Ohio’s Transition To New Medicaid Billing System Interferes With Home Care Provider Organization Reimbursements

On August 18, 2011, the Ohio Department of Job and Family Services (ODJFS) announced plans to make emergency estimated reimbursement payments to about 450 health care service provider organizations whose Medicaid claims for eligible consumers were wrongly rejected as ineligible by the state’s new Medicaid Information Technology System (MITS). Another 1,500 in-home service providers for persons eligible for in-home services through the state Department of Developmental Disabilities also had claims denied in error during the first two payment cycles. The affected provider organizations received the estimated payment, which totaled $612,000, on August 25; ODJFS will . . .