Ohio Submits 1115 Amendment To Addiction Treatment Waiver To Adjust Baseline Medicaid Plan Payment Rates For Budget Neutrality Projections

On October 22, 2021, the Ohio Department of Medicaid (ODM) submitted an amendment to its Medicaid Substance Abuse Treatment Waiver demonstration to adjust budget neutrality projections. The demonstration waiver was approved on September 24, 2019 and went live on October 1, 2019. It allows the state Medicaid program to reimburse for addiction treatment services received in an institution of mental disease (IMD), which is defined as a facility with more than 16 beds that primarily provides residential or inpatient behavioral health treatment. However, due to the state’s increases in the Medicaid managed care capitation rate during 2020, the state . . .