Ohio Revised Code (Last Updated: January 27, 2016) |
Title 51. LI PUBLIC WELFARE |
Chapter 5165. MEDICAID COVERAGE OF NURSING FACILITY SERVICES |
Section 5165.23. Critical access incentive payments to qualified facilities
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(A) Each fiscal year, the department of medicaid shall determine the critical access incentive payment for each nursing facility that qualifies as a critical access nursing facility. To qualify as a critical access nursing facility for a fiscal year, a nursing facility must meet all of the following requirements:
(1) The nursing facility must be located in an area that, on December 31, 2011, was designated an empowerment zone under the "Internal Revenue Code of 1986," section 1391, 26 U.S.C. 1391.
(2) The nursing facility must have an occupancy rate of at least eighty-five per cent as of the last day of the calendar year immediately preceding the fiscal year.
(3) The nursing facility must have a medicaid utilization rate of at least sixty-five per cent as of the last day of the calendar year immediately preceding the fiscal year.
(4) The nursing facility must have been awarded at least five points for meeting accountability measures under section 5165.25 of the Revised Code for the fiscal year and at least one of the five points must have been awarded for meeting the
accountability measures identified in divisions (C)(9), (10), (11), (12), and (14) of section 5165.25 of the Revised Code.
(B) A critical access nursing facility's critical access incentive payment for a fiscal year shall equal five per cent of the portion of the nursing facility's total rate for the fiscal year that is the sum of the rates and payment identified in divisions (A)(1) to (4) and (6) of section 5165.15 of the Revised Code.
Amended by 131st General Assembly File No. TBD, HB 64, §101.01, eff. 7/1/2016, (Vetoed).
Amended by 130th General Assembly File No. TBD, HB 483, §101.01, eff. 9/15/2014.
Renumbered from § 5111.246 by 130th General Assembly File No. 25, HB 59, §101.01, eff. 9/29/2013.
Amended by 129th General AssemblyFile No.194, HB 303, §1, eff. 7/1/2013.
Added by 129th General AssemblyFile No.127, HB 487, §101.01, eff. 9/10/2012.