The Medicaid Savings Act proposes significant changes to the Ohio Revised Code, primarily aimed at dismantling the care management system within the Medicaid program. The bill deletes references to the care management system in sections related to Medicaid budgeting and reporting, including the requirement to report on Medicaid enrollment and spending associated with this system. In its place, the bill introduces provisions for the director of budget and management to prepare a comprehensive Medicaid caseload and expenditure forecast report. Additionally, it mandates the establishment of separate general revenue fund appropriation items for various Medicaid health care services, excluding those under the care management system, and repeals numerous sections related to the care management model to enhance transparency and accountability in Medicaid spending.

The bill also includes amendments to laws governing health insuring corporations, medical records, and the administration of health care claims. It requires health insuring corporations to notify the superintendent of any significant changes that could affect their operations and establishes guidelines for the credentialing process of health care providers. Furthermore, it introduces provisions for medication synchronization, clarifies definitions related to insurance and health care, and outlines the responsibilities of medical assistance recipients and the Department of Medicaid. Overall, the legislation aims to streamline Medicaid operations, improve health care administration, and ensure timely and fair treatment of providers and patients while transitioning away from the care management model.

Statutes affected:
As Introduced: 126.021, 126.024, 173.19, 1751.03, 3701.741, 3901.81, 3902.70, 3903.14, 3903.42, 3959.01, 3963.06, 4121.50, 4729.20, 4729.49, 4729.80, 4729.84, 4729.86, 5160.01, 5160.34, 5160.37, 5160.371, 5160.40, 5162.01, 5162.021, 5162.13, 5162.1310, 5162.73, 5164.01, 5164.38, 5164.46, 5164.74, 5164.751, 5166.01, 5166.40, 5166.405, 5166.406, 5168.75, 5168.76, 5739.01, 5739.03, 5162.74, 1751.271, 3901.815, 3903.421, 5164.741, 5167.01, 5167.02, 5167.03, 5167.031, 5167.04, 5167.05, 5167.051, 5167.09, 5167.10, 5167.101, 5167.103, 5167.11, 5167.12, 5167.122, 5167.123, 5167.13, 5167.14, 5167.15, 5167.16, 5167.17, 5167.171, 5167.173, 5167.18, 5167.20, 5167.201, 5167.21, 5167.22, 5167.221, 5167.24, 5167.241, 5167.243, 5167.244, 5167.245, 5167.26, 5167.30, 5167.31, 5167.32, 5167.33, 5167.34, 5167.35, 5167.40, 5167.41, 5167.45, 5167.47, 5739.051