5160-27-05 Reimbursement for community mental health medicaid services.

 

 

 

 

PUBLIC HEARING NOTICE OHIO DEPARTMENT OF MEDICAID

 

DATE:             September 14, 2015

TIME:            11:00 A.M.

LOCATION: Room A501, Lazarus Building, 50 W. Town Street, Columbus, Ohio  43215

 

Pursuant to section 5164.02, Chapter 119 of the Ohio Revised Code and 42 CFR 447.205, the director of the Department of Medicaid gives notice of the department's intent to adopt Ohio Administrative Code rules 5160-27-02 and 5160-27-05 on a permanent basis to extend the current health home policies and of a public hearing thereon. These rules were adopted on an emergency basis on July 1, 2015.

 

Rule 5160-27-02, entitled "Coverage and limitations of medicaid community mental health services" is being proposed for amendment to implement a policy directive from the Ohio Department of Medicaid. This rule sets forth the Medicaid service limits for community mental health services as well as the eligibility policy for the health home program. The rule change is in paragraph (A)(7)(b) where the termination date of July 1, 2015 is being deleted in order to continue the current eligibility policy. The Department estimates the semiannual fiscal impact of this amendment to be approximately $ 9,921,723.

 

Rule 5160-27-05, entitled "Reimbursement for community mental health medicaid services" is being proposed for amendment to implement a policy directive from the Ohio Department of Medicaid. This rule sets forth the Medicaid reimbursement policies for community mental health providers, including health home providers, which are certified by the Ohio Department of Mental Health and Addiction Services. The reimbursement rate policy for providers operating in phase one of the health home program is described in the rule. The rule change is in paragraph (H)(3) where the termination date of June 30, 2015 is being deleted in order to continue the current reimbursement policy. The Department estimates the semiannual fiscal impact of this amendment to be approximately

$9,465,945.

 

A copy of each proposed rule is available at the address listed below and without charge, to any person affected by the rule(s) and at the county departments 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 rule will be held at the date, 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 rule or comments on the rule should be submitted by mail to the Ohio Department of Medicaid, Office of Legal Council, 50 W. Town Street, Suite 400, Columbus, Ohio 43215, by fax at [phone], or by email at [e-mail].  Comments received may be reviewed upon request.