The Ohio Department of Medicaid (ODM) Electronic Visit Verification (EVV) Stakeholder group met on December 10 and shared the following statistics:
LeadingAge Ohio has been contacted by several hospices in the past few days asking who should be billing room and board for the date of discharge or revocation for a patient in a nursing facility. LeadingAge Ohio reached out to the Ohio Department of Medicaid (ODM) regarding this issue and their response is as follows.
On August 6, 2018 the Centers for Medicare and Medicaid Services (CMS) published the fiscal year (FY) 2019 Hospice Wage Index and Payment Rate Update final rule.
The Centers for Medicare and Medicaid Services (CMS) released for public inspection the fiscal year (FY) 2019 skilled nursing facility (SNF) prospective payment system final rule on July 31, 2018.
At the Managed Long-Term Service and Supports (MLTSS) Study Committee on Thursday, July 12, Ohio Department of Medicaid (ODM) Director Barbara Sears told members of the committee of ODM’s plan to submit a letter to the Centers for Medicare & Medicaid Services (CMS) requesting a three-year extension of the MyCare Ohio program. The announcement followed the testimony of a number of consumers who have benefitted from the care coordination provided by MyCare.
LeadingAge Ohio attended a meeting with Palmetto GBA to learn more about the home health Pre-Claim Review (PCR) process that is scheduled to be initiated in Ohio no earlier than October 1, 2018 according to Palmetto representatives.
The Patient-Driven Payment Model (PDPM) was included as part of this year’s Skilled Nursing Facility Prospective Payment System (SNF-PPS) rule, as a potential replacement for the RUGS classification system.
Last week, the LeadingAge Ohio Board of Directors met in Columbus for its triannual strategic planning retreat, which will chart the course of the organization for the coming three years.
As reported in last week’s Source, LeadingAge and LeadingAge Ohio will continue to provide an analysis on the three key aspects of the FY2019 SNF PPS proposed rule, which CMS issued April 27, 2018. Last week had a detailed analysis of the proposed changes to the VBP program and the Quality Reporting Program. This week the focus is on the payment changes. This article highlights payment updates proposed to begin on October 1, 2018.
On April 27, 2018 the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1692-P) that would update fiscal year (FY) 2019 Medicare payment rates and the wage index for hospices serving Medicare beneficiaries.
As we covered in last week’s Source , the new proposed payment system from the Centers for Medicare & Medicaid Services for skilled nursing facilities will be the first year where Value-Based Purchasing (VBP) will be implemented.
Several weeks ago, LeadingAge Ohio sent an email alert noting that members (with 501(c)3 status) need to be aware of a potential challenge occurring as a result of Ohio’s existing tax law.
Infection Control continues to be a top cited area with the new Long-Term Care Survey Process.
On Tuesday, February 20, the Centers for Medicare and Medicaid Services (CMS) posted results from the first CAHPS Hospice Survey for patients, their families, caregivers, referral sources and providers to have access to information related to choosing a hospice provider.
Hospices must calculate and submit their Cap report by next Wednesday, February 28.
Last week, the Ohio Department of Medicaid (ODM) and Office of Health Transformation (OHT) announced they will seek federal approval to implement a work requirement as required by State FY 2018-19 budget bill (HB49) and guidelines by CMS.