Ohio Home Care Program: Informational Forum About Important Changes Summer 2005 - PowerPoint PPT Presentation

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Ohio Home Care Program: Informational Forum About Important Changes Summer 2005

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The All Services Plan (ASP) will be developed using a person-specific funding ... ODJFS - Office of Ohio Health Plans. Bureau of Home and Community Services ... – PowerPoint PPT presentation

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Title: Ohio Home Care Program: Informational Forum About Important Changes Summer 2005


1
Ohio 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

2
Agenda
  • Why are we here today?
  • (Background context and timeline)
  • Ohio Home Care program changes
  • (Now and in the future)
  • Question and answer session

3
What is the Ohio Home Care program?
  • Core
  • Core Plus
  • The Ohio Home Care Waiver
  • The Transitions Waiver

4
Why is the Ohio Home Care program being
redesigned?
  • Better meet consumer needs
  • Increase consumer choice and control
  • Cost effectiveness and cost management

5
Background
  • 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

6
What 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
  • Now
  • for
  • the
  • changes

8
Changes to the Transitions Waiver
  • No programmatic changes
  • are planned for the
  • Transitions Waiver
  • at this time.

9
Changes 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

10
Changes to Core
11
Changes to Private Duty Nursing
  • 60-day acute care extended benefit
  • Extended services for children

12
Changes to Private Duty Nursing - Adults
13
Changes to Private Duty Nursing - Children
14
Changes to Core Plus
15
Changes to the Ohio Home Care Waiver
16
More 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).

17
Comprehensive Benefit Package
18
Provider Types
19
Other 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

20
Rate 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

21
Recap
  • 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

22
Coming 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

23
Keeping 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

24
BHCS Web Page
25
Contact 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/
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