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.
The House and Senate have each passed their own version of H.R. 1 and are now starting a House/Senate Conference Committee to iron out their differences. Both bills are bad for older adults. At risk are the medical expense tax deduction, private activity bonds and advance refunding, and the Low Income Housing Tax Credit program.
The U.S. House of Representatives yesterday passed major tax reform legislation. Attention on efforts to make the first major changes to the federal tax code in decades now turns to the U.S. Senate, where a vote is expected as early as next week.
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.
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.
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).