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: May 12, 2021

April 14, 2021

Call Recording

March 10, 2021

Call Recording

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
   Ohio Vaccine Provider Frequently Asked Questions

   Ohio Vaccination Communications Toolkit

   Ohio Department of Health Vacination Dashboard

   Ohio Department of Health Quarterly Survey Reports

   Federal Consolidated Appropriation Act (Stimulus Package)

   Updated Provider Relief Fund Frequently Asked Questions

   HHS Provider Relief Fund Phae 3 Announcement

   VA Fee Schedule Rates for CY2021

    Updated Testing Guidelines for Assisted Living

    Palmetto GBA Influene and Pneumococcal Pneumonia Billing Instructions for Home Health and Hospice Providers

    OHCA Request for Home Health and Hospice Testing Supplies

    AHCA OSHA Resources
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

   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


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

  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