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|
Palliative care bill passed out of Senate committee
The Senate HHS and Medicaid Committee passed Amended H.B. 286 that will require health care facilities, including nursing homes and assisted living, to identify individuals who may benefit from palliative care and provide information on those services. The bill was amended to clarify that no new Medicaid benefit was being created and to allow county nursing homes to participate in the transfer of beds across contiguous counties. Per the bill analysis, "the bill requires certain health care facilities and providers to establish a system for identifying patients or residents who could benefit from palliative care. It also requires each of them to provide information on palliative care to those patients and residents. The following health care facilities and providers are subject to these requirements: hospitals, ambulatory surgical facilities, nursing homes, residential care facilities, county or district homes, veterans' homes, home health agencies, hospice care programs, and pediatric respite care programs." ODH is to provide materials that can be used to meet the requirement that the health care facility provide information. The bill would next go to the Senate for passage.
Reminder: SNF/AL license renewal due Jan 31
From ODH:The intent of this communication is to provide a reminder regarding the 2019 Long-Term Care (Nursing Home and Residential Care) Facility annual license renewal process.The application is due online or postmarked by January 31, 2019. Beginning the first day of February, a late fee of $100 will be charged for each week or part thereof the renewal fee is not paid.
Renew and pay electronically online via EIDC (online system) beginning December 1st, at http://publicapps.odh.ohio.gov/eid/default.aspx with Visa, MasterCard, American Express or an electronic check from a checking account.
Requests for new EIDC accounts and existing account changes (e.g. resetting of password, adding facilities, updating e-mail address, etc.) can be submitted online by visiting http://publicapps.odh.ohio.gov/eid/default.aspx and selecting "EIDC User Account Request".
If paying by mail: 1. complete the renewal form on-line; 2. print the renewal form; and 3. mail the form with your non-refundable annual renewal licensing fee and current State Fire Marshal inspection report as an inclusive packet to ODH, Accounts Receivable #3212, PO Box 15278, Columbus, OH 43215. The renewal licensing fee is $320 for each 50 beds or part thereof of a facility's licensed capacity (e.g. $320 for 1 to 50 licensed capacity, $640 for 51 to 100 licensed capacity, etc.) and must be made payable to the "Treasurer, State of Ohio." An incomplete renewal packet will delay the renewal process. If you have questions regarding this communication or require additional information, e-mail us at firstname.lastname@example.org." A PDF of the notice is available by clicking here.
MyCare: Molina will update Medicare rates; new HCBS fax number
Molina noted in its latest provider update newsletter that they will be updating their Medicare rates based upon the VBP multiplier. For Medicare fee for service, the multiplier is applied by the MAC to submitted claims. Molina noted that the current implementation date is slated for early December. Molina was holding impacted claims until the VBP rates were fully loaded; however, due to the additional time needed to implement, they are releasing claims to pay and will instead recover any overpayment related to the VBP through claim adjustments in Dec. 2018. In other news, Molina notified providers that they will change the fax number for HCBS prior authorization requests:
Effective Dec. 1, 2018, the fax numbers used to submit Home Health Prior Authorization (PA) requests will change to the following:
A new PA Request Form will soon be available on our website with the updated fax numbers. For additional information on how to submit PA requests check out the “Home Health Quick Prior Authorization Quick Tips Guide” on our MyCare Ohio provider website. For questions contact Molina at (855) 322-4079.
- Medicaid/MyCare Ohio Opt-Out Fax: (866) 449-6843
- Medicare/MyCare Ohio Opt-In Fax: (877) 708-2116
- Marketplace Fax: (855) 502-5130
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