News and EventsThursday, May 30, 2013
ICDS enrollment delayed until March 2014
State of Ohio officials, health insurance companies, and Area Agencies on Aging have been working toward implementing Ohio`s new system of care for Ohio`s "dual-eligibles," people who are eligible for both Medicare and Medicaid. In our region, voluntary enrollment in the system was expected to begin in September 2013, but new information released this week from the Ohio Office of Health Transformation pushes the date when people would begin enrolling voluntarily to March 1, 2014. Mandatory enrollment will begin May 1.
Called the Integrated Care Delivery System (ICDS), the three-year pilot project is a joint federal and state effort to improve health outcomes while saving taxpayers` money. The system of health plans has been named MyCare Ohio: Connecting Medicare and Medicaid. Ohio`s dual-eligibles are the target of the new system because they often require more care than other beneficiaries, at a higher cost. According to the Ohio Office of Health Transformation, Ohio`s 182,000 dual-eligibles account for 14 percent of the state`s Medicaid enrollment, but nearly 40 percent of total Medicaid spending.
MyCare Ohio will change the way care is delivered and paid for by better coordinating the long term care, behavioral health and physical health services provided to the plan`s participants. Examples include eliminating unnecessary medical tests, reducing medication errors that can lead to hospitalizations, and connecting people with community-based services that help them stay in lower cost care settings, such as their own homes.
Statewide, the ICDS will be launched in seven regions covering 29 counties and approximately 114,000 individuals. In our five-county region, those enrolling in the ICDS are expected to include most PASSPORT clients (more than 2,000 people) and thousands of others, including adults under the age of 60 with disabilities, and many nursing home residents. Via contracts with two health insurance companies, Council on Aging will work as part of a team of professionals to enroll and deliver services to participants. The two companies are Aetna Better Health of Ohio and Molina Healthcare of Ohio. They will be serving the five counties of COA`s region, as well as other parts of Ohio.
Participants will receive a letter informing them of the voluntary enrollment period as well as the date for mandatory enrollment. It will include instructions for how to enroll and select a health plan and where to get help with questions. Those who do not select a plan will be automatically enrolled in either Aetna or Molina, based on whichever plan best meets their needs.
Features of MyCare Ohio include:
Council on Aging will report on progress toward implementation of the ICDS as more information becomes available. To learn more, also visit the Web site for the Office of Health Transformation.