Bureau of Health Plan Policy (BHPP)
BHPP provides leadership to Ohio Medicaid in coordinating initiatives to improve the quality of health care delivered to Medicaid consumers. BHPP promulgates administrative rules that govern the types of services covered, and the methods of provider reimbursement. They are responsible for Medicaid handbooks, manuals of policies and procedures distributed to health care providers and for the Medicaid State Plan.
Reimbursement systems are designed, monitored and continually refined. The bureau is responsible for research, strategic planning, and policy development for most aspects of Ohio Medicaid. In addition, BHPP is responsible for creating and carrying out a research agenda for the Medicaid program. This includes analysis, and evaluation of existing programs and new initiatives.
BHPP negotiates and maintains various contracts and interagency agreements pertaining to the operation of the Medicaid program. Several large utilization review programs are managed to assure the appropriateness of health care and develop cost containment and managed care strategies.
Related links:
| Ohio Medicaid Drug Program | Health Services Research |
| Hospital Benefits & Financial Management Section | Medicaid Reports |
| Hospice Rates - Use Fee Schedules & Rates | Quality Monitor Newsletters |
| Fee Schedules & Rates |