OhioMedicaid plans would match fee-for-service rates for medical equipment
The proposed measure would require Medicaid managed care plans and their payment partners to use the full fee-for-service rate for certain medical equipment and supplies.
What it does
Medicaid managed care organizations and their payment partners would have to pay the full Medicaid fee-for-service rate for covered medical equipment and supplies.
Argument forMatching fee-for-service rates could give suppliers more stable payments and may help Medicaid patients obtain needed equipment.
Argument againstRequiring full fee-for-service rates may increase Medicaid program costs for equipment and supplies.
More detail
Medicaid managed care organizations, their subcontractors, and third-party administrators would have to pay the required rate. The rule covers durable medical equipment, prosthetics, orthotics, and related supplies paid through Medicaid managed care. The payment rate would have to equal 100% of the rate used for those items under Medicaid fee-for-service. The supplied text does not state additional eligibility rules or exceptions.
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Sep 8IntroducedIntroduced
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