LeadingAge Ohio urges technical fix to avoid Medicaid cuts for nursing facilities
LeadingAge Ohio told the Senate Finance Committee a change tied to CMS's PDPM case-mix system would produce an effective, immediate cut to nursing facility reimbursements unless the General Assembly adopts a statutory conversion fix; the group proposed amendment SC2858 to the omnibus budget.
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Chair Serino and members of the Senate Finance Committee heard detailed testimony from Susan Wallace of LeadingAge Ohio on a technical reimbursement problem the group says is embedded in the budget language for nursing facilities. Wallace told the committee the change moves Ohio from RUGS-based case-mix scoring to the PDPM system used by CMS and that, without a statutory conversion factor, providers will see an immediate funding reduction.
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