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 Weekly Headlines from 2 Weeks Ago
Aetna RFI due December 15  —  Aetna has sent a request for information (RFI) to skilled nursing facilities in Ohio. The RFI is in response to Academy efforts to allow SNF providers to contract directly with Aetna for SNF services. The RFI will be used by Aetna to determine future contract considerations. The online RFI survey can be found here - https://goo.gl/cbCOhf. Submission is due by December 15, 2016. If you have any questions about the survey, please contact The Academy.

ODM releases eligibility process Q and A; Medicaid Standards cheat sheet  —  The Ohio Department of Medicaid has released a question and answer sheet from the webinars presented to PASSPORT Administrative Agencies on Medicaid eligibility processing. The Q and A document covers a wide range of topics related to the processing of LTC Medicaid eligibility including 9401s and LOC requests. Please download the Q and A by clicking here. The Medicaid Standards cheat sheet depicts the eligibility requirements for the different type of eligibility. Click here to download the Medicaid Standards cheat sheet.

JMOC hears about VBP from ODM, MCOs  —  The legislative Joint Medicaid Oversight Committee (JMOC) held a panel hearing this week about value based purchasing in the Medicaid program. Medicaid Director John McCarthy provided testimony on the current efforts of the department, including value based provisions in managed care contracts. The department's goal mirrors that of CMS; 50% of payments are pay for performance by 2020. Each Medicaid managed care plan, Molina, CareSource, Paramount, Buckeye, and UHC, provided testimony on their initiatives for more pay for performance. The plans anticipate reaching the goal of 50% of payments going towards value based payments. There was little mention of long-term care initiatives other than a few alternative models in MyCare Ohio.

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