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Care management system – Ohio Rev. Code Ann. § 5167.03

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The department of job and family services will establish a care management system as part of the Medicaid program.  The department may require or permit participants in the system to obtain health care services from providers designated by the department, and may require or permit participants in the system to obtain health care services through managed care organizations under contract with the department.  The department will annually submit a report to the general assembly on the system, which will address the department’s ability to implement the system and will include the following components:

  • The required designation of participants included in the category identified by the department as covered families and children;
  • The required designation of participants included in the aged, blind, or disabled category of Medicaid recipients; and
  • The use of any programs for enhanced care management.

Current as of June 2015