OH HB12

Requires Medicaid providers selected by the Department of Job and Family Services to provide a bond with surety, with amount determined by fraud risk level; providers investigated for fraud offenses must be included at minimum.

Changes Director's authority to "shall" establish an e-prescribing system for Medicaid requiring the ten highest-prescribing providers for hospital services to use electronic prescriptions instead of handwritten or telephone prescriptions.

Requires local Medicaid administrative agencies (county departments of job and family services, boards of developmental disabilities, mental health boards, school districts, and community schools) to report annually to the state on local government funds expended, property tax portions, administrative costs, and state funds received.

Establishes disease management and case management components for Medicaid recipients with chronic conditions including diabetes, asthma, heart disease, HIV/AIDS, and other specified medical conditions, modeled on the former enhanced care management program.

Creates a pilot program to identify third parties liable for medical costs before claims are submitted to Medicaid; Director must evaluate program effectiveness within twelve months and report findings and recommendations to the Governor and General Assembly.

Establishes the Medicaid Community Behavioral Health Administration Examination Group to study administration of Medicaid-covered mental health and addiction services and recommend system improvements within one year.