5160-12-05 Reimbursement: home health services.  

  • Text Box: ACTION: Original Text Box: DATE: 10/14/2016 2:27 PM

     

     

     

    PUBLIC HEARING NOTICE OHIO DEPARTMENT OF MEDICAID

     

     

    DATE:                                     November 14, 2016

    TIME:                                    11:00 A.M.

    LOCATION:                           Lazarus Building, 50 West Town St., Room B538, Columbus, Ohio 43215

     

    Pursuant to section 5164.02 and Chapter 119. of the Ohio Revised Code, the director of the Ohio Department of Medicaid gives notice of the Department's intent to consider the amendment of the rules as identified below and of a public hearing thereon.

     

    OAC 5160-12-05, entitled "Reimbursement: home health services" sets forth the definitions and billing procedures for providers of home health under Ohio's Medicaid State Plan. Appendix A and Appendix B are being amended in the rule to include the current U7 modifier and to reflect an increase in the reimbursement rates for home health nursing services when provided by a Registered Nurse (RN) or Licensed Practical Nurse (LPN) for a Medicare Certified Home Health agency (MCHHA).

     

    OAC 5160-12-06, entitled "Reimbursement: private duty nursing services" sets forth the definitions and billing procedures for providers of private duty nursing services under Ohio's Medicaid State Plan. Appendix A and Appendix B are being amended to include current overtime rates for non-agency nurses and to reflect an increase in the reimbursement rates for private duty nursing services provided by an RN or an LPN under the supervision of an RN when employed or under contract with an MCHHA, an otherwise accredited agency provider, or when working as a non-agency provider.

     

    A copy of each of the proposed rules is available at the address listed below and without charge, to any person affected by the rules, and at the county department of job and family services. The proposed rules are also available on the internet at http://www.registerofohio.state.oh.us/. A public hearing on the proposed rules will be held on the date and at the time and location listed at the top of this notice. Either written or oral testimony will be taken at the public hearing. Additionally, written comments submitted or postmarked no later than the date of the public hearing will be treated as testimony.

     

    Requests for a copy of the proposed rules or comments on the rules should be submitted by mail to the Ohio Department of Medicaid, Office of Legal Counsel, 50 West Town Street, 5th Floor,

     

     

     

     

     

     

     

     

    Columbus, Ohio 43218, by fax at (614) 995-1301, or by e-mail at rules@medicaid.ohio.gov. Comments received may be reviewed upon request.