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
ODM to use May Care Compare data in rate setting —  The Ohio Department of Medicaid is currently working on the July 1 Medicaid reimbursement rates. According to ODM, as of last week there were still 12 providers that had to resubmit cost reports before they could complete the rates. ODM also noted that CMS updated the Care Compare data in late May. The update did change some providers' four quarter average for CY 2021, which is used in the Medicaid quality point calculation. The previous estimates provided by The Academy used the April data; it is unsure at this time how the new data will impact those estimates. We anticipate the July 1 rates to be released later this week.

State revenues continue to exceed expectations —  According to OBM's latest monthly report, state revenues remain strong heading into the last month of the state fiscal year. Non-auto sales tax, personal income tax, and commercial activity tax were all above estimates, by a total of $113.1 million. Lower than expected disbursements of $265.7 million pushed May further into the black. Lower property tax reimbursements and education expenditures were the drivers behind the under spending. Medicaid spending was $7.7 million above estimates. OBM estimates that the unencumbered GRF fund balance at the end of this fiscal year will be $2.75 billion.

Notes from the ODM provider meeting —  ODM meets with long-term care representatives on a monthly basis. Below are the notes from last week's June meeting:

  • CMP projects update: The outdoor visitation project is nearing an end. The application portal has been closed and replaced with the indoor visitation project. There were 34 new outdoor visitation project applications totaling $77 thousand. Providers have until June 30 to submit receipts for reimbursement. There have already been 33 applications approved for the indoor visitation project totaling $95 thousand.
  • Post payment reviews: The FY2019 reviews still have 36 non-responses (27 NFs and 9 ICFs). Certified mailings are going out this week. If there is no response within 30 days, ODM will recoup the amount owed. ODM is currently in the process of FY2020 reviews. They expect them to go out sometime in the fourth quarter of this year.
  • LOC rules: The new LOC rules and integration into an electronic system (HENS) is currently on hold. Direct care task force: ODM noted the creation of an inter-agency task force to address the direct work force shortage.
  • ODM noted that they are looking for ideas in several areas such as regulatory barriers; however, reimbursement is not one of them. ODM is looking for "creative solutions" and believe outreach to a variety of consumers and providers can generate ideas outside of reimbursement. If you have any ideas on how to solve the direct care staffing shortage, please contact The Academy by June 16.
  • Next Gen managed care: The onsite visits to the plans have been completed. ODM could not provide information on claims processing and the fiscal intermediary. They understand that cash flow is a concern for providers and ODM will have contingency plans in place to ensure providers receive payments.
  • MCO meeting: ODM will be meeting with the MCOs to discuss patient liability and long-term care scenarios. ODM has also requested an other issues the LTC associations are having with the MCOs that they would like addressed at the meeting. If you have any concerns or ongoing problems with a managed care company, please contact The Academy by June 17.
  • Transportation: ODM is aware providers continue to have trouble finding transportation providers. ODM noted there is a link on their website to help nursing home providers find transportation providers.
If you have a question or concern for ODM, please let us know and we will get it addressed at the next meeting in July.
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