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Ohio Medicaid Suspends Episode of Care Program


The Ohio Department of Medicaid (ODM) announced that it will not conduct reporting or assess positive and negative incentive payments for the performance periods of calendar year 2020 and 2021. ODM will be using the next 18 months to reassess the program and decide how to best link payment and quality reporting in the future.

Over the last several years, ODM has developed over 50 episodes. Most physician specialties have received quality ratings based on these reports, and in some cases, have received payment enhancements or penalties.

With all the other burdens being placed on practices this year, the OSMA applauds this decision and will work with practices and ODM next year as it develops plans for 2022.

Read the Program Suspension Announcement >

More Details on ODM Episodes of Care >

If you have questions about this information
or OSMA’s services to physicians:

Call 800-766-6762 or email OSMA.


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