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05/26/2016

PELI Alert

NURSING FACILITY COST REPORT SENSITIVE INFORMATION

PELI Alert

NURSING FACILITY COST REPORT SENSITIVE INFORMATION

EVERY CERTIFIED NURSING FACILITY PROVIDER should be getting their quality point for the PELI instrument.

Cheryl Guyman, Nursing Facility Policy Administrator, Ohio Department of Medicaid has confirmed that there is nothing in rule to prevent a facility from using MDS Section F:  Preferences for Customary Routine and Activities to meet the PELI quality indicator requirements, as this section is the basis for the short version of the PELI.  In order to do so, a provider must have a written policy indicating that they will use this section to meet the criteria for the quality indicator.

Thus, all Medicare certified nursing facility providers should have a policy and capture the quality indicator point in their cost report.

For questions, please contact Nisha Hammel at nhammel@leadingageohio.org or cell at 614-530-5602.

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