OH SB87

Amends Ohio Medicaid care management system rules to permit full-benefit dual eligible individuals receiving Medicare to voluntarily participate in managed care if enrolled in specialized Medicare Advantage plans for special needs populations.

Creates "home first" component of Ohio home care waiver program to prioritize enrollment of individuals admitted to nursing facilities or at imminent risk of admission, bypassing waiting lists subject to federal enrollment caps.

Establishes presumptive eligibility process for assisted living program allowing conditional enrollment before financial eligibility verification is complete.

Directs Department of Job and Family Services to seek federal waivers enabling public housing agencies to prioritize housing assistance for individuals transitioning from or at risk of admission to long-term care facilities.

Requires pilot program operated by Department of Mental Health to assist Medicaid recipients with severe mental illness transition from nursing facilities to home or community-based services, with reporting required after program completion.