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Senate Sub Bill Released: Funding Maintained for NFs and HCBS

Yesterday, the Ohio Senate released its version of the biennium budget Sub HB49 (R. Smith). The Senate took into consideration the recent revenue projections of the Office of Budget and Management (OBM) and the assumption that Medicaid caseloads would increase more than the executive budget predicted. In a press conference, Senate President Larry Obhof stated, “The bill maintains tax cuts and reforms from previous budget cycles and does not dip into the Rainy Day Fund .” The Senate looked to close the gap of what they believe is a projected budget shortfall of over $1 billion. The Senate Finance Committee accepted the sub bill for consideration.


Ohio House Sub Bill: What You Need to Know

Last week, the Ohio House of Representatives released its iteration of the biennial budget, outlining its priorities for the coming two years. The House was under additional pressure as the Office of Management and Budget estimated an additional $800 million shortfall that needed to be accommodated. The House successfully stripped $630 million from the executive budget levels, some of it at a cost to senior service providers.


State Fiscal Years 2018-19 Operating Budget, HB 49: Summary of Long-Term Care Provisions

Gov. Kasich’s final biennium budget was introduced in the House Finance Committee on February 8, 2017, HB 49 (Rep. Smith). While the House is now actively working to create its proposed changes, we wanted members to have a summary of the executive budget provisions impacting long term care providers that are included in the governor’s budget. As a reminder, the House is holding committee and standing subcommittee hearings on the operating appropriations bills. Testimony from Ohio Department of Medicaid (ODM), Ohio Department of Aging (ODA), Office of Health Transformation (OHT) are expected to occur the week of March 7. The House is expected to release its substitute bill in mid-April.


Continued Rollout of the RoPs Toolkit Resources Now Available

LeadingAge and the LeadingAge state affiliates (including LeadingAge Ohio) are working in conjunction with Pathway Health to provide tools to help members navigate through the Requirements of Participation for Phase I of the new Mega Rule.


First SNF Mega Rule Tools Now Available

LeadingAge and the LeadingAge state affiliates (including LeadingAge Ohio) are working in conjunction with Pathway Health to provide tools to help members navigate through the Requirements of Participation for Phase I of the new Mega Rule. The policies and tools, which will be available from the LeadingAge Ohio member/subscriber restricted website, have been designed for national distribution and comply with the CMS Mega Rule.


Members Grapple with Reforms to the Requirements of Participation (RoP’s)

In early December, LeadingAge Ohio members joined their colleagues at three regional trainings on the new Requirements of Participation for nursing facilities. The trainings brought together industry experts Janet Feldkamp, Partner, Benesch, and Stephanie DeWeese, Quality & Regulatory Specialist - Long Term Care, LeadingAge Ohio, to work through the RoPs, one by one, providing helpful tips for implementation.


Overtime Rule Delayed

Yesterday afternoon, November 22, a federal trial court in Texas issued a nationwide preliminary injunction blocking the new FLSA salary regulations from going into effect on December 1. This means that, right now, the new regulations raising the salary threshold test for the white collar exemptions cannot be implemented by the U.S. Department of Labor (DOL).


2011 Post-Payment Claims Review Update

Attention: Nursing Facility Providers

John Maynard, Program Integrity Director, Ohio Department of Medicaid (ODM) explained that ODM had completed the first wave of their “second look” of the 2011 post-payment claim reviews. Through this process ODM has reviewed 100% of the ICF/IID claims and the top 10% of the highest dollar amounts of nursing facility claims.


Urge Lawmakers to Pass Key Senior Housing Preservation Tool

Preserving affordable senior housing is crucial in the face of increasing need. There are approximately 2,800 properties serving over 120,000 households headed by low-income seniors that are in great need of repairs and upgrades to meet the needs of their residents.




CMS Survey and Certification Letter

Revisions to State Operations Manual (SOM), Appendix PP - Revised Regulations and Tags


Arbitration Issues Remain in the RoP

In the October 20 edition of The Source, we shared the potential impact on a specific piece of the new Rules of Participation slated to go into effect on November 28, 2016 for those communities who are Medicaid and/or Medicare providers.


A Year of Renewal: Are You In?

Provider Member


Nursing Home Final Rule: What You Need to Know

The Centers for Medicare and Medicaid Services (CMS) issued the Final Rule: Medicare and Medicaid Programs: Reform of Requirements for Long-Term Care Facilities that was published in the Federal Register on Oct 4.


CMS Issues Nursing Home Mega-Rule

Centers for Medicare and Medicaid Services (CMS) published the final rules revising the nursing home requirements of participation on Tuesday, October 4, 2016. This rule represents the most significant changes to the delivery of nursing home care since OBRA ‘87.


State Provides Important Clarification on Hospice Enrollees in NFs

Ohio Department of Medicaid (ODM) had provided clarification regarding the data entry required in Ohio Benefits when the Passport Administrative Agency (PAA) receives an ODM 9401 and the nursing facility resident does not require a level of care determination (based on OAC 5160-3-14 or the ODM Most Common Scenarios chart).


ODM 9401: Updates (Backlogged forms, FAQ, webinar)

The Ohio Department of Medicaid (ODM) is providing the following guidance to nursing facilities and county department of job and family services (CDJFS) regarding the backlogged ODM 9401s not processed before Ohio Benefits went live on August 1.


LeadingAge Ohio’s 2016 Annual Business Meeting

The LeadingAge Ohio Annual Business Meeting will be held in conjunction with the upcoming 2016 Annual Conference and Trade Show, Stronger Together, on Friday, September 9, 2016 from 9:45 a.m. - 11:15 a.m. Hyatt Regency Columbus.


Ohio Medicaid to Audit ALL Hospices' Election Statements

ODM will audit Medicaid election statements from all Ohio Hospices serving Medicaid patients beginning late August. In discussions with ODM, they expect this audit to take place through October 31, 2016.


IMPORTANT: Changes to 9401 Transmittals and ODM Trainings

Effective August 1, 2016, the Ohio Department of Medicaid has updated the form and process for completing the ODM 9401, previously the Facility CDJFS Transmittal. Depending on the type of request and/or update, nursing facilities (NF) will submit the ODM 9401 to either:


Qualified Income Trusts (QIT): What You Need to Know

Providers are fast approaching the August deadline for implementation of the Disability Determination Redesign, which will shift Ohio Medicaid beneficiaries who previously had a spend-down amount to using Qualified Income Trusts, or QITs, to maintain or gain eligibility for Medicaid LTSS.


Important Update on How to Access Your Nursing Facility Rates

At 9:30 this morning we received word from Ohio Department of Medicaid (ODM) that the nursing facility rates were not able to be loaded to the MITS portal and therefore providers cannot access their rates through the MITS system.


Ohio Legislature Votes to Allow Limited Use of Medical Marijuana

On May 25, the Ohio state legislature passed a bill that will legalize the use of marijuana in particular forms to treat certain medical conditions. LeadingAge Ohio’s lobbying firm, Barnes and Thornburg, has prepared the following clarifications which will help providers understand the scope of the bill, and how it may impact their practice.

Our national partner, LeadingAge, is an association of 6,000 not-for-profit organizations dedicated to expanding the world of possibilities for aging. Together, we advance policies, promote practices and conduct research that support, enable and empower people to live fully as they age.