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12/05/2018

CMS Targeting Facilities with Low Staffing in PBJ Data

According to the Centers for Medicare & Medicaid Services (CMS) Quality, Safety and Oversight Group Letter released on November 30, 2018, CMS will begin notifying state agencies and CMS regional offices with a list of facilities that report low staffing during certain dates within PBJ data.

10/18/2018

Hospice Billing Room and Board Services for the Date of Discharge or Revocation

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. 

08/15/2018

Hospice to Receive 1.8% Payment Update

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.

08/01/2018

CMS Finalizes 2019 SNF Payment 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.

07/18/2018

ODM Seeks 3 Year Extension for MyCare Ohio

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.

06/13/2018

Home Health Pre-Claim Reviews Are Coming To Ohio

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.

05/23/2018

Tools Coming for PDPM Payment

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.

05/23/2018

LeadingAge Ohio Board Charts Course for Next 3 Years

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.

05/16/2018

New Analysis on Proposed SNF Payment Rule: Part II

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.

05/09/2018

What’s New in the Hospice FY 2019 Proposed Rule

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.

05/09/2018

New Analysis on Proposed SNF Payment Rule

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.

05/09/2018

Tax Exemption Primer for LeadingAge Ohio Members

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.

03/07/2018

Infection Control Tops Survey Trends

Infection Control continues to be a top cited area with the new Long-Term Care Survey Process.

02/28/2018

CAHPS Data Included in Hospice Compare Refresh

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.

02/21/2018

Reminder: Cap Reporting February 28

Hospices must calculate and submit their Cap report by next Wednesday, February 28.

02/21/2018

Ohio Medicaid Pursues Work Requirements

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.

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.