FAPL 108 (Medicaid Unwinding)
Fiscal Administrative Procedure Letter No. 108
February 27, 2023
TO: Fiscal Administrative Procedure Manual Holders
FROM: Matt Damschroder, Director
SUBJECT: Medicaid Unwinding

In accordance with the Consolidated Appropriations Act of 2023, the state of Ohio is returning to routine Medicaid eligibility requirements as of February 1st. The state will initiate renewals for every individual on the program; and those who are found no longer eligible will be disenrolled. 

Amended Sub House Bill 45 appropriates 30 million dollars in funding to support counties with increased activity.  An initial amount of 20 million dollars will be issued to counties with the remaining balance to be distributed contingent upon county needs.

The Ohio Department of Job and Family Services (ODJFS) will issue this funding as a separate allocation.

This allocation consists of one-hundred percent federal funds. The assistance listing number is 21.027.

Allowable activities (for Medicaid and Children's Health Insurance Program (CHIP) case redeterminations related to the expiration of the continuous enrollment provision of the Family First Coronavirus Response Act) include the following: 

  • Activities related to the completion of manual and automated edits and verification of data.  Also includes activities related to assisting the automated eligibility determination system in the evaluation of the edited, verified data to make an eligibility redetermination. 
  • Activities including receipt of data related to the unwinding eligibility and maintenance of a beneficiary’s eligibility, such as address changes, income changes, household composition changes, etc. and any related verification, eligibility redetermination information and changes, and issuances of eligibility notices.
  • Issuance of the eligibility notice to the beneficiary, file updates, and all activities related to notification to partners of the decision related to Medicaid renewal and redetermination.
  • Call center activities related to the receipt of data required for Medicaid renewal and redetermination.
  • Medicaid Appeals - Appeals of renewal and redetermination decisions including hearings and accepting/processing appeals.
  • Staff training for all aspects of Medicaid renewals and redeterminations.

Unallowable Activities

  • ARPA dollars are federally sourced monies and may not be matched with other federal funding.
  • New Medicaid application activities  

Methodology:

  • Each county will receive a base allocation of $20,000.
  • The remaining $18.24M will be distributed based on each county’s renewal program blocks due over the next twelve months.  

ODJFS will communicate RMS and direct project codes via a Bureau of County Finance and Technical Assistance alert through the CFIS_Help_Desk@jfs.ohio.gov.  

ODJFS will communicate the funding period and liquidation period through the county finance information system (CFIS).  

For questions regarding fiscal reporting please contact your ODJFS Fiscal Supervisor or the CFIS Helpdesk CFIS_HELP_DESK@jfs.ohio.gov