Medicaid; Answers that Matter

Medicaid; Answers that Matter

Angie Hartman and Amanda Bryant County Technical Assistance and Compliance Bureau of Business Operational Support February 28, 2017

OHIO DEPARTMENT OF MEDICAID

Making Ohio Better

Your Questions

Medicaid's Answers

OHIO DEPARTMENT OF MEDICAID

Making Ohio Better

? Changes in Medicaid ? ACA Updates

? At this time there has been no changes made to Ohio's Medicaid rules, eligibility or coverage ? Updates will be posted as they are available at:

? ?

OHIO DEPARTMENT OF MEDICAID

Making Ohio Better

Specialized Recovery Services (SRS) Program

? Specialized Recovery Services (SRS) is a Medicaid program for individuals with severe and persistent mental illness (SPMI)

? Services available through SRS include:

? Recovery management ? Individualized placement and support ? Peer support

? The following individuals are prioritized in the SRS assessment process:

? Individuals who were previously on spenddown Medicaid and are at risk of losing coverage due to the Disability Determination Redesign (1634) changes

? Individuals who do not qualify for a base Medicaid category

OAC 5160:1-5-07

2/14/2017

4

OHIO DEPARTMENT OF MEDICAID

Making Ohio Better

SRS Eligibility Criteria

? Be at least 21 years old

? Meet the definition of disability as used by the SSA

? Be in receipt of SSI or SSDI benefits

? Meet the clinical diagnostic, needs assessment and risk criteria

? Must have severe and persistent mental illness (SPMI) ? Determined by Recovery Managers (RM)

? Reside in a home and community-based setting

? Determined by Recovery Managers (RM)

? Meet the financial and nonfinancial eligibility requirements of Group One or Group Two

OAC 5160:1-5-07

2/14/2017

5

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download