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02/20/2019

Exception Reviews Begin Again

The Ohio Department of Medicaid (ODM) has shared that exception review surveys will begin again, likely late next week or the week of March 4. (ODM had originally indicated a re-start date of February 25 but let us know yesterday that they expect a delay of approximately one week at the most).

ODM is continuing its contract with Myers & Stauffer (M/S) to perform the on-site reviews, while ODM retains responsibility for the review results follow up. The reviews evaluate clinical documentation to ensure it supports the case mix score.

The long term care providers selected for review will again be notified by M/S two days in advance of the anticipated review date, and ODM will continue to make LeadingAge Ohio aware of those provider notifications as they occur. LeadingAge Ohio will continue to reach out to members who are scheduled for an exception review to provide support and tips to increase the likelihood of a favorable outcome.

Questions regarding the exception review process should be sent to Stephanie DeWees at sdewees@leadingageohio.org.

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