News & Advocacy

OAR Submits Comments to the Ohio Department of Medicaid on Improving Managed Care

posted: September 4, 2019

In July, OAR summitted comments to the Ohio Department of Medicaid (ODI) in response to their request for information on how to make improvements to Ohio Managed Care Program (MCP). Comments included explanation of inadequacies in current MCP appeals processes, and suggestions on how appeals data could be used to improve formulary designs. OAR shared providers’ experiences with handling appeals and how MCPs could better support providers. Additionally, OAR described the ongoing issue this year with CareSource. OAR explained the difficulties patients and providers have been experiencing because of this non-medical switch, and how it has adverse consequences and can lead to long-term disease progression.

View OAR’s full response to the ODI’s Request for Information.

Read the Full Response