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
MITS down  –  As noted in an earlier Academy Update, The Ohio Department of Medicaid notified The Academy that all MITS functionality was shut down from 6 p.m. on Friday Oct 10 until the morning of Tuesday Oct 14, while data was transferred from the old server system to a new server system. There was no access to the MITS portal to check eligibility, submit claims or enter prior authorization requests over that weekend. Also, HP restrictied claims processing for the week of October 6 to approximately one million claims.

Reminder: MyCare Medicare passive enrollment letters go out next week  —  The Department of Medicaid will be sending out enrollment letters to current MyCare benficiaries and to new MyCare enrollees next week. The letter for current beneficiaries notifies the person that they will be fully enrolled into the MyCare program for both Medicaid and Medicare benefits with their current plan effective Jan 1. The letter for new enrollees gives them the option to choose a plan for their benefits. In either case, a person can opt-out of Medicare by December 31 and it will be effective Jan 1. Individuals can also change their Medicaid plan during this time. A draft copy of the letters is available on our Mycare website.

Sex offender notification statute difficult to interpret as rules drafted  —  The Department of Health convened a work group of interested parties this week to discuss draft rules related to the statutory changes that took place in the budget bill and the MBR. While many of the changes mirror what is in statute, such as the new Medicaid licensure requirements, one area that garnered significant discussion was the sex offender notification rules. The language is unclear as to if the person has to be named in the notification and what is acceptable notification (posting versus a letter). The Academy raised the concern over HIPAA violations with the distribution of care plan details, especially if the individual is named in the notice. The Academy also questioned when the sex offender has to register with the home as their permanent address given that the statute states "prior to admission." Finally, it was acknowledged by industry representatives, including The Academy, that the new legislation will ultimately have many facilities not accept registered sex offenders. The issue around the ability to discriminate and if sex offenders were a protected class was discussed without definitive resolution; some believed they could be while state officials were unsure. These issues will be addressed in the next set of draft rules scheduled to be released later this month. Until the rules are finalized, providers must make an effort to follow the statute. The statute includes checking the registry for new admissions ( http://www.icrimewatch.net/index.php?AgencyID=55149 ). The Department of Health said they will address survey issues with sex offender notification as they arise and are not currently offering guidance at this time. They are not aware of any issues to date. For more information, please contact The Academy.

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