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Office of Managed Care Medicaid Panel Maps Dashboard Q1 2019
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Page 1: Office of Managed Care Medicaid Panel Maps Dashboard€¦ · Introduction The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard summarizing

Office of Managed Care

Medicaid Panel Maps Dashboard Q1 2019

Page 2: Office of Managed Care Medicaid Panel Maps Dashboard€¦ · Introduction The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard summarizing

Introduction

The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard

summarizing managed care plans’ performance in key operational areas1. The purpose of this quarterly provider

dashboard is to visually depict plan performance across all the plans and at an individual plan level. The key areas

displayed on the dashboard represent areas for which a compliance standard exists, which allows ODM to identify

trends and systemic challenges that may need to be addressed. An explanation of each of the provider dashboard

elements is listed below.

Dashboard Elements

Managed Care Provider Network (MCPN): MCPs must provide or arrange for the delivery of all medically necessary

Medicaid-covered health care services, as well as ensure that they are in compliance with the federally defined access

standards required by 42 CFR 438.206. In order to determine adequate provider panel capacity and services, MCPs

submit documentation to ODM that demonstrates they offers an appropriate range of providers for the anticipated

number of members in the service area, for example, county-based requirements (see Appendix H of the Provider

Agreement for specific standards).

Conclusion

As stated above, the quarterly provider dashboard does not represent the entire scope of monitoring and oversight

activities conducted by ODM. Please see the Managed Care Plan Provider Agreement for specific contract requirements

and associated compliance actions.

1 The quarterly dashboard contains information from the previous quarter due to the timing of available data elements.

Page 3: Office of Managed Care Medicaid Panel Maps Dashboard€¦ · Introduction The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard summarizing

CommunityBH

StarkUnited

LorainUnited

WilliamsParamount

SciotoParamount

SanduskyParamount

MarionParamount

MadisonParamount

LawrenceParamount

KnoxParamount

JacksonParamount

HenryParamount

HardinParamount

GalliaParamount

DarkeParamount Belmont

Paramount

WoodMolina

PickawayBuckeye,Paramount

MiamiBuckeye,Paramount

ClintonBuckeye,Paramount Athens

Buckeye,Paramount

AshtabulaBuckeye,Paramount

HockingBuckeye

ClarkBuckeye

ButlerBuckeye

AllenBuckeye

Page 4: Office of Managed Care Medicaid Panel Maps Dashboard€¦ · Introduction The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard summarizing

Dentists

TuscarawasParamount

AthensParamount

AshtabulaParamount

GalliaMolina

PutnamCaresource,Molina

HuronCareSource

GuernseyBuckeye,United

ManagedCareProviderNetwork(MCPN)ComplianceReportasofthefirstMondayinJanuaryindicatingwhichcountiesareoutofcomplianceandforthespecificprovidertype.Red=outofcompliance.Datatimeframe:Q12019

MedicaidManagedCareProviderNetwork

Page 5: Office of Managed Care Medicaid Panel Maps Dashboard€¦ · Introduction The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard summarizing

Hospital

MiamiMolina

HolmesMolina

WyandotCareSource,Molina

Page 6: Office of Managed Care Medicaid Panel Maps Dashboard€¦ · Introduction The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard summarizing

NursingFacility

SanduskyUnited

MedinaParamount

LickingParamount

LawrenceParamount

JeffersonParamount

GalliaParamount

FairfieldParamount

ClarkParamount Perry

Molina,Paramount

BrownMolina

Page 7: Office of Managed Care Medicaid Panel Maps Dashboard€¦ · Introduction The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard summarizing

OHMAS

GreeneParamount

ClermontCareSource

Page 8: Office of Managed Care Medicaid Panel Maps Dashboard€¦ · Introduction The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard summarizing

Psychiatry

HighlandParamount,United

TuscarawasParamount

WarrenMolina

MiamiMolina

DefianceMolina

CuyahogaMolina

SciotoBuckeye

Page 9: Office of Managed Care Medicaid Panel Maps Dashboard€¦ · Introduction The Ohio Department of Medicaid (ODM), Office of Managed Care, releases a quarterly provider dashboard summarizing

Vision

GreeneParamount

AshtabulaParamount

JacksonMolina


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