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CareStar, Inc. (CareStar) is a private, Ohio-based healthcare corporation which provides home and community-based case management services in government, agency and residential operations. [1] CareStar is one of the contracted case management agencies for the Ohio Home Care Waiver Program and HOME Choice through the Ohio Department of Medicaid ...
Prior to July 2013, ODJFS was also the state agency responsible for the administration of Ohio's Medicaid program. In July 2013, a new state agency was created, the Ohio Department of Medicaid (ODM), Ohio’s first Executive-level Medicaid agency. ODJFS employs about 2,300 full time employees and has an annual budget of $3.3 billion. [2]
In 1985, Medicaid patients made up 28% of all CHC patients but only 15% of CHC revenues. [5] By 2007, the share of Medicaid patients matched their share of revenues. In the same time period, grants for the uninsured decreased from 51% to 21%. [5] In 2008, Medicaid payments had grown to account for 37% of all CHC revenues. [4]
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In 2013, a report from Ohio Hospital Association states that CareSource is the No. 2 health insurer in the state by premium revenue. [29] CareSource celebrated 25 years as one of the nation's largest Managed Medicaid Plans and the largest in Ohio in 2014. The company then served more than 1 million consumers in Ohio and Kentucky. [30]
(The Center Square) – Ohio plans to take another shot at requiring work for Medicaid expansion benefits. The state included language in the state budget, signed in July 2023, saying it would ...
Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]
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