Title: Ohio Home Care Program: Informational Forum About Important Changes Summer 2005
1Ohio Home Care Program Informational
ForumAbout Important ChangesSummer 2005
- Ohio Department of Job Family Services
- (ODJFS)
- Office of Ohio Health Plans
- Bureau of Home and Community Services
2Agenda
- Why are we here today?
- (Background context and timeline)
- Ohio Home Care program changes
- (Now and in the future)
- Question and answer session
3What is the Ohio Home Care program?
- Core
- Core Plus
- The Ohio Home Care Waiver
- The Transitions Waiver
4Why is the Ohio Home Care program being
redesigned?
- Better meet consumer needs
- Increase consumer choice and control
- Cost effectiveness and cost management
5Background
- Case management reviews in 2001
- ?
- Consumer forums in 2003
- ?
- Consumer self-directed care waiver survey in 2004
- ?
- Your feedback about increased consumer choice and
control - ?
- Program changes
6What Weve Done So Far. . .
- Program Eligibility Assessment Tool (PEAT)
(Spring 2004) - New rules (July 2004)
- Single case management agency (October 2004)
- Conditions of participation rule (August 2005)
- More rule changes (October 2005)
- Program changes (January 2006)
7 8Changes to the Transitions Waiver
- No programmatic changes
- are planned for the
- Transitions Waiver
- at this time.
9Changes to Core
- Individuals on Medicaid who need up to 14 hours
per week of a combination of nursing and/or home
health aide services will continue to receive
them. - Core Home Health
10Changes to Core
11Changes to Private Duty Nursing
- 60-day acute care extended benefit
- Extended services for children
12Changes to Private Duty Nursing - Adults
13Changes to Private Duty Nursing - Children
14Changes to Core Plus
15Changes to the Ohio Home Care Waiver
16More information about the Ohio Home Care program
redesign
- Each waiver enrollee will be assigned a funding
level. - The All Services Plan (ASP) will be developed
using a person-specific funding level
reimbursement formula. - Funding levels will be created using information
from the Program Eligibility Assessment Tool
(PEAT).
17Comprehensive Benefit Package
18Provider Types
19Other Changes
- Conditions of Participation rule, effective
8/1/05 - Ongoing development of provider service delivery
standards - Consumers family member as a non-agency employed
personal care aide - Rates
20Rate Justification
- The Ohio Home Care Program currently pays RNs and
LPNs the same rate and has since 1998 - LPNs receive 70 of RN salaries in other settings
in Ohio - Ohio will bring LPN rates of payment to a level
comparable to LPN rates paid throughout the state
21Recap
- Subject to CMS JCARR Approval
- Renew and modify Ohio Home Care Waiver
- 1200 slots in 06 07
- Target consumers in nursing facilities
hospitals - Modify Core Plus
- 60-day PDN
- Core Plus to waivers
- Funding levels
- LPN rate differential
22Coming Attractions
- Greater consumer choice and control through a
self-directed care waiver - Delegated nursing tasks to non-licensed providers
- Child day health services
- Legally responsible family members as paid
providers
23Keeping You Informed
- Ongoing Communication Possibilities
- Newsletters
- Olmstead Task Force
- ootf_at_ohiosilc.org
- 1-800-566-7788
- Teleconferencing and/or video conferencing
- BHCS web page
24BHCS Web Page
25Contact Information
- ODJFS - Office of Ohio Health Plans
- Bureau of Home and Community Services
- 30 E. Broad Street, 33rd Floor
- Columbus, Ohio 43215-3414
- Phone (614) 466-6742
- Fax (614) 466-6945
- Email bhcs_at_odjfs.state.oh.us
- http//jfs.ohio.gov/ohp/ohc/