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Nursing facility groups urge statutory fix to prevent unintended cuts from PDPM switch
Summary
Susan Wallace of LeadingAge Ohio told senators that a technical omission in the Medicaid reimbursement language could produce an unintended, immediate cut for nursing facilities as Ohio moves its case‑mix system from RUGS to PDPM.
Susan Wallace of LeadingAge Ohio told senators that a technical omission in the Medicaid reimbursement language could produce an unintended, immediate cut for nursing facilities as Ohio moves its case-mix system from RUGS to PDPM. "It would be about $70 on average, across the state, to nursing homes," Wallace said, adding the shift without a conversion factor would create wide swings for individual providers.
Nut graf: Witnesses from provider groups said PDPM—a federal case‑mix model adopted by CMS—changes how…
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