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11/13/2019

ODM Shares Quality Measure Changes

Several changes included in HB 166, Ohio’s budget bill, modified the existing quality measures used to calculate the portion of the Medicaid base rate. These changes included: 

  • Removing the Preferences for Everyday Living Inventory (PELI) measure;
  • Removing the hospice exclusion from the antipsychotic measure;
  • Including the Family and Resident Satisfaction Surveys as a new measure; and
  • Allowing ODM to define the threshold at which the satisfaction survey measure is met.

At its monthly meeting with LeadingAge Ohio, the Ohio Department of Medicaid shared that based on the past two years’ surveys (2017 and 2018), 472 nursing facilities would have received the point based on 2017 resident survey data, and 234 nursing facilities would have received the point based on 2018 family survey data. The rules are anticipated to take effect in February. ODM confirmed that those nursing facilities that have insufficient response rates to have a score will not be awarded the quality point. 

Questions related to these changes may be directed to Susan Wallace, Director of Government Relations and Public Affairs at swallace@leadingageohio.org

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