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 releases July SNF payment memo —  As reported earlier in an Academy Update, the Ohio Department of Medicaid provided The Academy last week with a copy of the memo they are sending to SNF providers regarding Medicaid payments for July. (Please click here to view the memo.) As noted in the memo, ODM will be paying providers two different rates for July services. July 1 through 17 at the June 30 rate and July 18 through 31 at the July 1 rate. The memo contains instructions for providers on how to bill for the two different rates. ODM also made the following request: "We would ask that your constituents refrain from billing until Friday. This will allow all of the programming to be in place so that no more claims are set to suspend and they are properly adjudicated." ODM provided more information on suspended claims that were submitted prior to the system update: "Suspended claims with July 2019 dates of service will adjudicate over the weekend. These suspended claims will pay out at the old rates (6/30/19). Once these suspended claims have paid, the provider will have to adjust the claims according to the memo attached in order for the claim to pay properly (7/1 7/17 at old rate and 7/18-7/31 at the new rate). Claims can be immediately adjusted after the claim is shown in MITS as paid. Claims will pay out on the third week of August, which is 8/22/19. It is suggested that the adjustments be made on Wednesday of the week before (8/14/19) to get the correct amount on the 22nd." The Academy is continuing to work with the department on this and several other issues that germinated from the budget bill process.

AGE: Grant funded dementia care training available —  The Ohio Department of Aging notified The Academy that additional funding was available for nursing home providers that wish to do dementia care training. From ODA: For the last nine months, some nursing homes have been participating in 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. We are thrilled to announce that both participating organizations and those new to the project have a new opportunity to experience MORE grant-funded education. To learn more about how you can deepen your change journey and develop a person-directed leadership bench, click here. This qualifies as an approved quality improvement project (QIP) through the Ohio Department of Aging.

PDPM not to impact Medicaid CMI methodology —  The unofficial end of summer is around the corner and that means changes to the long-term industry this fall are not far off. SNF providers should be preparing for the upcoming implementation of a new Medicare payment model - Patient Determined Payment Model (PDPM) - effective October 1. (See article in National News regarding CMS resources for PDPM and the CGS training available under Odds and Ends.) ODM released an FAQ document regarding how the implementation of PDPM will impact the Medicaid CMI calculation. In a nutshell, PDPM will not directly impact the methodology behind the Medicaid CMI. Read the full FAQ document by clicking here to learn more.

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