The Ohio Senate Medicaid Committee convened on April 29, 2025, to discuss key initiatives and budget proposals related to Medicaid services in the state. The meeting focused on several priorities outlined by the governor, particularly in the realm of behavioral health and support for children with complex needs.

The session began with a presentation on OhioRISE, a specialized managed care plan designed for children requiring intensive behavioral health services. The director highlighted significant improvements in care outcomes, noting a 41% reduction in emergency room visits and a 60% decrease in the average length of stay in psychiatric residential treatment facilities. These metrics were supported by recent national quality indicators, which demonstrated the effectiveness of the OhioRISE program compared to traditional managed care plans.

The committee also reviewed the governor's budget proposals, which included funding for continuous eligibility for children aged 0 to 3, enhancements to behavioral health services, and capital projects aimed at improving care delivery. Notably, the budget proposed an increase in the personal needs allowance for individuals in nursing homes and intermediate care facilities, raising it from $50 to $100.

Discussions also touched on the importance of maintaining quality-based assignments for managed care organizations (MCOs). Concerns were raised regarding a proposed amendment that would allow for random assignment of individuals to MCOs if they did not make a choice. The director emphasized that such a move could undermine quality metrics and the overall effectiveness of the Medicaid program.

Senator Liston raised questions about the transparency and auditing processes within Medicaid, particularly in light of recent external audits. The director acknowledged the need for improved communication with the General Assembly regarding the availability of information and the existing auditing framework, which includes cost reports and performance dashboards.

In conclusion, the meeting underscored the collaborative efforts between the General Assembly and the governor's office to enhance Medicaid services in Ohio. The director expressed gratitude for the partnership and reiterated the commitment to providing high-quality care while being responsible stewards of state resources. The committee's discussions set the stage for ongoing evaluations and adjustments to Medicaid policies and practices as they move forward.