5160-31-07 PASSPORT HCBS waiver program rate setting.

 

 

 

Rule Summary and Fiscal Analysis (Part A)

 

Ohio Department of Medicaid

Agency Name

 

Tommi Potter

Division                                                                  Contact

 

50 Town St 4th floor Columbus OH 43218-2709 Agency Mailing Address (Plus Zip)	614-752-3877 Phone	Fax
[e-mail] Email

 

 

5160-31-07

Rule Number

AMENDMENT

TYPE of rule filing

Rule Title/Tag Line              PASSPORT HCBS waiver program rate setting.

RULE SUMMARY

1.  Is the rule being filed consistent with the requirements of the RC 119.032 review? No

2.  Are you proposing this rule as a result of recent legislation? No

3.  Statute prescribing the procedure in accordance with the agency is required to adopt the rule: 119.03

4.  Statute(s) authorizing agency to adopt the rule: 5166.02

5.  Statute(s) the rule, as filed, amplifies or implements: 5166.02, 173.52

6.  State the reason(s) for proposing (i.e., why are you filing,) this rule:

To update policy relating to the administration of the PASSPORT program.

7.  If the rule is an AMENDMENT, then summarize the changes and the content of the proposed rule; If the rule type is RESCISSION, NEW or NO CHANGE, then summarize the content of the rule:

Paragraph (F) of the rule is being amended to add three new services to

PASSPORT and to specify that the waiver nursing and home care attendant services are to be reimbursed using a group rate if the provider is serving more than one but less than four individuals enrolled on PASSPORT who reside in the same household.

8.  If the rule incorporates a text or other material by reference and the agency claims the incorporation by reference is exempt from compliance with sections

121.71 to 121.74 of the Revised Code because the text or other material is generally available to persons who reasonably can be expected to be affected by the rule, provide an explanation of how the text or other material is generally available to those persons:

This rule incorporates one or more references to another rule or rules of the Ohio Administrative Code. This question is not applicable to any incorporation by reference to another OAC rule because such reference is exempt from compliance with ORC 121.71 to 121.74 or pursuant to ORC 121.76.

9.  If the rule incorporates a text or other material by reference, and it was infeasible for the agency to file the text or other material electronically, provide an explanation of why filing the text or other material electronically was infeasible:

Not applicable

10.  If the rule is being rescinded and incorporates a text or other material by reference, and it was infeasible for the agency to file the text or other material, provide an explanation of why filing the text or other material was infeasible:

Not Applicable.

11.  If revising or refiling this rule, identify changes made from the previously filed version of this rule; if none, please state so. If applicable, indicate each specific paragraph of the rule that has been modified:

This rule is being revised filed to change the (RSFA) rule summary fiscal analysis question 13 from "increase revenues" to "increase expenditures".

12. 119.032 Rule Review Date: 3/1/2019

(If the rule is not exempt and you answered NO to question No. 1, provide the scheduled review date. If you answered YES to No. 1, the review date for this rule is the filing date.)

NOTE: If the rule is not exempt at the time of final filing, two dates are required: the current review date plus a date not to exceed 5 years from the effective date for Amended rules or a date not to exceed 5 years from the review date for No Change rules.

FISCAL ANALYSIS

13.  Estimate the total amount by which this proposed rule would increase/ decrease either revenues /expenditures for the agency during the current biennium (in dollars): Explain the net impact of the proposed changes to the budget of your agency/department.

This will increase expenditures.

$2,269,922.00

The addition of the waiver nursing, out-of-home respite, and home care attendant services to PASSPORT will likely result in increased service utilization in the program. Ohio Department of Medicaid, in conjunction with Ohio Department of Aging, projects the addition of these services will increase expenditures by approximately $2,269,922 ($839,417 state funds) during the current biennium.

Please note that this figure appears in the RSFA for rules 5160-31-05 and 5160-1-06.1 and represents an aggregate estimate in total additional program spending.

14.  Identify the appropriation (by line item etc.) that authorizes each expenditure necessitated by the proposed rule:

651525

15.  Provide a summary of the estimated cost of compliance with the rule to all directly affected persons. When appropriate, please include the source for your information/estimated costs, e.g. industry, CFR, internal/agency:

No new costs

16.  Does this rule have a fiscal effect on school districts, counties, townships, or municipal corporations? No

17.  Does this rule deal with environmental protection or contain a component dealing with environmental protection as defined in R. C. 121.39? No

S.B. 2 (129th General Assembly) Questions

18.  Has this rule been filed with the Common Sense Initiative Office pursuant to

R.C. 121.82? No

19.  Specific to this rule, answer the following:

A.) Does this rule require a license, permit, or any other prior authorization to engage in or operate a line of business? No

B.) Does this rule impose a criminal penalty, a civil penalty, or another sanction, or create a cause of action, for failure to comply with its terms? No

C.) Does this rule require specific expenditures or the report of information as a condition of compliance? No