MyCare Ohio: Integrating Medicare and Medicaid Benefits
(updated August 8, 2014)
• Ohio Medicaid has been transitioning its government-run fee-for-service (FFS) program to private-sector insurance plans. Enrollment in private health plans increased from 36 percent of the Ohio Medicaid population in 2006 to a projected 75 percent in 2015.
In 2012, Ohio selected four of the five current plans (Buckeye, CareSource, Molina, United) and one new plan (Aetna) to coordinate services in 29 pilot counties for Ohioans receiving both Medicare and Medicaid
| Region | Counties | Enrollment Begins | Health Plans | Number of Enrollees | Number of Claims2 | Amount of Claims Paid2 | % of Claims Rejected3 | % Paid in 30 Days |
| Central | Franklin, Union, Delaware, Madison, Pickaway | July 1, 2014 | Aetna4 Molina | 7,399 6387 | 11,278 — | $1,857,294 — | 7.5% — | 99.6% — |
Aetna paid 500 providers $13,846,125 on August 7, 2014. This amount is included in the total but not in Aetna’s regional data.
5 Molina paid 28,166 claims totaling $4,884,267 across three regions. This amount is included in the total but not in Molina’s regional data.
Info received from: http://medicaid.ohio.gov/
Creative Independent Living Solutions is providing services for Aetna and Molina MyCareOhio recipients. We look forward to meeting your Home Modification needs.