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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: April 13, 2022
March 9, 2022
Call Recording
February 9, 2022
Call Recording
Home Care and Hospice Hot Topics
CMS-QSO-21-08-NLTC Revised Rescinds HH&H Focused Infection Control Surveys and Inpatient Hospice Visitation Guidance
CMS QSO-22-10-ALL Surveyor Vaccine Mandates
AHCA/NCAL Guidance on Unvaccinated Staff
CMS FAQ for Vaccination Mandate
CMS Survey Enforcement Guidance for Vaccine Mandate
- Hospice Attachment
- Home Health Attachment
- OHCA Home Health Vaccine Mandate Toolkit
- OHCA Hospice Vaccine Mnadate Toolkit
HHS Guidance on Disabilities Rights for Health Care Providers
Update CDC Healthcare Personnel Return to Work Guidance
OSHA Vaccine Mandate Withdrawal
HRSA Pha-se 4/Rural Reconsiderations
Telehealth Billing Updates for CY2022
Telehealth Extension and Evaluation Act
Renewal of the Public Health Emergency
Home Care Hot Topics
Updated RCD Operational Guide and FAQs
CMS Guidance on Misuse of NOA
Palmetto GBA Claim Payment Issues Log (for NOA issues)
Revised Job Aid for DDE NOA Submission and Electronic NOA Submission
Quarterly OASIS Q&As January 2022
Draft OASIS-E
HHQRP Tip Sheet
Hospice Hot Topics
CDC SNF Visitation Guidelines
CMS SNF Visitation FAQs
Hospice QRP Toolkit
Hospice Aggregate Cap Reporting
January 12, 2022
Call Recording
Home Care and Hospice Topics
Ohio Chart on HB 169 Provider Relief Funding from State's Plan
CMS Survey Enforcement Guidance for Vaccine Mandate
- Hospice Attachment
- Home Health Attachment
- OHCA Home Health Vaccine Mandate Toolkit
- OHCA Hospice Vaccine Mnadate Toolkit
OSHA Withdraws Healthcare ETS; Vaccine Mandate ETS was in effect. Now superceded by CMS for Medicare providers.
- OHCA OSHA Vaccine Mandate Toolkit
Provider Relief Fund
Revised CDC Return to Work Guidace for Conventional Staffing and Staffing Shortages
Revise CDC Isolation and Quarantine Guidance for General Population and Healthcare Personnel
Medicare Sequestration Relief Legislation
Updated FDA COVID Booster Recommendations
OSHA 300 Log Deadline March 2
House Bill 122 (Telehealth)
VA Rate Update for 2022
Ohio Medicaid EDI Payment Calendar for 2022
ODH Memo on Oral COVID-19 Treatments
ODH Statewide COVID-19 Dashboard
Hospice Topics
Updated Nursing Home Visitation Guidance and FAQs
Hospice QRP Deadline: CY2021 CAHPS Hospice Survey Data Collection and Reporting Requirements January 1 SNF Room and Board Rates
ODH COVID-19 Dashboard for Long Term Care
Electronic Monitoring Legislation (SB 58)
Hospice VBID Contacts for Ohio
- Aetna Medicare Premier HMO/POS (Many counties throughout Ohio)
- Humana Cleveland Clinic Preferred HMO (Northeast Ohio)
Home Care Topics
Home Health Notice of Admission
- Palmetto GBA Slides -
- Billing the Home Health Notice of Admission Job Aid
- Request for Anticipated Payment vs. Notice of Admission Comparison Chart
- Medicare Learning Network Article MM12256. This is particularly useful in the explanation of how transition patients (those who begin services prior to January 1, 2022 and continue after January 1, 2022) should be treated in 2022
Ohio Home Health Review Choice Demonstration Cycle 4 Transition Guidance
CMS Part B Therapy Fee Schedules for Ohio (Outpatient Home Health)
- Courtesy of HW&Co.
CDC Health Advisory on monoclonal antibody administration, CMS Billing Change January 1
December 8, 2021
Call Recording
Home Care and Hospice Topics
Vaccine Mandates
- CMS Vaccine Mandate Rule
- CMS Vaccine Mandate FAQs (Updated)
- QSO-22-04-ALL (CMS Stay on Vaccine Mandate Enforcement)
- Louisiana Court Order with Preliminary Injunction on CMS Vaccine Mandate
- Ohio House Bill 218 Anti Mandate Legislation
- EEOC Technical Assistance Update
- EEOC Religious Exemption Form
- CDC Vaccine Contraindications
OHCA Vaccine Mandate Toolkits for Home Health and Hospice
OSHA Vaccine Mandate ETS Federal Stay
ARP Rural Distributions
- Payment Methodology
- Public Dataset of Provider Distributions
PRF Phase 4 Distribution Announcement
- Returning Funds Fact Sheet
- PRF Reporting Notice to Providers
Infrastructure Investment and Jobs Act (Ends Employee Retention Tax Credit)
OHCA Revised Ohio ARPA HCBS Plan Letter
CDC Updated Guidance on Vaccinations (18 and older for Boosters)
New CMS Place of Service Code for Telehealth at Home
- Anthem Update
- Aetna Update
- UHC Update
Hospice Topics
Consolidated Appropriations Act 2021 (Hospice Survey Enforcement)
- Home Health Final Rule CY2022
CMS SNF Visitation Guidance
Hospice QRP Resources
Molina Hospice Billing Requirement January 1, 2022
Aetna Hospice VBID Program Enhancements
Home Care Topics
CMS Physician Fee Schedule Final Rule
- Fact Sheet
- Medicare CLaims Processing Manual Chapter 5
OT LUPA Add-on Guidance
New Home Health QRP Resources
Molina PDGM FAQ and NOA Guidance Document
ODH Memo on Monoclona Antibodies and Updated Guidelines
Medicare Advantage In Home Support Services Report for 2022
2021 AHHQI Home Health Chartbook
November 10, 2021
Call Recording
Home Care and Hospice Topics
Vaccine Mandates
- CMS Vaccine Mandate Rule
- CMS Vaccine Mandate FAQs
- CMS Vaccne Mandate Webinar Recording
- EEOC Religious Exemptions Guidelines
- OSHA Vaccine Mandate
- OSHA Vaccine FAQs
- OSHA Vaccine Mandate Webinar Recording
- OSHA Healthcare Temporary Standard
- OSHA Healthcare ETS Questions and Answers
COVID Booster Shot Guidance
Annual Managed Medicaid Open Enrollment
ODH TNA to STNA Pathway
Public Health Emergency Extension
Home Health Final Rule CY2022 (includes Hospice Survey Enforcement Action changes)
Build Back Better Act
Hospice Topics
CDC Infection Control Guidance for SNFs- Updated
CMS QSO-22-01 (Hospice Survey Enforcement Action Changes)
Hospice QRP Quick Reference Guide
Home Care Topics
Ohio HCBS ARPA Plan
HCBS Rate Increases Effective November 1
EVV Program Changes
Review Choice Demonstration Cycle Four Selection Window
Palmetto GBA RAP Exceptions: Checklist for TImely Filing Extension
Home Health NOA Webinars from Palmetto GBA
- November 18, 2021, at 2:00 p.m. - December 9, 2021, at 2:00 p.m.
Quarterly OASIS Q&As
OASIS Section GG Training Series
October 13, 2021
Call Recording
Home Care and Hospice Topics
CMS Press Release on Pending Vaccination Mandates
President Biden's Six-Prong Plan for Vaccine Mandates
Provider Relief Fund Phase Four
- Application Portal
- Application Instructions
- PDF Application form
- Payment Methodologies details
Provider Relief Fund Grace Period Reporting Announcement
Ohio Head Start Childcare Workforce Support Webinar recording
CDC COVID Booster Shot Guidance
ODH Booster Shot Guidance and FAQs
ODH Guidance on Vaccine Coadministration
NAHC Vaccination Provider Panel Discussion Slides and Recording
Office for Civil Rights Guidance on COVID-19 Vaccinations and the Workplace
Anti-Vaccine Mandate Legislation (HB435)
Abbott At Home Vaccination Expiration Extension Lot List
Medicare Provider Enrollment Resumption
Alzheimer's Task Force Findings
Hospice Topics
FY2022 Hospice Medicare and Medicaid Base Rates
CMS Hospice Final Rule and QRP Slides
Hospice VBID Medicare Advantage Plan selections
- CVS/Aetna Network Administrative Contact: Sara Rose Mollitor
- Humana Network Administrative Contact: Kevin Curey
Hospice Quality Reporting Program: Claims Based Measures
- Quality Measures Specifications User's Manual
- Updated Current Measures Docuement
- Claims Based Measure Questions and Answers
ODM Hospice Room and Board Billing Guidance for Managed Care
Caresource Hospice Room and Board Guidance
Updated QSO-20-38-NH, Nursing Home Testing Guidance
Hospice Notice Of Transfer Job Aid
Hospice PEPPER Retrieval Map
Home Care Topics
CMS Notice Of Admission Claims Processing Instructions
Palmetto GBA Notice of Admission Job Aid
OIG Home Health Agency Infection Control Audit Report
NAHC Home Health Staffing Survey Results
September 8, 2021
Call Recording
Home Care and Hospice Topics
Provider Relief Fund Reporting FAQs
- HRSA Webinar Slides
- Lost Revenues Guide
- Allowable Personnel Expenses
- Reporting Resource Guide
CDC Guidance on TB Tests and Vaccinations
CDC Guidance on COVID-19 Third Dose Vaccinations for Immunocompromised People
CDC Guidance on Vaccine while Pregnant or Breastfeeding
FDA Approval of Pfizer Vaccine and ODH Guidance
FDA Booster Shots Authorizations for Immunocompromised People
HRSA COVID Coverage Assistance Fund
HRSA COVID-19 Ininsured Fund
Monoclonal Antibody COVID-19 Infusion Updates
IRS Fact Sheet on Vaccination Tax Credit
FDA Alert on Certain N95 Respirators
OSHA Updated COVID-19 Workplace Guidance
CMS Resumption of TPE Activity
SBA Loan Forgiveness on PPP Loans
Hospice Topics
Hospice QRP Data Submission Requirements and Key Dates
Hospice Room and Board Standardization Guidance
CMS VBID Model Participant Guidance
BWC Air Quality Grant for Inpatient Hospice
CMS Nursing Facility Visitation Guidance
Home Care Topics
NAHC Flex for Checks Vaccination Reimbursement
Ohio Medicaid Home Health and HCBS Waiver Rates November 1, 2021
Home Health RAP Issue
Top Home Health Denial Codes
August 11, 2021
Call Recording
Home Care and Hospice Topics
OSHA Emergency Temporary Standard
- Inspection Procedure Directives
- Updated Interim Enforcement Response
- OHCA OSHA Webianr Recording and Slides
Physician Fee Schedule Proposed Rule for FY2022
Public Health Emergency Extension
- CMS Waivers
- Appendix K Waivers
CDC Updated Mask Guidance
CDC Key Delata Variant Report
ICD-10 Codes for 2022
Ohio Plan for ARPA Funding
Ohio Feedback Survey for HCBS ARPA Funding
Better Care Better Jobs Act
Anthem FEP Authorization Changes
Hospice Topics
Hospice Final Payment Rule FY2022
CMS Cognitive Assessment Resources for Palliative Care Providers
ODM SNF Room and Board Rates for July 1
OHCA Hospice News Bites on Medicaid SNF Rates for July 1 and Payment Delays
Expanding Access to Palliative Care Act (S. 2565)
OHCA Slides on Responding to COVID Positive Residents in SNFs
Home Care Topics
Quarterly OASIS Q&As
ODM EVV Updates
IHI Guidance on Reducing Hospitlizations for Home Health
Caresource EVV Billing Guidance Changes
Aetna Better Health Home Health Claims Error
July 14, 2021
Due to a technical issue, there is no recording for the July call
Home Care and Hospice Topics
Final version of the FY2022-2023 Ohio Budget Bill, HB110: Includes HCBS rate increases and final changes for home health licensing in Ohio
- Governor's Veto Message
CMS Payment Rates for At-Home Vaccination and Billing Instructions
CMS Accelerated and Advanced Payment FAQs
ODM Security Breach Memo
ODM Medicaid Ventilator Rate Fact Sheet
OSHA Emergency Temporary Standard on COVID-19 in Healthcare
- Summary
- Frequently Asked Questions
- Flow Chart
- Polsinelli LLP Legal Interpretation for Home Care and Hospice providers
EEOC Vaccination Guidance FAQs
Provider Relief Fund Reporting Deadline Extension
- Updated FAQs
- Reporting Portal
- Data Entry Worksheet
FDA Approval of Aduhelm, early-stage Alzheimer's treatment
FDA Warning on unsafe COVID-19 Antigen and Antibody tests
ODH Release on Vaccine-related cardiac issues
Caresource Authorization Submission Change Notice
Ohio Vistiation Order recission, testing orders remain intact
Hospice Topics
HOPE Beta Test Recruitment
Palmetto GBA GIP Post Payment Review Data
Hospice Beneficiary Election Statement Addendum FAQs
Full Scale Exercise Flexibility Extended for Inpatient Hospices (QSO-20-41-ALL)
BWC Indoor Air Quality Program Extension to December 31, 2021
Home Care Topics
Home Heatlh Proposed Payment Rule for CY2022 (includes Hospice Survey Enforcement Actions)
- Fact Sheet
CMS HHVBP Fourth Annual Report
OIG Report on Improper LUPA Billing
June 9, 2021
Call Recording
Home Care and Hospice Topics
OHCA Hospice and Home Care Webinar Network
OHCA Professional Achievement Awards Flyer and Poster
OHCA Convention Hotel Reservations
CMS State Medicaid Director's Letter on ARPA FMAP Increase
The US Treasury Department State and Local Fiscal Recovery Program: Interim Final Rule and Guidance
CDC Guidelines for PPE Requirements for Healthcare Personnell (Unchanged)
Revised CDC Guidelines for Fully Vaccinated People (Non-healthcare settings)
Ohio's Get The Shot Website for Vaccination
CMS Interim Final Rule for COVID-19 Vaccine Requirements in LTC
CMS Resumes Medical Reviews for Claims Dates of Service After March 2020
Palmetto GBA Claims Payment Issues Log
FDA Pfizer Vaccine Authorization for 12-15 year olds
FCC Emergency Broadband Benefit
CMS Technical Expert Panel Recruitment Notice
Temporary Nursing License Extension (HB6)
ODH Recission of Aggregate Test Result Reporting Requirement (line level still in effect)
ODH Opens Vaccine Ordering for All Providers
Ohio Public Health Orders Rescinded June 2 (Except for LTC)
Caresource No Longer Accepts Emailed Authorzations July 2 (bulletin)
EEOC Guidelines and Q&A for Implementing a Vaccine Requirement for Employees
OIG Comment on COVID-19 Vaccine Incentives
OSHA Updated FAQ on Adverse Vaccine Reactions
CONNECT Act of 2021 (S. 1512/H.R. 2903)
NIOSH/FDA Recommend Only Using N95s
Hospice Topics
CMS HOPE Beta Tool Recruitment
May 2021 Hospice QRP Update and Forum Materials
- Public Reporting Background and Announcements
- HQRP Requirements Page
- Hospice COVID-19 Public Reporting Tip Sheet
Ohio BWC Air Quality Assistance Program
Home Care Topics
Revised Home Health Cost Report Form Instructions
Home Care Providers Begin Receiving Appendix K Payments
Home Health Notice of Admissions Instructions (MM12256)
CGS Instructions for Appeal Requestions on Home Health Untimely RAP Submissions
Palmetto GBA MayFest Session on RAPs, Handouts
May 12, 2021
Due to technical issues, there is no recording available
Home Care and Hospice Topics
Ohio House Substitute Subject Bill (HB110)
OHCA Testimony on Senate Budget Bill
Palmetto GBA Website Launch Presentation
Updated CDC Guidelines for Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination
Updated CDC Domestive Travel Guidelines
FDA Recommendation to Stop N95 Decontamination
FDA Lifts Pause on Johnson & Johnson Vaccine
Extension of the Public Health Emergency Through July 20
OSHA Guidance on Reporting Adverse Effects to COVID Vaccine
ODH to Begin CLIA Certificate of Waiver Surveys
- QSO-21-10-CLIA
- CLIA SARS CoV-2 Pre-Survey Form
- State of Ohio COVID-19 Laboratory Testing Portal
Updated ODH Vaccination Guidance
- Guidance on Vaccine Wastage
- COVID-19 Vaccine Second Doses
OHCA Comments on HCBS Access Act
ODH CY2020 Q2 Survey Report
Revised Ohio Testing Orders for Congregate Facilities
Ohio Homebound Vaccination Playbook
HRSA Coverage Assistance Fund (CAF) for Undersinsured COVID Vaccinations
- Fact Sheet
- Portal
Hospice Topics
Hospice Quality Reporting Program Quarterly Update (January through March 2021)
- HIS Manual V3.00
- HIS Admission
- HIS Discharge
Hospice Non-Cancer Length of Stay Rates
Caresource Hospice Claims Requirement
CMS Encourages Hospice to Submit NOE through EDI
Molina Requires CMS1500 form for Hospice Room and Board June 1
Home Care Topics
Ohio Office of Budget and Management Coronavirus Relief Fund Monitoring Notice
House Bill 179 (Home Health Licensing)
Palmetto GBA Tool: Ohio HHAs Transitioning to RCD Cycle 3
CMS Increases Payment for mAbs Administration
Caresource Home Health and Private Duty Claims Requirement
ODM Seeks Recommendations to Improve EVV
FDA Revocation of the Single Use Bamlanivimab treatment
HEAT Act (Home Health Telehealth Reimbursement- Pending Federal Legislation)
April 14, 2021
Call Recording
Home Care and Hospice Topics
EFOHCA Annual Scholarship Program
American Rescue Plan Act
American Jobs Plan Fact Sheet
ODH Updated Guidance for Vaccination of Phase 1A Populations
Ohio Mass and Regional Vaccination Sites
Ohio Consolidated COVID-19 Order
Ohio Senate Bill 22
CDC Guidelines "When you have been fully vaccinated"
CDC Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccine
Updated CDC Travel Guidelines, domestic and international
Provider Relief Fund FAQ (spending deadline June 30, 2021)
CMS Update Vaccine Medicare Rates ($37.98 in Ohio)
OSHA Interim Enforcement Response Plan
Joint Comission Resumes On Site Surveys
Palmetto GBA Hospice Billing Workshop, May 11
Palmetto GBA Home Health Billing Workshop May 12
CMS Telehealth: What Providers Need to Know
Updated CMS Emergency Preparedness Guidelines (CMS QSO-21-15-ALL)
ODM Managed Care Reprocurement Announcement
Hospice Topics
Hospice Proposed Rule FY2022 Released
OHCA Testimony on HB 120 (Compassionate Care)
CMS Revised Guidance on Nursing Home Visitation (CMS QSO-20-39-NH) and infographic
Hospice and Palliative Nurse Association Partners with OHCA on Certification Programs
Molina Hospice HCIC and Vent Claim Billing Instructions
Molina Hospice Room and Board Authorizatino Requirement April 1
FEMA Funeral Cost Assistance
Updated Hospice VBID Model FAQ
Hospice PEPPER 10th Edition User's Guide (Release April 5, 2021)
Hospice Fundamentals Spring Compliance Workshop (May 19-May 21)
CGS Hospice Documentatino Tools
Home Care Topics
CMS Home Health RAP and Final Submission
CGS LUPA Threshold Calculator
Palmetto GBA RAP Submission Job Aid
ABHO Claims Error
CMS LUPA Claims Payment Correction
CMS Updated Home Infusion Therapy (HIT) Billing Requirements
Ohio Review Choice Demonstration Transition to Cycle 3
March 10, 2021
Call Recording
Home Care and Hospice Topics
Draft of the Ohio Executive Budget
OHCA Testimony on Executive Budget for HCBS Providers
Medicare Advanced and Accelerated Repayments and FAQs, Palmetto GBA Instructions
IRS Notice on the Extension and Expansion of the Employee Retention Credit
NAHC/OHCA Letter to Congress on Minimum Wage Increase
CDC Interim Clinical Considerations for Use of MRNA COVID-19 Vaccines Currently Authorized in the United States
CDC Vaccinating Homebound Persons with the COVID-19 Vaccine
ODH Get the Shot
Vaccine Promo with Larry Nance
ODM Provider Network Module Memo
-PNM & Centralized Credentialing-Fiscal Intermediary
CMS MSP Billing Article
CMS COVID-19 Vaccine Codes
Medicare Billing for COVID-19 Vaccine Shot Administration Toolkit
Updated CMS FAQs on Medicare FFS Billing to Administer Vaccines
Livanta MOA Notice Reminder
Johnson and Johnson EUA and Fact Sheet
Ohio Nurse Aide Registry Search
Hospice Topics
HIS Manual V3.00, Admissions document and Discharge documents
Skilling COVID Patients on Hospice (National Hospice and Palliative Care Organization)
ASCP on Hospice Patients and mAbs
BWC Indoor Air Quality Assistance Program
CMS County Positivity Rates
Hospice Quality Reporting Program Claims Based Measures
Home Health Topics
House Bill 179 (Home Health Licensure)
OHCA Home Health Agency Referral List for mAbs
Palmetto GBA RAP and Final Claim Submission FAQ
Palmetto GBA ADRS under RCD
ODM Offers EVV Small Stakeholder Groups
ODM Home Choice Fact Sheet
JAMA One Page Fact Sheet for mAbs
HHA QRP Training for Section N, Medications
HH SPADES Section J Training
Medigold Home Health Prior Authorization Requirement
February 10, 2021
Call Recording
Home Care and Hospice Topics
EFOHCA Annual Scholarship Program
Governor's Budget Proposal Blue Book FY 2022-FY2023
Investing in Ohio's Future: Healthy People
Ohio Vaccine Provider Guidance
Livanta Vast Notification Update
HHS Provider Relief Fund Frequently Asked Questions
HHS Provider Relief Fund Reporting Portal and FAQs
Updated PPP Loan Forgiveness Application
3M Mask and Repirator Fraud Notice
HHS Prep Act Expanding Vaccinator Eligibility
Medicare Billing for COVID-19 Vaccine Shot Administration
VA Caregiver COVID Testing and Vaccination Program
CMS QSO-21-08-NLTC
Updated OSHA Penalties
Hospice Topics
Hospice QRP Updates January 2021
Molina Update to Routine Hospice Reimbursement Methodology
ODM SNF Room and Board Rates January 1, 2021
Home Health Topics
Updated Instructions for mAbs Administration, Shortening Administration Time
Monoclonal Antibody Reimbursement Rates for Ohio
CMS MLN MM11855 Updated Guidance on RAPs and Recertifications
CGS HIT Provider Billing Resources
CMS Approves Ohio Appendix K Extension
Updated ODM Coronavirus Relief Fund Guidance
ODM EVV Updates
Caresource Service Plan Visibility Changes
Caresource Home Health Prior Authorization Requirement March 1
Medigold Requires Home Health Prior Authorization March 1
Anthem Ohio Retiree Quick Reference Guide
CMS Cross Setting QRP Web-based Training
CMS Section M Training
January 13, 2021
Call Recording
Home Care and Hospice Topics
CDC Guidance on TB Testing and COVID-19 Vaccination
CDC Guidance for Anaphylaxis and COVID-19 Vaccination
CDC Interim Clinical Considerations for Use of MRNA COVID-19 Vaccination
CDC Guidance on Working After Vaccination
HHS Guidance on Physician Orders for Vaccination
Moderna COVID-19 Vaccine EUA
Pfizer COVID-19 Vaccine EUA
CMS Payment and HCPCS Codes for COVID-19 Vaccination
AMDA Vaccine Education Slides
Ohio Vaccine Provider Impact SIIS Webinar
Hospice Topics
Updated HCIC List
Updated Testing Guidelines for SNFs
Hospice QRP Quarterly Update
CGS Hospice LOS Analysis Tip Sheet
Home Health Topics
Updated ICD-10 Codes for COVID-19
Updated NPI Requirement for Ohio Waiver Providers Effective February 1, 2021 and Directions
CMS Therapy Caps for CY2021
Updated HIT Billing Instructions
Frequently Asked Questions for Transitioning Patients from HIT Services
OMDA Monoclonal Antibodies Presentation
Molina Confirms No-Pay RAP
December 9, 2020
Call Recording
Home Care and Hospice Topics
CY2021 Physician Fee Schedule Final Rule
Updated CMS Provider Enrollment Application Fee
Medicaid Eligibility Procedure Letter 150
Ohio Public Health Advisory System
Updated CDC Quarantine Guidance
NEW Care Compare Website
ODH Registration Process for Vaccine Providers
ODH Fact Sheet for Vaccine Providers
CDC COVID Vaccination Guidance for Healthcare Professionals
Provider Relief Fund FAQs
HHS Point of Care Test Result Reporting Directive
Ohio Revised Order on Mass Gatherings
Medicare Premiums and Deductibles for CY2021
Hospice Topics
Updated Manual Guidance for Hospice Election Statement Addendum, and related Article
Updated Anthem Hospice Reimbursement Policy
House Bill 151 for HCICs
Current HCIC List and BIlling Fact Sheet
Hospice VBID Checklist
Ohio Medicaid Hospice Telehealth Rule Filings
- 5160-56-01 for hospice services: definitions was amended to include a “physician assistant” under the definition of an attending physician. The physician assistant must meet the training, education, and other specifications of a licensed physician assistant in accordance with section 4730 of the Revised Code. PAs are prohibited from certifying or recertifying a terminal diagnosis.
- 5160-1-18, which includes coverage for hospice care as eligible rendering and billing providers of telehealth services.
- 5160-56-05 for hospice services: covered services was updated to include language that core and non-core hospice services may be provided through a of contracting services and telehealth services as necessary.
Home Health Topics
Monoclonal Antibodies Ohio Medicaid Home Health Telehealth Rule Filings
- 5160-12-05 (reimbursement for home health services). The place of service code 02 will be used to indicate a visit was completed using telehealth.
- 5160-12-04 (home health and private duty nursing: visit policy). Language is added to include telehealth encounters as reimbursable home health or private duty nursing visits.
- 5160-12-08 (registered nurse assessment and registered nurse consultation services). The rule would add “advance practice nurse or physician's assistant in accordance with the Coronavirus Aid, Relief, and Economic Security (CARES) Act, S.3548 (2020)” as a treating physician for development of the plan of care under Medicaid home health. This already is in place for Medicare home health services. ODM also proposed to allow use of telehealth to complete the registered nurse assessment.
- 5160-1-40 Electronic Visit Verification (EVV). The amendment would remove the requirements for individual visit verification of the start and end time and for new providers to complete EVV training before receiving their Medicaid provider numbers.
Anthem Ohio Delegation Change for Medicare Advantage
HHPPS CY2021 Outlier Rates
CMS Hospitals without Walls
ODM EVV Training Videos
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
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, Portal, FAQ 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 List, FAQs 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