The Ohio Department of Medicaid (ODM) is pleased to announce that it has received approval from the Centers for Medicare and Medicaid Services (CMS) for the managed care portion of American Rescue Plan Act (ARPA) provider relief payments as appropriated by the Ohio General Assembly in H.B. 169. This latest approval impacts several provider types, including community behavioral health practitioners.
Some important reminders regarding these funds:
The managed care preprint relief payment is calculated as 10% of claims, however the amount providers will receive with this first payment is 50% of the total.
This was required by CMS in order to avoid a situation where a provider may be “overpaid”.
At the end of calendar year (CY) 2022, ODM will reconcile a provider’s total claims to actual CY22 claims experience and a final relief payment will be calculated.
There is no action required on the part of the provider during this reconciliation process.
ODM will work with the plans at the end of the year on this final installment of relief.
ODM will send out an announcement when the final installments are prepared and post the final amount of payment to the dashboard.
For questions about any of these provider payments, please email ProviderReliefInquiries@medicaid.ohio.gov
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Additionally, The Ohio Department of Mental Health and Addiction Services (OhioMHAS) has indicated they are dedicating $70 million of the ARPA workforce funds to improve the behavioral health workforce pipeline.
They are proposing doing this by providing funding for internships, scholarships, loan, and licensure reimbursements for students in the behavioral health field and in their final two years of schooling.
Funding would be eligible for students pursuing a career tech, bachelor or master’s degree.
Students benefiting from these investments will be required to devote three years of post-graduate service in Ohio’s home and community-based centers.
The preferred timeline would allow these funds to be available for the upcoming fall semester. This plan is awaiting CMS approval.
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