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|
HCBS waiver integration/rules reviewed
The Home and Community Based Services Stakeholder meeting took place last week. Below are highlights from the meeting:
Please contact The Academy if you have any questions or require more information.
- Waiver alignment: ODM continues it work with the Department of Aging on aligning waiver services and procedures. This past July, a series of rules went into effect to better align services. The incident management service now handles incidents for all waivers. The next step in waiver alignment, slated for July 1 of 2020, is integrating self direction into the home care waiver, and aligning specialized medical equipment, supplies and devices, and vehicle modifications.
- Managed care option: ODM is proposing rules that would allow community Medicaid members to retain their managed care when they become eligible for a waiver service. The waiver services would be provided under fee for service; however, the person could continue to receive their other health care services from their managed care organization. Currently, a person would drop managed care to receive waiver services. Dual eligible and the other exemptions to community managed care would remain in place. ODM expects a January 15, 2020 implementation date.
- Rules: ODM proposed six rule changes at the meeting with a target effective date of February 1, 2020:
- OAC 5160-44-26 (NF-based LOC HCBS: Community Transition Services): CMS said initial food is excluded from community transition services, so removing it; part of "room and board" which is not allowed
- OAC 5160-45-06 (ODM-adm Waivers: Structural Reviews of Providers and Investigation of Provider Occurrences):
- Structural review changes; updates rule for current processes, including allowing ODM to do a review if they feel necessary and allowing 2 years between reviews.
- Only applies to home care waiver providers, including MyCare, except review for MyCare would not include billing (ODM administered waivers)
- Added (f) that must comply with CMS HCBS setting requirements
- Guidance will be issued related to time for plan of corrections for provider occurrences (not necessarily a critical incident) - "prescribed timelines"; will be between 15 and 45 days and be based on the violation, will be determined and included in guidance when rule becomes effective
- OAC 5160-44-31 (ODM-adm Waivers: Provider Conditions of Participation):
- Added "Successfully complete ODM-mandated new provider training within ninety days after a new provider's medicaid enrollment date."
- ODM is developing the required training, based solely on the rules
- OAC 5160-45-10 (ODM-adm Waivers: Provider Conditions of Participation) and OAC 5160-46-04 (OHCW: Service Specs/Provider Requirements):
- To be rescinded and replaced with 44-31
- OAC 5160-45-01 (ODM-adm Waivers: Definitions)
- Updating references and definitions
AGE opens training grant opportunities
The Department of Aging has opened training grant opportunities reported in the last edition of The Weekly. From AGE: "You are invited to participate in the Creating a Culture of Person-Directed Dementia Care, a collaborative grant project between the Ohio Office of the State Long-Term Care Ombudsman and The Eden Alternative. You will learn side-by-side with Ohio nursing home providers, state surveyors and ombudsman to create well-being for those living with dementia and hone your leadership skills. There are limited grant-funded registrations for Medicaid-Certified Nursing Facilities, Ohio Ombudsmen and State Surveyors to attend each of the following grant-funded educational offerings:
To learn more and to register, click here. At checkout, Ohio Medicaid-Certified Nursing Facilities should enter discount code: Ohio Grant
- Dementia Beyond Drugs – 2 days in-person
- Leadership Pathways to Culture Change - 2 days in-person
- Facilitative Leadership - online
The training cost is covered by the grant, however, there is a $65 charge for food for each of the two-day in-person events. Please register your team soon. Space is limited."
Possible opioid settlement funds sought by many
The prospect of billions of dollars in opioid settlements has many organizations and government entities claiming that they are the best recipients for spending those funds. It has even brought former Governor Kasich and OSU president Gee back together. The outcome of thousands of lawsuits against pharmaceutical companies has yet to be decided; however, many believe a settlement similar to that with the tobacco companies is in the future. The tobacco money went to the states, some of whom used the dollars to shore-up budgets during the last recession. State and local government agencies, along with local non-profits that provide treatment for addiction, believe they are best suited to determine how the money is to be spent. Kasich and Gee have created a non-profit organization that wants to see money go to the hospitals. As of now, the fate of the lawsuits is in the hands of the courts and any settlement has yet to be worked out.
- Click Here to read The Academy Weekly in PDF format