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Feb 20
Pipeline Weekly (February 20)

5 Things To Know about Choking Prevention
People with developmental disabilities are at a higher risk of choking.
Watch these tips on how to prevent choking and intervene if necessary.
This Week @ DODD
Low Vision Awareness Month
During February, learn more about low vision through the Outreach Center for Deafness and Blindness, which supports families and professionals with training and learning tools. Check it out.
Director's Corner: Sign Up for Weekly DODD Updates
Prone Restraint Is Never an Option. Be Well-Informed.

Feb 18
Memo Monday (February 18)

Updated Guidance: ICF Conversion Process
Attention: County Boards, ICFs
The Ohio Department of Developmental Disabilities is issuing updated guidance related to the voluntary conversion of intermediate care facilities (ICF) beds. Please reference the most recent edition, revised in February 2019, when working through the conversion process. 

With questions, contact Josh Anderson at joshua.anderson@dodd.ohio.gov or 614-387-0576.
Report Place on Path to Community Employment
Attention: County Boards, Developmental Centers, ICFs
Effective January 24, 2019, county boards are able to report a person’s place on the path to community employment within the service and supports section of CRM-IDS. Effective February 21, the same information will be added to the portal for intermediate care facilities and developmental centers.
Update: Monthly Rate Calendar Flip Date
For Medicaid Services System (MSS) sites that need to change from the Daily Rate Application (DRA) to the Monthly Rate Calculator (MRC), as of February 22, the flip date can now be entered as any date from today into the future. The date no longer has to align with a person's waiver span.

Email MSSSupport@dodd.ohio.gov with questions.
DODD Live Chats
Wednesday, February 20
 
Wednesday, February 27
Cost Report Training
The DODD fiscal division is hosting a mandatory annual County Board Cost Report training for county board business managers on March 13 and 14. Register here .
RMTS Online Course Now in DODD MyLearning
The Random Moment in Time Study (RMTS) online course is available in DODD MyLearning. Sign up for free MyLearning courses or log in here .

The RMTS course has a single module and includes non-graded activities and graded quiz questions. To receive credit for the course, learners must pass the quiz with an 80 percent or greater.
Feb 15
Reporting Place on Path to Community Employment

​​​This is a guidance memo from the Ohio Department of Developmental Disabilities. To print this memo, select "CTRL" and "P" on your keyboard.

Each person with a disability of working age in Ohio is required by the Employment First rule to participate in a person-centered planning process to identify the person's unique strengths, interests, abilities, and preferences. During this process, people with disabilities are required to identify their place on the path to community employment. There are four places on the path to community employment.

Effective January 24, 2019, county boards of developmental disabilities are able to report a person’s place on the path to community employment within the service and supports section of CRM-IDS. Effective February 21, 2019, the same information will be added to the portal for intermediate care facilities (ICFs) and developmental centers.

County boards, ICFs, and developmental centers will need to enter that information into CRM-IDS and the portal for all people of working age no later than September 15, 2019.

Contact the Employment First mailbox at employmentfirst@dodd.ohio.gov with questions.

Feb 11
Easier TCM File Upload Process Coming

​This is a guidance memo from the Ohio Department of Developmental Disabilities. To print this memo, select "CTRL" and "P" on your keyboard.

In response to a request from county boards of developmental disabilities to update the eMBS application, beginning Friday, February 22, users will no longer be required to upload two separate files based on the number of Targeted Case Management (TCM) units. Additionally, no units attestation is required.

County boards will be able to upload a single file or multiple files based on their business practices and formally submit the file(s) when convenient for the county board.

Call 1-800-617-6733, Option 2 with any questions.

Feb 11
Certifications Due for IAF, ODDP

​This is a guidance memo from the Ohio Department of Developmental Disabilities. To print this memo, select "CTRL" and "P" on your keyboard.

The grace period for finalized Individual Assessment Form (IAF) and Ohio Developmental Disability Profile (ODDP) certifications for the December 31, 2018, RPED (Report Period End Date) ends on February 14, 2019.

Any changes must be re-certified by that date in order to count toward the facility case mix index (CMI) score. Facilities that fail to submit an initial certification by that date will be assigned a CMI score of 1.000.

Email CR-ICF@dodd.ohio.gov with any questions about the process.


Feb 11
CareStar Hosts ICF Options Counseling

​This is a guidance memo from the Ohio Department of Developmental Disabilities. To print this memo, select "CTRL" and "P" on your keyboard.

DODD has contracted with CareStar to conduct a second round of options counseling for people living in intermediate care facilities with nine or more beds. CareStar will be reaching out to providers, people with disabilities, and guardians to schedule counseling sessions.

People or their guardians who wish to request an Exit Waiver directly without counseling or who wish to be removed from the counseling list may contact Ashley McKinney at 614-644-7596 or Ashley.McKinney@dodd.ohio.gov.

Learn more about options counseling and exit waivers here.

Feb 11
Remote Support: Free Choice of Provider and Billing

​This is a guidance memo from the Ohio Department of Developmental Disabilities. To print this memo, select "CTRL" and "P" on your keyboard.

This memo provides clarification and guidance for county boards of developmental disabilities about how to ensure free choice of provider and proper billing for Remote Support.

When using paid backup support, the Free Choice of Provider process is administered when the person with disabilities selects the Homemaker/Personal Care (HPC) provider agency that will be providing the backup support. The selected HPC agency may choose to sub-contract with a vendor company of their choice.  The sub-contracted company (the vendor) would provide the staff that would provide the Remote Support.

When using unpaid backup support, the Free Choice of Provider process is administered when the person with disabilities selects the vendor company that will provide the staff that would provide the Remote Support. 

Backup support must be in place before Remote Support services can be billed through the waiver. Those supports may be paid (HPC agency) or unpaid (natural support).

Whether paid or unpaid, the person's individual service plan must specify the "reasonable amount of time" in which the backup support must respond, upon being contacted by the vendor.

When Using Paid Backup Support

  • A Homemaker/Personal Care provider agency is selected by the person or their guardian through the Free Choice of Provider process. The chosen HPC agency is listed on the payment authorization for waiver services (PAWS).

  • The HPC agency may choose to provide the staff who work remotely or to contract with a vendor of their choice that is certified by the Ohio Department of Developmental Disabilities to provide Remote Support. 
     

  • The vendor is responsible for equipment maintenance, installation, and purchase. The vendor will bill the waiver for all Assistive Technology equipment.
     

  • The HPC agency bills for all hours of Remote Support provided and then pays the contracted vendor for the hours provided at the agreed upon rate.
     

  • If the vendor contacts the HPC agency to request in-person assistance, the paid backup support person's time shall be billed as Homemaker/Personal Care or Participant-Directed Homemaker/Personal Care, as applicable. The Remote Support vendor will end payment when the HPC staff is on site and may resume when the HPC staff leaves.
     

  • When Remote Support is provided to multiple people who live in the same residence, the payment rate for Remote Support shall be divided equally among the people concurrently receiving Remote Support.

When Using Unpaid Backup Support

  • The Remote Support vendor is selected directly by the person or their guardian through the Free Choice of Provider process. The Remote Support vendor is listed on the PAWS.

  • The vendor is responsible for equipment maintenance, installation, and purchase. The vendor will bill the waiver for all Assistive Technology equipment.
     

  • The vendor bills directly for all hours of Remote Support provided.
     

  • If the vendor contacts the unpaid backup support person to request in-person assistance, the vendor will end payment when the unpaid support person is on site and may resume when the unpaid support person leaves.
     

  • When Remote Support is provided to multiple people who live in the same residence, the payment rate for Remote Support shall be divided equally among the people concurrently receiving Remote Support.

Feb 11
Memo Monday (February 11)

Remote Support: Free Choice of Provider
This memo provides clarification and guidance for county boards of developmental disabilities about how to ensure free choice of provider and proper billing for Remote Support.
CareStar Hosts ICF Options Counseling
Attention: ICFs
DODD has contracted with CareStar to conduct a second round of options counseling for people living in intermediate care facilities with nine or more beds. CareStar will be reaching out to providers, people with disabilities, and guardians to schedule counseling sessions.
Certifications Due for IAF, ODDP
Attention: ICFs
The grace period for finalized Individual Assessment Form (IAF) and Ohio Developmental Disability Profile (ODDP) certifications for the December 31, 2018, RPED (Report Period End Date) ends on February 14, 2019.
Easier TCM File Upload Process Coming
Attention: Business Managers, COG Directors, County Boards, Superintendents
In response to a request from county boards of developmental disabilities to update the eMBS application, beginning February 22, users will no longer be required to upload two separate files based on the number of Targeted Case Management (TCM) units. Additionally, no units attestation is required.
DODD Live Chats
Wednesday, February 13

Wednesday, February 20

Wednesday, February 27
Back to Basics
DODD has partnered with the Ohio Provider Resource Association to offer free regional training sessions about provider compliance, with February's series focused on personal funds.

Feb 04
Memo Monday (February 4)

1099 Forms Available Online for Providers
Attention: Business Managers, Providers
The Ohio Department of Developmental Disabilities is sharing some basic tax information for independent and agency providers who are filing their 2018 tax returns.

Please note that DODD cannot answer tax questions, and providers with questions about their taxes will be directed to contact the Internal Revenue Service.
In-Person Training: Using Data Warehouse
Attention: COGs, County Boards
DODD's Data Analytics and Research team will be hosting an in-person training about using Data Warehouse on February 7 from 9 to 11:30 AM for state, county, and council of governments employees who have not previously attended an in-person session.

The training will be held at the State Library of Ohio, 274 E. First Ave., Columbus. Contact abby.hammond@dodd.ohio.gov with questions.
Update: ODDP Reassessments
Attention: ICFs
In an effort to ensure Ohio Developmental Disabilities Profile (ODDP) assessments continue to remain accurate and up-to-date for people's needs, DODD is working to reassess the ODDP for each person residing in an intermediate care facility no later than every three years.
PSM Enhancements Live
Several enhancements to the Provider Services Management (PSM) system are live as of February 4.
Community Transition: Live Chat, Info
Attention: COG Directors, County Boards, Providers, SSAs, SSA Directors, Superintendents
Community Transition, a new waiver service, became effective January 1, 2019, and provides reimbursement of non-recurring household start-up expenses for a person who previously lived in an intermediate care facility or a nursing facility for the past 90 days and is transitioning to enrollment in the Individual Options (IO) Waiver.

Register for the DODD Live Chat at 10 AM February 13 about the Community Transition waiver service.
LOC Rule Revised, Form Changing
Attention: COG Directors, County Boards, SSAs, Superintendents
Ohio Administrative Code 5123-8-01 , Developmental Disabilities Level of Care, has been revised effective February 14, 2019. The revisions make it permissible for a Certified Nurse Practitioner (CNP) to complete and sign the medical clinician’s verification form (CVF). The revised CVFs have been developed to support the change made to the rule. 

Join the DODD Live Chat about Level of Care rule changes and the new CVF forms with DODD’s Heidi Clarke starting at 10 AM February 6.

Contact LOC@dodd.ohio.gov with questions about the rule changes or documents.
Feb 04
Live Chat, Info: Community Transition

This is a guidance memo from the Ohio Department of Developmental Disabilities. To print this memo, select "CTRL" and "P" on your keyboard.

OAC 5123-9-48: Community Transition (Individual Options)

This new waiver service became effective January 1, 2019, and provides reimbursement of non-recurring household start-up expenses for a person who previously lived in an intermediate care facility or a nursing facility for the past 90 days and is transitioning to enrollment in the Individual Options (IO) Waiver.

Non-recurring household start-up expenses could include security deposits and rental start-up expenses; essential household furnishings, such as furniture, window coverings, food preparation items, and bed/bath linens; start-up fees for utility or service access deposits, such as telephone, electricity, heating and water; moving expenses; pre-transition transportation necessary to secure housing and benefits; and initial grocery purchase, which may include food, cleaning products, and household supplies. 

Community Transition does not include ongoing monthly rent or mortgage payments; ongoing grocery expenses; ongoing utility or service charges; ongoing cable and/or internet expenses; items intended for entertainment or recreational purposes; or tobacco products or alcohol.

Community Transition may be authorized up to 180 calendar days prior to the date on which the individual enrolls in the IO Waiver. Service details will be entered into MSS/CPT for up to 30 calendar days after the date on which a person enrolls in the IO Waiver. Community Transition services cannot exceed $2,000 per person. Pre-transportation services covered as Community Transition cannot exceed $500 of the available $2,000.

Contact Rik Donley at richard.donley@dodd.ohio.gov with questions.

Register for the DODD Live Chat about the Community Transition waiver service on February 13 at 10 AM.

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