New Medicaid enrollment begins

On Monday, Ohio began enrolling residents into Medicaid under new rules that allow additional people to qualify.
Tom Jackson
Dec 10, 2013
The state’s website for signing up, benefits.ohio.gov, appears to be working. That’s unlike the beleaguered federal site for signing up for private health insurance, healthcare.gov, which has been plagued by problems.

Both programs are enrolling uninsured Ohioans for health care coverage that will start on Jan. 1.

Ohioans who make up to 138 percent of the federal poverty level are eligible to obtain Medicaid under new rules that went into effect when Ohio decided to accept the expansion of Medicaid included in the Affordable Care Act. The new Medicaid rules also extend coverage to certain people who didn’t qualify before, such as single adults without children.

Ohioans who make too much money to qualify for Medicaid, a safety-net program for low-income people, may well qualify for federal subsidies to help them buy insurance on healthcare.gov.

Sam Rossi, a spokesman for Ohio’s Medicaid program, said as of 3:30 p.m. Monday, more than 1,000 applications for Medicaid had been accepted by benefits.ohio.gov.

“We’re having a good day so far” Rossi said.

He said people who lack Internet access who believe they may qualify can seek help instead at their local Job and Family Services office.

The state estimates 3,688 uninsured people in Erie County might qualify for Medicaid under the new rules. The figures are 3,329 for Huron County, 3,035 for Sandusky County and 1,718 for Ottawa County.

The state’s Medicaid site has an eligibility checklist on its home page. It asks a few questions to help visitors quickly determine if they might be eligible for Medicaid.

Wilson Forney is executive director of Family Health Services of Erie County, a local agency that provides primary health care in Sandusky at the southern campus of Firelands Regional Medical Center.

Forney said Family Health Services currently serves 3,026 patients, and about 42 percent are on Medicaid, while 30 percent have no insurance at all. While the program serves everyone, not just people who have little money, it does serve as a safety net for health care, Forney said.

He said he hopes the Medicaid expansion and the new health insurance exchange will increase the percentage of patients who have health coverage. That would likely allow Family Health Services to hire more employees and serve more people, Forney said.

Erie County’s health commissioner, Pete Schade, also hopes Medicaid expansion will help his clients obtain coverage.

To allow the health department’s new dental care program to support itself, the health department has to make sure at least 65 percent of its dental patients have Medicaid or another form of health insurance, Schade said. That would provide a 35 percent cap on the number of people who have no coverage and who might be able to afford only the $25 minimum fee, he said.

Currently, the balance between insured and uninsured is about 50/50, he said.

Comments

deertracker

The key word is "allowable" pooh. Ask your buddy GI Joe how much Medicaid pays? If a doctor bills Medicaid for 500 bucks, he might get 50 of it. I have seen the bills and the EOBs.

Pete

Shall we call you Barbie?

http://www.youtube.com/watch?v=N...

Mr. D

You are correct deertracker. . . Some of these big mouths lack the intellegence to comprehend what happens in nursing home situations.
Going thru it as POA for a relative. . . I really hope none of these "experts" on disability and medicaid neverhave to deal with; for they will most certainly find out it is not a free ride!

mikesee

The gov't needs to re-evaluate EVERY person on disability. Kicking those who are not disabled out as well as possible prosecution for theft.

SamAdams

Agreed. And it should be pointed out that some disabilities don't preclude work. Sure, if you lose a leg you might not be able to stand on an assembly line all day or be a mail carrier. But why can't you work a desk job of some sort?

I've always believed that ANY kind of assistance should be "earned." Whether the woman who keeps popping out kids has to mop the courthouse floors, or the man who has "no skills" has to pick up trash in public parks, those "paychecks" should require work!

I'd only make two exceptions:

1. The TRULY disabled, and

2. Schooling/re-training counts as a "job" until graduation.

BULLISDEEP's picture
BULLISDEEP

What about the lawyers that get them on disability? READ THIS...

http://www.nationalreview.com/ar...

deertracker

A lawyer gets you on disability? SMDH!!!!!

starryeyes83

Only if there are jobs available and the employer wishes to hire someone disabled; with the increased cost of worker's comp and liability insurance costs.

That's a big IF. Most employers don't want the hassle.

deertracker

Exactly and if you get too sick while you are employed the door awaits you.

Mr. D

So true, some disabled can work; most want to. However, the problem with your logic is most employers don't want an employee with a disabilities. Persons with disabilities are very highly discriminated against in the job market,
We can re evaluate and retrain and require persons with disabilities to do whatever, but until employers are made to stop discriminating in their hiring practices, your ideas are just a waste of time.

deertracker

Agreed!

deertracker

So the gov't gets to decide if you are disabled?

Pete

The government already does. If you file for SS Disability, Worker's Comp Disability, etc, isn't a government entity that decides?

Contango

And I recently read that approx. 60% bring an attorney to the hearing.

BIG BUCKS for the liberal special interest lobby campaign slush fund.

deertracker

No Pete, they decide based on a physician's report. DUH!

Pete

The physicians report is sent to who? Who has the final say if a person gets it or not?

Edit:

Hey, I found a website that may help you get out of the minimum wage job you have. Work at this and someday you may actually be able to support yourself and become a productive member of society!

http://www.mathsisfun.com/worksh...

deertracker

They decide if you qualify, not if you are actually disabled. You may be unable to do the job you had but still able to do something IF you can get a job. Snap out of it, you sound dumb but hey, maybe you are!

The Big Dog's back

Are you two, sam and dr, willing to foot the bill to recheck everyone?

Dr. Information

Lets not forget the many of Dr.s that aid in this also. Patients will go to 12 different doctors claiming the previous one didn't listen to them because they NEED to be on disability. Eventually one caves in, fills out the papers and you have another dependent.

deertracker

Well Dr., maybe you should change your unethical ways.

Mr. D

Really now dr. ; who could pay to go to 12 different doctors if they are disabled, unemployed and have no insurance. Even if that might happen, other medical evaluations are built in to the procedure to help prevent fraud.

Dr. Information

Regardless of what you say or believe it happens. Have a nice day in fairytale land.

Contango

Re: Nursing home care.

Beware of filial responsibility laws.

OH is one of several states that have statutes on the books that can hold children financially responsible for their parent's nursing home care.

Other states have 'indeed' exercised these laws.

http://wills.about.com/b/2012/06...

Contango

deertracker writes: "Taxpayers paid SQUAT"

"My mother in law died in a nursing facility.....may she R I P......and the cost to Medicaid was nowhere near 80k."

– deertracker, Oct. 1, 2013

http://www.sanduskyregister.com/...

Medicaid IS taxpayer money.

The "average" cost of nursing home care is 80K. Costs differ according to region - some more, some less.

kURTje

Deertracker winner. Contango also ran.

Contango

Re: "Deertracker (snip)"

Only in your off-topic demented mind Capt. Kook. :)

abigbear

Sue Daugherty
Executive Director
Serving Our Seniors

Dear Sue,

I read with interest your recent article in the Sandusky Register, which I have attached. It struck me how opposite it was from what I have been reading from almost every news outlet and both sides of the issue. I think the reference of a “train wreck” by Senator Max Baucus, democrat and the driver of the Affordable Care Act Bill (ACA/Obamacare), in the senate. It has turned out to be an apt description. You mention that Mr. Forney, CEO of Family Health Services, advised to forget about the negative media attention. He reports many consumers have enrolled with no website crashes & an extraordinary success of an example of someone “paying less & getting more”. I happen to be a concerned senior and have done my own research. It seems to me there is plenty to fear for seniors, as well as all Americans, with the roll out of this disaster.

The issue of the faulty website is just the beginning of this fiasco. You have to understand what Obamacare was designed to do and for whom. It’s a redistribution of wealth scheme designed to give free or cheap insurance to 30 million low income Americans (10%) with no insurance. This low cost insurance is to be subsidized by charging young singles, middle class families, small business owners, etc., higher premiums & higher deductibles thus shifting insurance costs. This was done even though 88% of Americans polled by Quinnipiac, before the ACA bill was passed, were satisfied with their insurance. Already 15 million Americans have lost their coverage with another 90 to 100 million coming next year. That’s 33 to 37% of Americans who are projected to lose the insurance they’re happy with and reportedly will pay double premiums & triple deductibles for new insurance. Some of these high deductibles amount to having no insurance at all. Add to this the loss of doctors & hospitals that are not included in ACA system, you have a medical care scarcity that threatens to be epidemic.

In the case of seniors like myself on Medicare, we are not going to be unscathed either. First, we must be aware that the website has no security built into it as confirmed by Kathleen Sibelius, the Head of Obamacare. Experts have testified of the danger of hackers having free access to personal medical & financial information who sign on to this unsecure website. They have warned they would not put their personal information on this site now http://www.youtube.com/watch?v=k.... Second, for seniors, the so-called “death panels” where impersonal bureaucrats will make life & death decisions based on cost, concerns me & should other seniors. Third, it was recently announced that doctors, now learning of the decreases in reimbursement for Medicare patients under Obamacare, have to make the decision whether they can afford to treat them any longer. So it’s not just the incompetence of the system, the loss of coverage, the cost increases & the uncertainty; it’s the loss of quality and scarcity of care.

These are only some of the concerns I have as a senior. They are not rumors or “negative media” as you mention in your letter above. These are facts, being reported by both sides of this issue. It would seem to me that you and Mr. Forney, in your positions of servicing seniors & families, would be warning those who you serve of these problems, rather than telling us to “pay no attention to negative reports and proceed ahead as though everything is rosy”. In my opinion this is not “servicing our seniors” or families!

meowmix

bigbear-- You have obviously been watching too much Faux News and listening to Sarah Palin. Death Panels--really???? Even today, people who wish to end their own life due to a disease-ridden body have to go through hell and high water. There are way too many folks out there who fell through the cracks due to the lack of affordable healthcare. I don't understand why people can't just sit back and give it a try before they condemn it.

Contango

Re: "Death Panels--really????"

It's a matter of economics:

Medical costs will be controlled through a price mechanism in the private sector, or made by bureaucrats (death panels) in the public sector.

Even the liberals' favorite economist Paul Krugman fested up:

http://www.youtube.com/watch?v=t...

Contango

Re: "I don't understand why people can't just sit back and give it a try before they condemn it."

You obviously didn't have your health ins. policy cancelled and have been unable to find a comparable one with the same provider network like millions of others have.

Just wait until the employer mandates start kicking in and employers dump their health plans and fire people.

Read PolitiFact’s “Lie of the Year,” it’ll explain a lot to you:

http://www.politifact.com/truth-...

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