Deltek Analyst Aila Altman reports.
Ohio’s complex, antiqued, 30-year-old Medicaid eligibility system is on the fast track to reform. The Client Registry Information System (CRISe) contains upward of 150 categories of Medicaid eligibility, not accounting for Ohio’s two separate eligibility systems for disabled Medicaid beneficiaries, let alone any other public benefit program. With an anticipated influx of 100 million newly-eligible Medicaid recipients resulting from the Affordable Care Act (ACA), the state is buckling down on its plans to implement a new, integrated, streamlined eligibility determination system that accounts for Medicaid as well as other health and human services benefit programs.
Last month, the Ohio Governor’s Office of Health Transformation (OHT) released a concept paper to kick off the modernization process and begin securing plans to procure a modern eligibility system. As part of these efforts, the newly-created Health and Human Services Cabinet, developed jointly by three state agencies, established five priority project areas: explore options for a statewide health insurance exchange (HIX), share information across state and local data systems, integrate claims payment systems, and accelerate electronic health information exchange (HIE), in addition to the eligibility determination modernization project.
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