To enact section 5111.142 of the Revised Code to require the Department of Job and Family Services to implement a case management component of the Medicaid program.

Section 1. That section 5111.142 of the Revised Code be enacted to read as follows:

Sec. 5111.142.  (A) The department of job and family services shall conduct a review of case management services provided under the fee-for-service component of the medicaid program. In conducting the review, the department shall identify which groups of medicaid recipients not participating in the care management system established under section 5111.16 of the Revised Code or enrolled in a medicaid waiver component as defined in section 5111.85 of the Revised Code do not receive case management services and which groups of such medicaid recipients receive case management services as part of two or more components of the medicaid program or from two or more providers.

After completing the review, the department shall implement a case management component of the medicaid program. The department shall model the case management component on the former enhanced care management program that the department created as part of the care management system established under section 5111.16 of the Revised Code. The department shall make adjustments to the former enhanced care management program as are necessary to accomodate the groups the case management component is to serve.

(B) At a minimum, the case management component shall serve medicaid recipients who are members of the groups identified in the review conducted under this section and have been diagnosed by a physician as having any of the following medical conditions:

(1) A high-risk pregnancy;

(2) Diabetes;

(3) Asthma;

(4) Lung disease;

(5) Congestive heart failure;

(6) Coronary artery disease;

(7) Hypertension;

(8) Hyperlipidemia;

(9) Infection with the human immunodeficiency virus;

(10) Acquired immunodeficiency syndrome;

(11) Chronic obstructive pulmonary disease.