Meeting the needs of Ohio’s
Post-Acute Care and Long Term Services and Support Professionals since 1946

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The OHCA "Home Care and Hospice Hot Topics" conference calls are generally held on the second Wednesday of every month and are complimentary to Association members. There is no need to register, and we encourage members to have as many individuals listen in as possible via speakerphone. This call is a benefit for members intended to serve as an update on the most important topics of the day. We understand and respect how valuable our members' time is, therefore these calls will be about an hour in length. Please let us know in advance if there are Hot Topics items you would like to have covered!

Next Scheduled Call: February 10, 2021

January 13, 2021

Call Recording

December 9, 2020

Call Recording

November 11, 2020 

Call Recording

Home Care and Hospice Topics

   
CDC Vaccine Prioritization Recommendations

   Updated Provider Relief Fund FAQs

   CMS Advanced/Accelerated Payment Repayment Terms Amended

   CDC Amends Definition of Close Contact to Cumulative 15 Minutes in a Day

   ODM Telehealth Billing Guidelines for Dates of Service on or After 11/15/2020


Hospice Topics

   
Ohio SNF Testing Guidelines

   CAHPS Hospice Survey Exemption Request Due 12/31/2020

   Hospice Compare Refresh/Freeze  
he November 2020 Hospice Compare refresh covers Q1 2019 through Q4 2019 HIS data and Q1 2018 through Q4 2019 CAHPS Hospice Survey data.  This will be the last  update     Compare until 2022 due to the impact of the Public Health Emergency (PHE) exception of HQRP for the first two quarters of 2020.

Home Health Topics

 
   Home Health Final Payment Rule CY2021

   CMS No-Pay RAP Submission Instructions  Effective 1/1/2021

   Home Health Compare Refresh/Freeze  
The October 2020 refresh of home health data that appears on Compare includes a measure change reflecting finalized rule proposals, specifically a new skin integrity           measure reported for the first time and the previous pressure ulcer measure removed. As previously reported, CMS will not refresh data on Care Compare in 2021 due to the excepted quality reporting during the first       two calendar quarters of 2020.

   Home Infusion Therapy Enrollment (Part B) Instructions


October 14, 2020

Home Care and Hospice Topics
     
   Provider Relief Fund Phase Three Application instructions and reporting guidance
   
   Fifth Amended Director's Order on Nursing Home Visitation (October 8 2020)

   Director's Order for Testing Residents and Staff in Residential Care Facilities (August 2020)

   CLIA Waiver Application   Agencies who perform Abbott BiNaxNOW Testing must be CLIA waived

   Livanta e-lift portal for electronic documentation submission
   

   DOL Revises FFCRA Regulations to Clarify Paid Leave Rules in Wake of New York Federal Court’s Decision (Littler)

Hospice Topics

   
Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2021

   Hospice Nursing Shortage Survey Guidance QSO-21-01


   Hospices that Successfully Met QRP Requirements for FY2021

   VBID 2021 Hospice Benefit Contact Information

   Molina Hospice Room and Board Authorization Delay to April 1, 2021

Home Health Topics

 
 CMS No-Pay RAP Submission Instructions  Effective 1/1/2021

    New Codes for Therapist Assistants Providing Maintenance Programs in the Home Health Setting, Implementation Date October 5, 2020


September 9th, 2020

Call Recording (Passcode: rQ%Ap1)

Home Care and Hospice Topics

   Provider Relief Fund Deadline Extension to September 13, PortalFAQ and Reporting Requirements

  
 OHCA PRF Quick Reference Sheets
        - Home Health
        - Hospice 

   ODM Telehealth Rule Filing
      - Appendices

   Updated DOL FFCRA FAQs, addresses employee leave for remote learning situations

   CMS QRP COVID-19 Tip Sheets for Home Health and Hospice, details calculations for Compare refresh for providers which did not submit data.

   Ohio House Bill 606- COVID-19 Liability Legislation

   ODH/ODM/ODA Home Visit Screening Guide

   CHAP Summary of CDC Recommedations on Optimizing PPE

Home Health Topics

   Ohio Coronavirus Relief Fund Payment ListFAQs and Portal 

   Ohio Providers Transition to Cycle 2 of Review Choice Demonstration

   HHAs to Receive Abbott BinaxNOW Test Cards

Hospice Topics

   CMS FY2021 Hospice Final Payment Rule
     -CMS Hospice Model Election Statement Addendum
     -CMS Modified Model Election Statement


   
QSO-20-38-NH Survey Guidance Requiring Staff Testing in Nursing Homes, Includes Hospice Staff

   OHCA COVID-19 Testing Guide for Hospices

August 11th, 2020

Home Care and Hospice Topics

   Provider Relief Fund Deadline Extension, Portal, FAQ and Reporting Requirements

 
 OHCA PRF Quick Reference Sheets
        - Home Health
        - Hospice

   CMS Telehealth Expansion Announcement and Physician Fee Schedule Rule

   CMS Delays ABN Form Implmentation to January 1, 2021

   Littler FFCRA New York Ruling Article

   ODM Emergency Telehealth Rule Extended by Executive Order

   Medicare Cost Reporting Table

   Public Health Emergency Extension

   Updated CDC Guidance on Return to Work Criteria  and Cleaning and Disinfecting Households

 
 ODM Managed Care Provider Agreement Effective 7/1/2020, (requires a 48 hours turnaround time on RN Assessment and Consultation authorizations)

Hospice Topics

   
Hospice Final Payment Rule for CY 2021
     - Model Election Statement
     - Election Statement Addendum

     - NAHC Hospice Payment Rule Webinar Recording

   Hospice HCIC Billing Instructions

   ODM SNF Ventilator Program Fact Sheet

Home Health Topics

   Ohio Coronavirus Relief Fund Payment List, FAQs and Portal

   
Review Choice Demonstration Operational Guide

   CMS Guidance on FY2021 RAP Penalty

   Home Health QRP Tip Sheet

   Updated OASIS Q&A July 2020

In May of 2020, OHCA implemented weekly or biweekly update calls in response to COVID-19.  For information and resources on COVID-19, please see our dedicated webpage

April 8th, 2020

Home Care and Hospice Topics

  OHCA 2020 Annual Conference and Trade Show has been cancelled

 
OHCA Legal Assistance , limited time only

  OHCA COVID-19 Resource and Update Page

  CMS Waiver Flexibilities for Home Health and Hospice


March 11th, 2020

Home Care and Hospice Topics
   
   NAHC COVID Resources
 
   
Coronavirus COVID-19 Home Care and Hospice Checklist

   COVID-19 Home Care and Hospice Guidance Document

   Federal Emergeny Management Announcement of COVID Training

   CMS COVID-19 ICD 10 Coding

   CDC Guidance for Coronavirus Enforcement
   
    Caresource Provider Dispute Process

Hospice Topics
 
   Hospice Aggregate Cap Calculation Instructions

   HOSPICE Act

Home Health Topics

   Palmetto GBA Guidance on RCD UTN Placement
 
   CGS LUPA Threshold Calculator

   Palmetto GBA The Role of Therapy in HHPDGM


February 12th, 2020

Home Care and Hospice Topics
  
 
CMS COVID-19 guidance for hospices

 
CMS COVID-19 guidance for home health agencies

   CMS guidance about facemasks

   OHCA Professional Achievement Awards Nomination

   OHCA Annual Conference and Trade Show. registration opens February 24th 

   Livanta Case Status Weblink, in response to backlogs in appeal determinations

   CMS Letter to State Surveyors on Coronavirus (2019-nCoV) requesting heightened scrutiny on infection control

   OSHA Summary Information Reporting Requirement


   CMS VBID Request for Applications Medicare Advantage Carve-In of the Hospice Benefit.  (RFA applicable to Payers)
  
Hospice Topics

   Hospice Comprehesive Assessment, HOPE Tool, Alpha Testing Recruitment.  Due by Febaruary 21st, 2020  


   
Palmetto GBA Self Determined Hospice Cap Calculation Instructions, due March 2nd, 2020

   Hospice Coalition Question and Answers Ocotber 2019 Meeting

Home Care Topics

  iQIES Issues Log now available
 
  NAHC Hosting 6 Free PDGM Webinars

  January 2020 Quarterly Oasis Q&A

  Illinois RCD Round Two selection Information

  Palmetto GBA eRCD Portal Now Active

  ODM Directive to Increase Waiver Rates for MCOPs Effective January 1, 2020


January 8th, 2020

Recording of January 8 call

Home Care and Hospice Topics


  OHCA Professional Achievement Awards Nomination

  Ohio Department of Health Quality of Care Report CY2019 Quarter 2

  Ohio Department of Medicaid Revised Managed Care Complaint Process
        - OH Medicaid Managed Managed Care Provider Complaint Form   
        - Ohio Deparment of Medicaid Provider Complaint Form Guidance   
        - Please submit follow up requests to complaint submissions to ryver.penix@medicaid.ohio.gov

  Livanta (BFCC_QIO) Memorandum of Agreement

  IPRO (QIN-QIO) for Providers

  Medicare Beneficiary Identifier Must be used effective January 1st, 2020

  UHC Community Plan Bulletin on Therapy Evaluation Authorization Delay

  Department of Veteran's Affairs Community Care Network through Optum

  Anthem Post Pay Audit Medical Records Requests Move to Availity February 10th, 2020

Hospice Topics

  CMS Announces Dark Days, Delay to Notice of Election Processing

  CMS VBID Request for Applications Medicare Advantage Carve-In of the Hospice Benefit.  (RFA applicable to Payers)
  
  CMS CMMI Request for Applications Primary Care First Model, Due by January 20th, 2020

  Hospice Comprehesive Assessment, HOPE Tool, Alpha Testing Recruitment.  Due by Febaruary 21st, 2020
  
  Hospice Provider Preview Report Corrections Due by January 15th, 2020

  Ohio Department of Health Notice of Public Rules Hearing for Capter 3701-19, Hospice Care

Home Care Topics

  Udpated Manual Instructions for PDGM

  Review Choice Demonstration Changes for PDGM
       - JM HH Pre-Claim Review Submission Request Form
       - SOC/Early Period Checklist
       - Late Period Checklist

  Ohio Department of Medicaid EVV December Newsletter

  Ohio PASSPORT Waiver Rate Increase Proposed Rule

  Ohio Home Care Waiver Rate Increase Proposed Rule
  
  CMS Home Infusion Therapy Benefit Information

  Home Health Providers Must Register for iQIES by December 23rd, 2019

  Home Health Star Ratings Refresh April 2020, Suppression Request Due by January 20th, 2020

  CMS Direct Contracting Model Offers flexibility for participating providers and Home Health Agencies
       - Allows for NPs to follow for home care
       - Waiver of homebound status for certain diagnoses
       - Allows for concurrent care for beneficiaries under the Hospice benefit