
30 East Broad Street
Columbus, OH 43215
(614) 466-4693
(614) 728-4516 fax
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