Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid shall develop an addendum to the cost report form that a nursing facility provider may use to set forth costs that the provider believes the department may dispute. The department may consider such costs in determining a nursing […]
Effective: November 22, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly If a nursing facility provider required by section 5165.10 of the Revised Code to file a cost report for the nursing facility fails to file the cost report by the date it is due or the date, if any, to which the […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) Except as provided in division (B) of this section and not later than three years after a nursing facility provider files a cost report with the department of medicaid under section 5165.10 of the Revised Code, the provider may amend the […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The department of medicaid shall conduct a desk review of each cost report it receives under section 5165.10 or 5165.522 of the Revised Code. Based on the desk review, the department shall make a preliminary determination of whether the reported costs […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The department of medicaid may conduct an audit, as defined in rules adopted under section 5165.02 of the Revised Code, of any cost report filed under section 5165.10 or 5165.522 of the Revised Code. The decision whether to conduct an audit […]
Effective: June 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly Except as otherwise provided by sections 5165.151 to 5165.157 and 5165.34 of the Revised Code, the total per medicaid day payment rate that the department of medicaid shall pay a nursing facility provider for nursing facility services the provider’s nursing facility provides […]
Effective: June 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) The total per medicaid day payment rate determined under section 5165.15 of the Revised Code shall not be the initial rate for nursing facility services provided by a new nursing facility. Instead, the initial total per medicaid day payment rate for […]
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly The total per medicaid day payment rate determined under section 5165.15 of the Revised Code shall not be paid for nursing facility services provided to low resource utilization residents. Instead, the total rate for such nursing facility services shall be one hundred […]
Effective: November 22, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) The total per medicaid day payment rate determined under section 5165.15 of the Revised Code shall not be paid for nursing facility services provided by a nursing facility, or discrete unit of a nursing facility, designated by the department of medicaid […]
Effective: November 22, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) To the extent, if any, provided for in rules authorized by this section, the total per medicaid day payment rate determined under section 5165.15 of the Revised Code shall not be paid for nursing facility services that a nursing facility not […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) As used in this section, “medicaid maximum allowable amount” means one hundred per cent of a nursing facility’s total per medicaid day payment rate. (B) Instead of paying the total per medicaid day payment rate determined under section 5165.15 of the […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director may establish a centers of excellence component of the medicaid program. The purpose of the centers of excellence component is to increase the efficiency and quality of nursing facility services provided to medicaid recipients with complex nursing facility service […]
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) The medicaid director shall establish an alternative purchasing model for nursing facility services provided by designated discrete units of nursing facilities to medicaid recipients with specialized health care needs. The director shall do all of the following with regard to the […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) The department of medicaid shall determine each nursing facility’s per medicaid day payment rate for ancillary and support costs. A nursing facility’s rate shall be the rate determined under division (C) of this section for the nursing facility’s peer group. (B) […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) The department of medicaid shall determine each nursing facility’s per medicaid day payment rate for capital costs. A nursing facility’s rate shall be the rate determined under division (C) of this section for the nursing facility’s peer group. (B) For the […]
Effective: June 19, 2020 Latest Legislation: House Bill 481 – 133rd General Assembly (A) Semiannually, the department of medicaid shall determine each nursing facility’s per medicaid day payment rate for direct care costs by multiplying the facility’s semiannual case-mix score determined under section 5165.192 of the Revised Code by the cost per case-mix unit determined […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly Each calendar quarter, each nursing facility provider shall compile complete assessment data for each resident of each of the provider’s nursing facilities, regardless of payment source, who is in the nursing facility, or on hospital or therapeutic leave from the nursing facility, […]
Effective: November 22, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A)(1) Except as provided in division (B) of this section and in accordance with the process specified in rules authorized by this section, the department of medicaid shall do all of the following: (a) Every quarter, determine the following two case-mix scores […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The department of medicaid may, pursuant to rules authorized by this section, conduct an exception review of resident assessment data submitted by a nursing facility provider under section 5165.191 of the Revised Code. The department may conduct an exception review based […]
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly The department of medicaid shall determine each nursing facility’s per medicaid day payment rate for tax costs. The rate for tax costs determined under this division for a nursing facility shall be used for subsequent years until the department conducts a rebasing. […]
