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Legislative oversight panel outlines Medicaid growth-rate process, requests actuarial funding
Summary
A Joint Medicaid Oversight Committee staffer told the Senate Medicaid Committee how JMOC sets a per-member growth rate, described data-sharing with the Department of Medicaid, and sought funding for actuarial contracts and staff for the 2026–27 biennium.
Jada Brady, staff to the Joint Medicaid Oversight Committee, told the Ohio Senate Medicaid Committee that JMOC has a statutory role in projecting Medicaid per-member cost growth and in setting a JMOC rate the executive must use for the state operating budget.
Brady said JMOC was created by statute to increase legislative oversight of Ohio’s Medicaid program and that the committee uses an outside actuarial firm and a per-member-per-month (PMPM) cost formula to measure utilization and unit-cost trends across fee-for-service and managed-care delivery systems. “The actuaries report projects the cost of continuing current Medicaid policy into the…
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