Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) Except as otherwise provided by section 5124.101 of the Revised Code, sections 5124.151 to 5124.154 of the Revised Code, and divisions (B) and (C) of this section, the total per medicaid day payment rate that the department of developmental disabilities shall […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) The total per medicaid day payment rate determined under section 5124.15 of the Revised Code shall not be the initial rate for ICF/IID services provided by a new ICF/IID. Instead, the initial total per medicaid day payment rate for ICF/IID services […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) The total per medicaid day payment rate determined under section 5124.15 of the Revised Code shall not be paid for ICF/IID services provided by an ICF/IID, or discrete unit of an ICF/IID, designated by the department of developmental disabilities as an […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th 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 5124.15 of the Revised Code shall not be paid for ICF/IID services that an ICF/IID not designated as […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of developmental disabilities is not required to pay the total per medicaid day payment rates determined under section 5124.15 of the Revised Code for ICF/IID services provided by developmental centers. Instead, the department may determine the medicaid payment rates for […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) For each fiscal year, the department of developmental disabilities shall determine each ICF/IID’s per medicaid day capital component rate. An ICF/IID’s rate for a fiscal year shall equal the sum of the following: (1) The lesser of the following: (a) The […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) For each fiscal year, the department of developmental disabilities shall determine each ICF/IID’s per medicaid day direct care costs component rate. An ICF/IID’s rate shall be determined as follows: (1) Determine the product of the following: (a) The ICF/IID’s quarterly case-mix […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) As used in sections 5124.191 to 5124.193 of the Revised Code, “ICF/IID resident” includes an individual who is on hospital or therapeutic leave from an ICF/IID. (B) In accordance with rules adopted under section 5124.03 of the Revised Code, the department […]
Effective: July 1, 2018 Latest Legislation: House Bill 24 – 132nd General Assembly (A) The department of developmental disabilities shall establish six acuity groups for the purpose of assigning case-mix scores to ICF/IID residents. An ICF/IID resident’s case-mix score shall be the score of the resident’s acuity group as specified in rules authorized by this […]
Effective: July 1, 2018 Latest Legislation: House Bill 24 – 132nd General Assembly (A) Except as provided in division (B) of this section, the department of developmental disabilities shall do both of the following: (1) For each calendar quarter, determine a case-mix score for each ICF/IID using both of the following: (a) The most recent […]
Effective: July 1, 2018 Latest Legislation: House Bill 24 – 132nd General Assembly (A) No change that the department of developmental disabilities makes to either of the following is valid unless the change is applied prospectively and the department complies with division (B) of this section: (1) The department’s instructions or guidelines for the resident […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly (A) For each fiscal year, the department of developmental disabilities shall determine each ICF/IID’s per medicaid day indirect care costs component rate. An ICF/IID’s rate shall be the lesser of the individual rate determined under division (B) of this section and the […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly For each fiscal year, the department of developmental disabilities shall determine each ICF/IID’s per medicaid day other protected costs component rate. An ICF/IID’s rate shall be the ICF/IID’s desk-reviewed, actual, allowable, per diem other protected costs from the applicable cost report year, […]
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) For fiscal year 2022 and each fiscal year thereafter, the department of developmental disabilities shall determine in accordance with division (C) of this section a per medicaid day quality incentive payment for each ICF/IID that earns for the fiscal year at […]
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) Subject to division (D) of this section, the department of developmental disabilities may pay a medicaid rate add-on to an ICF/IID provider for outlier ICF/IID services the ICF/IID provides to qualifying ventilator-dependent residents on or after September 29, 2013, if the […]
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) Subject to division (D) of this section, the department of developmental disabilities may pay a medicaid rate add-on to an ICF/IID provider for outlier ICF/IID services the ICF/IID provides to residents identified as needing intensive behavioral support services, if the provider […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly Except as otherwise provided in section 5124.30 of the Revised Code, the department of developmental disabilities, in determining whether an ICF/IID’s direct care costs and indirect care costs are allowable, shall place no limit on specific categories of reasonable costs other than […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly Except as provided in section 5124.17 of the Revised Code, the costs of goods, services, and facilities, furnished to an ICF/IID provider by a related party are includable in the allowable costs of the provider at the reasonable cost to the related […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of developmental disabilities shall adjust medicaid payment rates determined under this chapter to account for reasonable additional costs that must be incurred by ICFs/IID to comply with requirements of federal or state statutes, rules, or policies enacted or amended after […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of developmental disabilities shall not reduce an ICF/IID’s medicaid payment rate determined under this chapter on the basis that the provider charges a lower rate to any resident who is not eligible for medicaid.
