Ohio wants all Med­i­caid ben­e­fi­cia­ries to make HSA con­tri­bu­tions

Modern Healthcare - - REGIONAL NEWS - —Adam Ruben­fire

Ohio will seek a waiver from the CMS al­low­ing the state to drop adult Med­i­caid ben­e­fi­cia­ries who don’t pay into a health sav­ings ac­count, re­gard­less of their in­come.

Pre­vi­ously, leg­is­la­tors pro­posed that Med­i­caid ben­e­fi­cia­ries with in­comes be­tween 100% and 138% of the fed­eral poverty level be re­quired to put 2% of their fam­ily in­come into an HSA or lose cov­er­age. The fi­nal, joint ver­sion signed by Repub­li­can Gov. John Ka­sich re­quires ben­e­fi­cia­ries over age 18, ex­cept preg­nant women, to an­nu­ally con­trib­ute 2% of their in­come or $99, which­ever is the lesser amount, into a health sav­ings ac­count, even if their in­come is un­der 100% of the poverty level.

The Ka­sich ad­min­is­tra­tion pre­vi­ously warned leg­is­la­tors that no other state has been al­lowed to drop Med­i­caid en­rollees with in­comes be­low the fed­eral poverty line for not pay­ing monthly fees or con­tribut­ing to an HSA. Of­fi­cials say they will draft the waiver re­quest in the com­ing months and seek public in­put, though they ac­knowl­edged they could get push­back from the feds.

Ohio’s Med­i­caid pro­gram serves more than 2.9 mil­lion res­i­dents, about a quar­ter of the state’s pop­u­la­tion.

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