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ODM Shares Special Instructions for October NF Billing

ODM Shares Special Instructions for October
Nursing Facility (NF) Billing

Today, the Ohio Department of Medicaid shared a memo which describes the anticipated rate-setting to take effect on October 17. The changes result from a lesser-known change included in the biennial budget which removed the NF market basket update from the tax and $16.44 add-on portion of the rates. Originally scheduled to take effect in the next biennium, the effective date was vetoed by the Governor, resulting in this change taking place 90 days following the enrollment of the budget, on October 17, 2019.

According to the memo, the SNF market basket will be removed from the tax and $16.44 add-on components of the rates for the period of October 17, 2019 through and including December 31, 2019. All other components will remain the same. Similar to how NFs billed for the interim budget period in July, NFs will need to submit two lines on claims for October. To review the full details, click here.

Nursing facilities are also encouraged to reach out to their hospice partners to inform them of this billing change for pass-through payments.

Any questions related to this may be directed to Susan Wallace, Director of Government Relations and Public Affairs at

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