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Nursing homes urge technical fix to PDPM transition, warn of immediate reimbursement cuts
Summary
LeadingAge Ohio and provider groups testified that a statutory technical fix is needed in HB 96 to prevent unintended nursing facility payment reductions as Ohio moves from RUGS to PDPM; witnesses urged immediate legislative action and proposed conversion multipliers and stop‑loss measures.
Representatives of LeadingAge Ohio and allied provider groups told the Senate Finance Committee that the state’s transition from the RUGS reimbursement system to the CMS PDPM model risks producing an effective cut to nursing facility payments unless the General Assembly adopts technical statutory language in the budget.
Susan Wallace of LeadingAge Ohio described the proposal as a “technical fix” the Department of Medicaid cannot implement administratively because longstanding nursing facility reimbursement details are codified in the Ohio Revised Code. “The Department of Medicaid…
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