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Oct 19
Expedited Prior Authorization Process Set for People with Exit, Conversion Waivers

The purpose of this communication is to share the process by which boards can submit expedited prior authorization requests for individuals being enrolled in a Conversion or Exit Waiver. When the person is not officially enrolled on the waiver, the county board of developmental disabilities is unable to submit a prior authorization in the Medicaid Services System (MSS). However, in order to assist with moving a person from a facility in a timely manner and assuring appropriate modifications are made, the following process has been developed. 

These steps are required by the county board when requesting a prior authorization when the waiver is not yet enrolled:

  1. Print and complete Prior Authorization Individual Request Form (IRF) pages 1 and 2 located on the DODD website under Forms/Prior Authorization.
  2. For environmental accessibility adaptations (home modifications) and specialized medical equipment, include
    1. Medical necessity (evaluation/assessment, etc.)
    2. Quote
    3. Specs, if applicable
    4. Model number, if applicable
    5. The Medicaid State Plan denial, if applicable (for specialized medical equipment)
  3. Email the ISP and IRF attachments in PDF format to j.gregory-kaeppner@dodd.ohio.gov.
  4. Subject line of email must be "Expedited PA request/Exit/Conversion".
  5. Include the SSA/supervisor contact for questions.
  6. Upon review, DODD will send the board contact a temporary pending enrollment authorization email.
  7. The email contains instructions to send the same email back to Jeanne Gregory-Kaeppner after the waiver is enrolled and the board has submitted the prior authorization in MSS.
  8. DODD then issues the official prior authorization approval letter.

All questions related to this communication or the prior authorization process should be sent to Jeanne Gregory-Kaeppner at j.gregory-kaeppner@dodd.ohio.gov.

Oct 19
Payment Address Updated for Franchise Permit Fee Invoices

Please note that the address for franchise permit fee payments was updated this year as reflected on your Fiscal Year 2018 invoice.

In order to ensure that your payment is properly processed and applied, it is important that your payment be sent to the correct address. 

Please make all ICF-IID franchise permit fee payments for FY18 payable to Treasurer of the State of Ohio – DODD, and mail payments to the following address:

 

Ohio Department of Developmental Disabilities

Division of Medicaid Development and Administration

PO Box 74729

Cleveland, OH 44194


Please contact Ashley McKinney at ashley.mckinney@dodd.ohio.gov with any questions or concerns.

Oct 19
Ohio Department of Medicaid Selects KEPRO Vendor to Replace Permedion

​This memo provides new contact information for the Ohio Department of Medicaid State Plan Home Health Services prior authorization process, which was effective Aug. 14, 2017.

Prior authorization for Medicaid home health services hours previously authorized by Permedion is now being completed by a new vendor, KEPRO.   

KEPRO began processing prior authorization requests for Medicaid home health services greater than 14 hours per week on Aug. 14, 2017.  

  • This change in vendor does not impact Healthchek or private duty nursing.


  • The prior authorization process is available to Medicaid-eligible individuals ages 21 and older.


  • Additional hours authorized by KEPRO must be included in the individual service plan.


Requests for prior authorization of Medicaid home health services greater than 14 hours per week can be submitted to KEPRO one of two ways

  • Via fax at 844-262-8990



All questions related to this memo should be directed to KEPRO's toll-free number, 1-844-854-7281.

Oct 18
Pipeline Weekly (Oct 18, 2017)

DODD Newsletter                                          Oct. 18, 2017

Employees with developmental disabilities have a 48-percent lower turnover rate than their peers without disabilities. Learn more!

Janet, Her Boss Focus on Team Effort

Janet from Williams County and her boss, Tyler, have a strong working relationship at the Union Street Grille. Tyler says she is dependable and communicative, while Janet appreciates her boss for helping out with difficult tasks around the kitchen. WATCH her story.

This Week @ DODD

Employment First                  Health & Welfare

Agencies Partner for Success

DODD and Opportunities for Ohioans with Disabilities are entering their fifth year of their Employment First partnership! Working together has meant improvements for referrals, outreach, and collaboration with the local county boards of developmental disabilities, resulting in a greater number of employment outcomes and people served. Since the inception of the partnership, 1,587 people have been placed in competitive employment.

 

Check out this video playlist of employment resources and tools, like How OOD Can Help Meet Your Workforce Needs!

Med. Admin. Rule Changes

REMINDER: Rule changes for unlicensed personnel administering medication will go into effect in early November with mandatory implementation of changes Jan. 1, 2018.

 

Among the rule changes, direct service providers who are not certified to administer medication but who have taken state-approved annual training will be able to use vagus nerve simulators. Check out DODD's latest training on VNS devices. Other important information about state-approved medication administration training is available on the department's website.

Operations                   Training & Tools

DSP Add-On Incentivizes Training, Longevity

Incentivizing direct care staff longevity and rewarding efforts to complete professional training is one way DODD is responding to the needs voiced by stakeholders to address a shortage of direct service providers and a historically high turn-over of experienced providers felt across the state.

 

Read more about a proposed add-on to incentivize direct care staff longevity and reward efforts to complete professional training.

Live Chat: ICF Reimbursement

The proposed new intermediate care facility reimbursement system better aligns funding with changes in the developmental disabilities field, such as increased community involvement.

 

Explore this topic during the DODD Live Chat starting 11 AM Thursday, Oct. 19. Josh Anderson of the department's Medicaid division and Public Consulting Group's Coy Jones will share the analyses that led to the recommended changes to modernize the ICF reimbursement system.

Like Pipeline Weekly? Check out Family Connection.



Oct 16
CY 2017 2nd Quarterly MDA Report April-June 2017 Finalized
Oct 16
Memo Monday (Oct 16, 2017)

Changes Coming for SFBAO Request Process

Attention: SSAs, Business Managers

This memo alerts county boards of developmental disabilities of the identified enhancements to the state-funded behavior add-on (SFBAO) request process at the department, which will be effective in the online system Nov. 2, 2017.

Read Memo

Updates to ICF, DC Redetermination Process

Attention: ICFs, DCs

This memo informs intermediate care facilities (ICFs) and developmental centers (DCs) that effective Oct. 17, 2017, new fields have been added to the facility dashboard under the individuals roster and the ICFs redetermination tab on the Imagine portal to assist ICF evaluators when a level of care (LOC) redetermination has been missed.

Read Memo

Direct Care Longevity, Training Add-On

Attention: Providers, Provider Agencies

The Ohio Department of Developmental Disabilities will request approval from the Centers for Medicaid and Medicaid Services for an add-on rate to be effective July 1, 2018, incentivizing direct care staff longevity and rewarding efforts to complete professional training.

Read Memo

Webinar: ICF Reimbursement Proposed Changes

Attention: ICFs

Join Josh Anderson of DODD’s Division of Medicaid Development and Administration and Coy Jones of Public Consulting Group as they share the analyses that led to the recommended changes to modernize the intermediate care facility reimbursement system during this 11 AM Thursday, Oct. 19, webinar.

Read Memo


Oct 16
DSP Add-On Incentivizes Training, Longevity

Incentivizing direct care staff longevity and rewarding efforts to complete professional training is one way the Ohio Department of Developmental Disabilities is responding to the needs voiced by stakeholders to address a shortage of direct service providers and a historically high turn-over of experienced providers felt across the state.

This employee-driven incentive focuses on minimizing additional administrative requirements for agency providers while empowering direct service providers to advance professional goals.

The department will request approval from the Centers for Medicare and Medicaid Services (CMS) for an add-on rate to be effective July 1, 2018. Upon approval, the add-on rate may be submitted for all units of homemaker/personal care (HPC) services delivered by direct service providers meeting the criteria specified below.

Independent providers and agency direct support staff interested in obtaining the add-on rate must meet all of the following conditions in order to be eligible for the proposed add-on rate:

  • Two years of experience in providing direct support to people with developmental disabilities, and
  • Completion of 60 hours of curriculum accredited by the National Association of Direct Support Providers, in-person or online (Courses are available through Relias Learning, Elsevier, and Ohio DS PATHS)
  • For providers of HPC services, not including self-directed HPC

To encourage direct support staff in accessing this increased add-on rate, the department is providing access to more than 60 hours of web-based training through Elsevier's College of Direct Support applicable for the add-on rate at no cost.

Interested direct service providers may access these online courses beginning Nov. 1. These online courses may be accessed at any time, from any computer or mobile device with an internet connection.

Additional implementation guidance to follow.

Oct 13
Coming Enhancements for State-Funded Behavior Add-On in CRM, Imagine

The purpose of this communication is to alert county boards of developmental disabilities of the identified enhancements to the state-funded behavior add-on (SFBAO) request process at the department, which will be effective in the online system Nov. 2, 2017.

The current process flow remains and only two scenarios have been added to assist with processing. A recorded tutorial will be posted on the DODD training page, called State-Funded Behavior Add-On Enhancements on Oct. 25, 2017.

County boards will now have the ability to:

Enter a state-funded behavior add-on prior to waiver enrollment based on proposed Level of Care (LOC) dates. This will allow the county to submit the request and have it processed and waiting for the waiver enrollment. When the waiver is enrolled, the CRM system will alert DODD to complete the process and notify the submitter of the approval or any other actions needed by the board.

Withdraw a state-funded behavior add-on submitted in error.

Create a new behavior add-on request for a SELF Waiver and the system will "clone" the state-funded behavior add-on form for people enrolled on the SELF Waiver. "Clone" means the criteria responses on the authorized annual form will be auto-populated, and then the board can proceed to update the dates of the approved SFBAO span in that wavier span and/or update the previously approved units as a budget adjustment.

"Clone" the state-funded behavior add-on form for SELF after selecting the desired waiver span for changes in service dates. Requires brief DODD review.

"Clone" the state-funded behavior add-on form for SELF after selecting the desired waiver span for budget adjustments to units. This is automatically approved in the CRM system. There is no DODD review.

For further information, contact Jeanne Gregory-Kaeppner at 614-466-5990 or j.gregory-kaeppner@dodd.ohio.gov.

Oct 13
Family Connection (Oct 13, 2017)

DODD Newsletter                                                                       October 2017

Family Advisory Council Meets Oct. 25

The Family Advisory Council meets to discuss "Planning for the Future" on Wednesday, Oct. 25.

 

Join us as we discuss guardianship, supported decision-making, and the tools that help organize a person's plan.

Family Town Hall Asks for Testimony on Tech

DODD and the Ohio Developmental Disabilities Council are hosting the Ohio Family Town Hall on Technology on Friday, Oct. 20, from 1 to 4:30 PM at the Delaware County Board of Developmental Disabilities.

 

Share your story about how technology has improved your life or your family member's life! Speakers will be helping DODD and DD Council make informed decisions about the direction of technology services.

 

All families are welcome to attend this free event, regardless if they currently use remote support or assistive technology. DODD will also stream the event on Facebook Live.

Upcoming Opportunities to Chart Your LifeCourse

Our national partners will join us at the next quarterly meeting of the Ohio Community of Practice (CoP) on Thursday, Nov. 16, at the Delaware County Board of Developmental Disabilities.

 

If you are new to the LifeCourse framework, OCALICON is hosting a Charting the LifeCourse workshop all about it Friday, Nov. 17.

Like Family Connection? Visit Supporting Families @ DODD.

To receive information about the Family Advisory Council, please contact us.



Oct 11
Pipeline Weekly (Oct 11, 2017)

DODD Newsletter                                          Oct. 11, 2017

In Ohio, 42 percent of people with developmental disabilities who participated in the 2015-16 National Core Indicators consumer survey said they would like a job in the community, just like Karl.

Karl Takes Pride in Car Dealership Job

Karl, from Coshocton County, is someone who's always admired cars. With support from the county board of developmental disabilities, Karl now has a job at the Jeff Drennen Chrysler Dodge Jeep Ram dealership, where he enjoys detailing vehicles for customers.

 

Watch Karl in action as he explains his responsibilities at the dealership.

 

Keep celebrating National Disability Employment Awareness Month! Share your story and tag DODD on social media.

This Week @ DODD

Operations                    Training & Tools

Martin Receives Award

DODD Director John Martin was presented the 2017 Synergy Ohio Award for his efforts to better the developmental disability field.

 

See what Director Martin had to say about receiving the honor at the Synergy Ohio conference last week.

Tech Town Hall for Families

How does using assistive technology and remote support, also known as remote monitoring, affect the people you serve?

 

The Friday, Oct. 20, Ohio Family Town Hall on Technology is a time for people who use technology and their families to tell DODD about how devices and remote services have improved their lives. The town hall is hosted at the Delaware County Board of Developmental Disabilities.

Health & Welfare                    Operations

Misappropriation Prevention

Join the Major Unusual Incidents team for a one-hour webinar about misappropriation prevention starting 10 AM Thursday, Oct. 19. The webinar will address misappropriation red flags and ways to safeguard money and belongings of people with developmental disabilities.

ODDP Portal Postponed

Deployment of the Ohio Developmental Disability Profile (ODDP) portal, originally set for Sept. 28, has been delayed until the Dec. 31, 2017, report period end date. Providers should read more about the upcoming ODDP portal applications.

Like Pipeline Weekly? Check out Family Connection.



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