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
State convenes meeting to address managed care and LOC  —  The Ohio Department of Medicaid met with SNF associations and managed care organizations to discuss the level of care process. ODM convened the meeting because of numerous concerns raised by the associations that the MCOs were not following provider agreement requirements related to Level of Care (LOC). Specifically, the concerns were MCOs were not using the proper criteria or providing notification to the provider regarding the LOC determination. ODM provided a draft Managed Care LOC FAQ that explains the responsibilities of MCOs and providers along with LOC requirements for different Medicaid eligibility groups. Please click here to view the draft document. There was some discussion of standardizing the process and "piggy backing" off the use of HENS as will be done for fee for service. The group also discussed the prior authorization process for "custodial" residents. It was evident that each plan had a different process and different length of time. ODM plans on continuing the meetings to address managed care issues.

Rep. Pelanda to lead House task force to address Alzheimer's —  House Speaker Rosenberger created several special task forces to address issues important enough to require additional scrutiny. The increased prevalence of Alzheimer's and other forms of dementia led to the creation of the Alzheimer's and Dementia Task Force. Speaker Rosenberger appointed Rep. Dorothy Pelanda as chair. The task force will be holding its first meeting next week with The Central Ohio and Northwest Ohio Chapters of the Alzheimer’s Association and the Ohio Department of Aging providing testimony.

Molina prior auth and transportation billing updates —  Molina Healthcare will only accept standard authorization forms after Sept. 1, 2017. This is to ensure timely and accurate processing of authorizations. For all lines of business, the standard form can be found by clicking here. Molina Healthcare is also reminding transportation providers that in accordance with OAC 5160-15-28, transportation services from an eligible provider require a valid point-of-transport modifier representing a combination of the trip origin and destination. Claims without the required modifier will be denied. (Back to top)

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