The Academy of Senior
Health Sciences, Inc.
17 South High Street
Suite 770
Columbus, OH 43215
614.461.1922
800.999.6264
Fax: 614.461.7168
cmurray@seniorhealthsciences.org



 

The Academy of Senior Health Sciences, Inc. (formerly The Ohio Academy of Nursing Homes, Inc.) seeks to provide public education and awareness initiatives to the long-term care community in Ohio. Our membership represents a true cross-section of the skilled nursing facility profession, from small sole proprietorships to larger Ohio-based multi-facility companies, as well as those businesses that service our industry. Through our public education and awareness efforts, the Academy brings the collective influences of the members together into a single voice on vital issues affecting our profession.

Founded in 1966, the Academy then identified one of its core purposes as "To foster a spirit of goodwill among those persons engaged in the nursing home industry, to promote ethical practices in their relationships with each other, their employees, and the general public to the end that all interests may be served fairly..." Though the organization has undergone several transformations over the years, most notably in 2011, its dedication and commitment to Ohio's most frail and elderly remains the same.

 The Academy ly Headlines from 2 Weeks Ago
H.B. 49 provides NH rate cut details; Academy signals opposition  —  The actual budget bill language, H.B. 49, was introduced in the House this week. The language provided some clarification on the nursing home rate reductions. Temporary language in the bill would reduce the direct care prices by 7 percent for each peer group. The rate reduction would apply to all fee for service Medicaid and, because the Medicaid FFS rate is used for MyCare Ohio, MyCare Ohio Medicaid payment also. ODM calculated this cut by comparing the July 1, 2016 weighted average rate to the Jan 1, 2017 weighted average weight. The Jan 1 rate was higher than initially estimated due to an increase in case mix scores. The 7 percent reduction, or about $6.82 a day, represents this difference. The Academy is opposing the rate reduction and asking House members to hold the administration to the original agreement of the methodology used to set rates regardless of erroneous budget estimates.

ODM begins approving providers for vent rates budget —  The alternative payment program for nursing home providers serving residents on ventilators is slowly coming to fruition. ODM has provided the current list of providers that have applied and been approved, available by clicking here. ODM is currently in the process of creating and sending the provider agreement addendums. They hope to have the process finished next week. Once the signed addendum is returned to ODM, MITS will be updated to allow for billing at the higher rate. Providers will bill using revenue code 419 for all of the days the individual is on a vent for any part of the day. ODM will be providing billing instructions within a few weeks and a form to report the necessary quarterly quality data sometime in March. ODM will also be asking participating providers to update the Consumer Guide to show they provide vent services.

SpecializedHB 49: Vent rate setting method removed  —  One of the unexpected parts of HB 49, the operating budget bill, removes the language that directs ODM on how to set rates for the high-needs alternative payment program. The current ventilator program, where nursing home providers receive a higher rate for providing vent services, has its rate established under that provision of law at 60 percent of the LTACH rate. The statutory language provides protection to providers that make the necessary investment in providing those services. The Academy is not sure at this time why the language was removed; to make changes to the current vent program or to allow for more flexibility for other possible alternative payment programs.

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