State Representatives Robert Sprague (R-Findlay) and Denise Driehaus (D-Cincinnati) recently introduced House Bill 251, which ensures that individuals will maintain access to behavioral health services during Ohio’s transition to managed care.

As the State of Ohio continues to transition Medicaid to a managed care system, House Bill 251 is meant to ensure that Ohio’s fragile behavioral health system is transitioned safely and effectively.  Under Medicaid managed care, health insurance companies are responsible for paying providers.  Throughout the transition for behavioral health services, House Bill 251 implements safeguards and provides legislative oversight.

“We want to maintain the continuity of care that is currently offered,” said Representative Sprague.  “As these services are transitioned to be paid for by large insurance companies, the legislature will have control over the process. It’s extremely important that individuals with a mental health or addiction issue are not hitting roadblocks during treatment.”

The State of Ohio recently moved other services from Medicaid’s fee-for-service system to managed care, but behavioral health services have not yet been included.  As other services were recently transitioned to managed care, some providers were having issues with billing and reimbursement, which resulted in delays for providers.  Due to Ohio’s current drug epidemic, Representative Sprague feels that any disruptions in access could be detrimental to providers and individuals in recovery.   

In addition to sponsoring House Bill 251, Representative Sprague is currently sponsoring four other bills related to Ohio’s addiction epidemic. 

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