Hi Everyone!!
My father passed in Dec 2022 at the age of 66. He had Medicaid for 4 years 2014-2018. (in 2018 he dropped it, and didn't have insurance again until he qualified for Medicare).
He never used his Medicaid. Never went to the doctor or long-term care. There were never any claims filed on his behalf. (this has been confirmed through Medicaid, and the fact I'm the only child, and my dad NEVER went to the doctor my entire life).
The Ohio Attorney General has bounced back saying he owes $40,800.00 to Medicaid.
They are not able to provide me a detailed statement but they are "assuming" that it is for capitation payments that Medicaid paid to his Managed Care Plan. I will copy and paste the email from the AG as to why he cannot give me a detailed statement.
I have no problem selling his home to repay this amount, BUT first I wanted to ask if anyone has any insight as to what a typical capitation amount would be.
It breaks down to $800/mo and that seems like A LOT, especially back in 2014-2018. And for never being in long-term care. But I could be wrong.
Would anyone that has actually gotten a detailed statement be able to relay what a typical capitation payment amount would look like in terms of amount per year or month?
Thank You so much for any help or insight.
Here is the email I received from the Ohio Attorney General regarding the reason they cannot provide a detailed statement:
From: Robert Byrne
Wed, Jul 5, 10:07 AM (9 days ago)
Normally we can provide a printout to show what was paid. Due to a switch to a new computer system at ODM, I am not able yet. But all it would show would be the monthly premiums paid by ODM to the health plan. It would not show any payments that were made by the health plan. Federal regulations require ODM to recover the premiums paid by ODM to the health plan, not what was paid by the health plan to medical providers.
Robert Byrne
Assistant Attorney General – Collections Enforcement
Office of Ohio Attorney General
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