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
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