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URGENT: Tell Your Senators to Protect Medicaid

Just when everyone thought we had a breather from fighting efforts to cut and cap Medicaid, things have changed once again in the Senate. Medicaid opponents could bring another piece of health care legislation to the Senate floor before the end of September.


Hospice MITS Portal: Goes Live August,  ONLY Two Trainings Offered

The Ohio Department of Medicaid (ODM) is in the process of User Acceptance Training (UAT) for the MITS hospice portal. Several ODM staff are testing the portal and are actively working to make certain the system is ready for the August 16, 2017 release date. ODM is also slated to have a conference call with a hospice that has been utilizing the portal for some time, to gather “hands on” information to apply during the UAT process.


Ohio House Overrides Governor’s Veto on Nursing Home Rates, MLTSS

This morning the Ohio House of Representatives voted to override 11 of the Governor’s 47 line-item vetoes, including those affecting nursing facility payment rates and Medicaid MLTSS (Managed Long Term Services and Supports).


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.

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.