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 finishes July 1 SNF rate setting
The Ohio Department of Medicaid notified The Academy yesterday that it had calculated the quality measure add-on for the July 1 SNF Medicaid rates. The quality add-on was the last part of the rate determination process. ODM struggled with the clinical measures because of missing Nursing Home Compare data. ODM decided to give providers with missing data in both the long and short term measures the quality point. Each quality point was worth $0.58, with an average quality payment of $1.85. According to ODM, the breakdown of providers was:
The Academy has not received the final rate setting files yet. We will update you as soon as it is available
- 235 NF providers will be receiving a point for pressure ulcers,
- 164 NF providers will be receiving a point for antipsychotics,
- 684 NF providers will be receiving a point for staff retention,
- 903 NF providers will be receiving a point for PELI and
- 907 NF providers will be receiving a point for the potentially preventable hospital admissions
CRIS-E ends August 1, Ohio Benefits for ABD eligibility
The end of CRIS-E for aged, blind, and disabled (ABD) Medicaid eligibility is near. On August 1, the same time as the eligibility criteria change becomes effective, ABD eligibility will switch from CRIS-E to Ohio Benefits. Children and Families with Children eligibility is already processed in Ohio Benefits. The move will not incorporate the new long-term care questionnaire (LTCQ - replacing form 3697) or LOC criteria. Those changes are expected to occur by Jan 1, 2017. Providers will continue to request LOC determinations from the PAAs and need to initiate a Medicaid application for admissions that are not already on community Medicaid to start the eligibility determination process.
Latest information on QITs
We have once again updated our QIT FAQ. New information on STABLE accounts has been added. Providers are reminded that individuals that are applying for Medicaid after August 1 will be required to establish and fund a QIT. The county JFS must receive the QIT Bank Verification Form (download by clicking here) to process the application. Pending CMS approval, individuals currently on Medicaid, or were Medicaid pending, prior to August 1 will not need to have the QIT established until prior to their next redetermination date in 2017. Read about QITs in our updated FAQ document available here.
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