Public Notice Posted: Ohio Waivers
Public notices have been posted regarding waiver amendments, renewal and conversion from a 209(b) state to a Section 1634 state (Click the link below to view)
The public comment period will be from 2/1/16 until 3/2/16.
The public notices include:
•Integrated Care Delivery System Waiver (MyCare Ohio) Amendment and conversion from a 209(b) State to a Section 1634 State.
•Ohio Home Care Waiver Renewal and Conversion from a 209(b) State to a Section 1634 State.
•Individual Options Waiver Amendment.
•Tranistions DD Waiver Amendment.
•Level One Waiver Renewal.
•SELF Waiver Amendment.
•Assisted Living Waiver Amendment.
•PASSPORT Waiver Amendment.
______________________________New home health aide rates posted
Pursuant to OAC 5160-12-05 Appendix A, reimbursement for home health aide services will pay at $23.57 (base) and $3.92 (unit), beginning January 1, 2016. The rates apply only to agencies certified to provide home health services.
Additional Information, including the new Home Health Aide Rates, have been posted to ODM's website (link below)
______________________________Winter Weather Alert
Please see the attached Health and Welfare Alert entitled "Winter Weather Alert". The purpose of this Health and Welfare Alert is to provide critical information to caregivers on Winter Weather precautions. People with developmental disabilities are at a high risk for injury due to falls and exposure to inclement exposure. Click the the link below to learn more.
Please see the attached Health and Welfare Alert entitled "Preventing Pneumonia". The purpose of this Health and Welfare Alert is to identify factors and conditions that may increase the risk, signs and symptoms that would indicate the need to contact a physician, and ways to help prevent pneumonia. Click the the link below to learn more.
______________________________Preventing Physical Abuse
Please see the attached Health and Welfare Alert entitled "Preventing Physical Abuse". The purpose of this Alert is to provide critical information to caregivers on physical abuse prevention. People with developmental disabilities are at a high risk for physical abuse because they need physical assistance and support. Click the link below to learn more.
______________________________Oral Medications for those with Dysphagia Alert
Please see the attached Health and Welfare Alert entitled "Oral Medications for those with Dysphagia". A copy of this Alert will be maintained on our website at dodd.ohio.gov for your future reference. Please feel free to contact our office with any questions or concerns at 614-995-3810.
______________________________Transition Planning Alert
The purpose of this Health and Welfare Alert is to promote effective transition planning. Effective transition planning includes coordination, communication and information to best serve the individual with changing needs. Our system serves individuals with diverse needs in a variety of settings which can make transition planning challenging.
All DD Employees are required to be trained annually, on identification and reporting of Major Unusual Incidents (MUIs) and Unusual Incidents (UIs) prior to direct contact. This training includes the review of any Health and Welfare Alerts released since the previous calendar year's training.
Ohio Medicaid would appreciate your assistance by providing the following information, if applicable, to your providers and/or members.
Ohio Medicaid's third billing guidance document for ICD-10 implementation, entitled ICD-10 TIPS, has been posted to Ohio Medicaid's ICD-10 webpage and can be found under the ICD-10 TIPS (Billing Guidance) section. The third ICD-10 TIPS focuses on ICD-10 usage on dental claims.
If your organization is interested in testing with Ohio Medicaid, please contact your trading partner and/or the Ohio Medicaid testing team at: MITS_CGTESTING@medicaid.ohio.gov You may also test with Medicaid Managed Care Plans.
If you have any questions or wish to be removed from Ohio Medicaid's ICD-10 stakeholder list, please direct your communications to Icd10questions@medicaid.ohio.gov. We will respond in a timely manner.
Transition Carve - Out Waiver Phase Out: Individual Fact Sheet
This sheet addresses questions that Individuals might have about Transition Carve - Out Waiver Phase Out.
MITS Portal Down 10/10 - 10/14
The MITS portal will soon undergo required maintenance to enhance its systems and networks. Because of this work, MITS will be unavailable from 6:00pm Friday, October 10 until 6:00am Tuesday, October 14. Please refrain from submitting claims and checking eligibility during this time. MITS will be available for use following the completion of this work.
In-Person Training for:
Public Consulting Group, on behalf of the Ohio Department of Medicaid, will be conducting (3) trainings around the State.
Registration is required, deadline is September 30th. Minimum of 10 registered providers are needed per site in order to conduct in-person training at that site.
Register at www.ohiohcbs.pcgus.com, click on "News" and locate "Upcoming In-Person Trainings" to complete registration form.
If you have already participated in a PCG training session via computer or in-person, you are not required to attend one of the above trainings. For questions, please call 1-877-908-1746.
New ICD-10 Compliance Date
New Healthchek Referral Form
Choking Prevention Tips
Summer Safety Tips
Mandatory Provider Training
New ICD-10 Information
Direct Service Workers needed!
Ohio DSW Initiative is looking for 150-200 Direct Service Workers (DSW) to aid individuals needing assistance in order to participate in activities of daily life. You can enter the qualification testing process by scheduling a test event before May 1, 2014.
Mandatory ICD-10 Codes
Claims for all health care services on or after 10-1-14 and inpatient hospital with date of discharge on or after 10-1-14 must use ICD-10 diagnosis and inpatient procedure codes. Claims that do not use ICD-10 will be denied.
After Hours Phone Numbers
The following are the toll-free, after hour telephone numbers for the Ohio Home Care Waiver and Transitions Carve Out Waiver Case Management contractors.
Attention: MyCareOhio Recipients
If you are currently enrolled on the Ohio Home Care or Transitions Care Out Waiver, are over the age of 18 and are receiving both Medicare and Medicaid, you may soon be eligible to be enrolled in MyCareOhio depending on your county.
ALERT - Winter Weather
The purpose of this Alert is to provide critical information to caregivers on Winter Weather precautions. People with developmental disabilities are at a high risk for injury due to falls and exposure to inclement weather. Those providing care can reduce these risks and seek immediate medical care when needed.
ALERT - Flu Prevention
The purpose of this Alert is to encourage all individuals and caregivers to be vaccinated for the flu. The single best way to protect against the Flu is to get vaccinated each fall.
ALERT: ICD-10 Update Available
ALERT - TDD Provider Reviews
The Office of Provider Standards and Review (OPSR) will be conducting compliance reviews for Independent TDD waiver providers from September through mid-December 2013. Each Independent TDD provider is required to have a review by 12/19/2013. If you have already had a TDD review conducted by DODD in March/April/May of this year, you do not need to attend any of these additional reviews.
New Provider Oversight Contractor
Ohio recently selected a new provider oversight contractor for providers who deliver services to individuals on the Ohio Home Care Waiver and Transitions Carve-Out Waiver. The organization that was awarded the statewide provider oversight contract is Public Consulting Group Inc. (PCG).
Looking for assistance on MITS?
Let the Office of Medical Assistance (OMA) know by responding to a quick survey located at http://jfs.ohio.gov/mits/MITS-Provider-Training.stm and http://jfs.ohio.gov/OHP/provider.stm. The survey will be available through April 30th. OMA will use the results to develop training to meet the specific needs of providers.