Sec. 5111.142. (A) The department of job and family services | 7 |
shall conduct a review of case management services provided under | 8 |
the fee-for-service component of the medicaid program. In | 9 |
conducting the review, the department shall identify which groups | 10 |
of medicaid recipients not participating in the care management | 11 |
system established under section 5111.16 of the Revised Code or | 12 |
enrolled in a medicaid waiver component as defined in section | 13 |
5111.85 of the Revised Code do not receive case management | 14 |
services and which groups of such medicaid recipients receive case | 15 |
management services as part of two or more components of the | 16 |
medicaid program or from two or more providers. | 17 |
After completing the review, the department shall implement a | 18 |
case management component of the medicaid program. The department | 19 |
shall model the case management component on the former enhanced | 20 |
care management program that the department created as part of the | 21 |
care management system established under section 5111.16 of the | 22 |
Revised Code. The department shall make adjustments to the former | 23 |
enhanced care management program as are necessary to accomodate | 24 |
the groups the case management component is to serve. | 25 |