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
MyCare Ohio: Patient liability reconciliation process outlined  —  The Ohio Department of Medicaid has signed-off on a process that will allow providers to reconcile patient liability accounts. A document has been created that outlines the process is available here. When directed to use the "spreadsheet," it is the same spreadsheet method that was used before. Please contact The Academy if you have any questions.

MyCare Ohio: Lastest enrollment, complaint numbers  —  The Ohio Department of Medicaid released the latest enrollment and complaint numbers at the MyCare Ohio Implementation Team meeting this week. Ohio continues to have strong "dual" enrollment compared to other states running the demonstration program at 66%. (Click here to download the latest enrollment numbers.) The State Ombudsman provided a report of their activities at the meeting. (Download the report here.) While they have seen an increase in complaints, the number of resolved complaints has also increased. Benefit/Access continues to be the number one complaint. ODM reported that the number of plan member grievances has gone done slightly. Billing is the top area of member grievances followed by plan administration/benefits. There were 128 provider complaints during the last quarter of 2015. Of those, 109 were related to payment. (Click here to view ODM complaint information.)

MCOIT: MyCare Ohio "getting better;" to be extended two years  —  The MyCare Ohio Implementation Team met this week for a quarterly overview of how the MyCare Ohio program is progressing. The general theme of the meeting was that MyCare Ohio is better now than when it was first implemented over a year and a half ago. There were still several concerns raised at the meeting, including beneficiaries still not knowing who is their care manager, better care coordination, and access to DME repairs. The Ohio Department of Medicaid announced at the meeting their intention of extending MyCare Ohio to December 31, 2019, two years beyond the current end date. ODM plans on amending the three way contract and expects CMS to sign the new contract.

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