Section 5165.152. [Effective 7/1/2016] Payments for services provided to low resource utilization residents

Latest version.

The total per medicaid day payment rate determined under section 5165.15 of the Revised Code shall not be paid for nursing facility services provided to low resource utilization residents. Instead, the total rate for such nursing facility services shall be the following:
(A) One hundred fifteen dollars per medicaid day if the department of medicaid is satisfied that the nursing facility's provider is cooperating with the long-term care ombudsman program in efforts to help the nursing facility's low resource utilization residents receive the services that are most appropriate for such residents' level of care needs;
(B) Ninety-one dollars and seventy cents per medicaid day if division (A) of this section does not apply to the nursing facility.

Amended by 131st General Assembly File No. TBD, HB 64, §101.01, eff. 7/1/2016.

Added by 130th General Assembly File No. 25, HB 59, §101.01, eff. 9/29/2013.

                    
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