Ohio Medicaid Gives Contracts Back to Molina, Centene

Health insurers Molina Healthcare and Centene won back contracts from Ohio's Medicaid program after they filed appeals in April challenging how the state awarded the contracts, according to a Wall Street Journal report.

Centene, Molina and three other managed care corporations argued the state's bidding process for the Medicaid contracts was "seriously flawed," alleging several of the winning bidders submitted false information to boost their profiles during the bidding process.

Aetna and non-profit health insurer Meridian Health Plan, two companies that previously won contracts, were dropped in favor of Centene and Molina. It was not stated why Aetna and Meridian were dropped, and Ohio Medicaid Director John McCarthy said the application process was still "fair and open," according to the report.


There will be no more opportunities to protest the contracts. Amerigroup, Coventry Health Care and WellCare Health Plans were still denied contracts, and Ohio Medicaid expects to have another bidding process in five years.

The news also comes amid plans from the Ohio Medicaid program that it wants to simplify the beneficiary eligibility process for 700,000 non-pregnant adults who do not need long-term service or support and base their eligibility on income, according to an Associated Press/Bloomberg Businessweek report.

More Articles on Ohio Medicaid:

Centene's Net Earnings Inch Toward $24M in 1Q

Managed Care Companies File Protests Over Lost Ohio Medicaid Contracts

Ohio Shakes Up Medicaid Health Plans

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