State officials want to change the way health care is delivered to the 190,000 Ohioans served by both Medicaid and Medicare, so the beneficiaries must only deal with a single entity to receive services.
The federal Medicare program serves the elderly and disabled, while Medicaid provides coverage for the poor though state and federal funding. The two operate fairly independently from each other.
Ohio's work to make sure more children have health coverage has earned the state $21 million in federal bonus funding.
U.S. health officials say Ohio is receiving bonus money for a second straight year. Health Secretary Kathleen Sebelius says in a statement that more of Ohio's children now have the advantages health coverage provides.
Only 22 other states qualified for bonuses.
To receive the funding, states must surpass a Medicaid enrollment target and improve access to Medicaid and the Children's Health Insurance Program, known as CHIP.