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OH - Ohio

  • Ohio Group VIII Work Requirement and Community Engagement Section 1115 Demonstration Waiver
  • Substance Use Disorder Treatment
  • Healthy Ohio Program
    Ohio requests a new 5-year section 1115 demonstration which seeks to modify the existing Medicaid expansion program. Individuals eligible for this program include the new adult group and all other non-disabled Medicaid eligible beneficiaries age 18 or older up to 133 percent of the federal poverty level. Beneficiaries, except for pregnant women, must make monthly contributions to a health savings account equal to 2 percent of income but not exceeding $99 a year. Failure to make monthly contributions within 60 days from the due date will result in disenrollment. Beneficiaries may reenroll but must pay debt owed before reenrollment. Beneficiaries, except for pregnant women, are subject to copayments which are paid for through the contributions made to the account, provided the beneficiary has funds in the account. Beneficiaries can earn money to pay for copayments by completing specified health behaviors. The federal comment period will be open from July 8, 2016 through August 7, 2016.