Elimination of Medicaid “Spend-Down”: Will You Be Affected?

spend downThe Ohio Department of Medicaid (ODM) has announced that they will begin eliminating spend-down after July 2016.

If the following conditions apply to you, you may need to purchase insurance in the Health Insurance Marketplace:
  • your income is over 138% of the federal poverty limit ($16,242 per year for a single person; $24,250 per year for a family of four);
  • you do not have a disability determination; and
  • you do not have persistent and severe mental illness.

People losing their Medicaid benefits that are 65 or older may need to enroll in Medicare.

ODM describes these changes on their website. ODM will be sending information to all people affected in the next few weeks. It is important that you carefully review any information that you get from ODM.
If you believe your income is above 138% FPL ($16,242 per year for a single person; $24,250 per year for a family of four) and you will lose Medicaid coverage as a result of the change to spend-down, please let us know how you will be impacted.
Send us an e-mail to tell us how this will impact you and if you are willing to be contacted. Knowing how this affects you will help us tell the Ohio Department of Medicaid how to improve the transition.
As more detail is available, we will share it with you. Sign up here to receive email alerts about Medicaid spend-down as they develop.
Click “read more” to learn more about the changes to Medicaid spend-down and what UHCAN Ohio is doing to improve the transition.
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