The Ohio Department of Medicaid (ODM), on behalf of the Ohio Department of Developmental Disabilities (DODD), Ohio Department of Mental Health and Addiction Services, and Ohio Department of Aging, is submitting the necessary documentation for federal CMS approval to make provider relief payments. The administration is committed to disbursing payments as soon as each associated approval is received from the federal government. ODM, on behalf of DODD, is also submitting an Appendix K to allow for the home and community-based services (HCBS) provider relief payments and a 1135 waiver to allow for the intermediate care facility (ICF) provider relief payments. These provider relief payments are in support of the direct support workforce and the essential function they carry out in supporting Ohioans with developmental disabilities.
ODM has posted updates to their ARPA HCBS webpage to note updates and how payments will be processed for systems and provider types.
On December 23, 2021, Governor Mike DeWine signed HB 169 into law. Among other investments, the bill invests $529 million of American Rescue Plan Act (ARPA) HCBS for provider relief across multiple systems including $210 million specifically for waiver providers in the developmental disability system. The bill also invests $60 million for ICF provider relief payments to support frontline staff.
“I am grateful that the administration is able to quickly submit these payments for federal approval just two weeks after the passage of HB 169,” DODD Director Hauck said. “After the federal approval is received, it is our priority to make these payments to providers as soon as possible. Because of the negative financial impact providers have endured through the pandemic, we recognize how essential these payments are to providers and the DSP workforce who continue their vital role in supporting Ohioans with developmental disabilities. These payments are an important continuation of significant provider financial relief and pandemic-related flexibilities Governor DeWine’s administration and DODD have made to support our system through this difficult time.”
This $210 million for HCBS provider relief payment will reflect 10 percent of claims submitted and paid for services delivered from 11/1/2020 through 10/31/2021. Once the Appendix K approval is received, DODD will issue these one-time payments as quickly as possible. Both agency and independent providers who have billed for the following services are included in the HCBS provider relief payments:
- Career Planning
- Vocational Habilitation
- Independent Employment Support
- Group Employment Support
- Adult Day Support
- Non-Medical Transportation
- Informal Respite
- Community Respite
- Homemaker/Personal Care and On-Site/On-call HPC
- Homemaker/Personal Care Services - Daily Billing Unit
- Participant-Directed HPC
- Shared Living
- Residential Respite
The $60 million for ICF provider relief payments are structured in the same manner as nursing facilities are in the legislation. ICF providers who are in good standing will receive a payment of approximately $12,600 per bed based on the number of Medicaid certified beds on 12/1/2021. These payments will be distributed by ODM.
DODD is appreciative of the collaboration between the administration, our system partners, and the legislature to make these provider relief payments possible.