NF admissions on a Medicaid waiver Ohio Home

NF admissions on a Medicaid waiver – Ohio Home Care Waiver (OHCW), PASSPORT, Assisted Living • Send an ODM 9401 per instructions on 9401 form • Send level of care request to PAA • Contact the waiver Case Manager regarding admission status and expected length of stay (permanent, short-term, long-term, etc. ) • Waiver Case Managers are not always AAA/PAAs! Current OHCW case management agencies are Care. Star, Care. Source, and Council on Aging • During the NF stay, provide updates to the waiver Case Manager about changes in expected length (permanent, long-term, proposed discharge date, etc. ) • Bill under MITS waiver revenue code while enrolled on fee-forservice Medicaid waiver 1

NF admissions on Medicaid Managed Care Plan (MCP) or My. Care Ohio Plan (MCOP) • Send an ODM 9401 per instructions on 9401 form • Contact the MCP/MCOP for prior authorization and/or level of care process, and inform MCP/MCOP of expected length of stay (permanent, short-term, long-term, etc. ) • During the NF stay, provide updates to the MCP/MCOP about changes in expected length (permanent, long-term, proposed discharge date, etc. ) 2

NF admissions on My. Care Ohio Waiver • For My. Care Ohio waiver, contact the MCOP regarding admission status and expected length of stay (permanent, short-term, long-term, etc. ) » If permanent NF stay or long-term (>90 days), contact MCOP to request MCO waiver disenrollment » MCOP will communicate disenrollment to PAA and PAA will enter into Ohio Benefits; CDJFS must run the case in Ohio Benefits in order to close the waiver span in MITS 3

NF admissions on Specialized Recovery Services Program (SRSP) • Send an ODM 9401 per instructions on 9401 form • Contact the SRS Recovery Manager regarding admission status and expected length of stay (permanent, short-term, longterm, etc. ) • During the NF stay, provide updates to the SRS Recovery Manager about changes in expected length (permanent, longterm, proposed discharge date, etc. ) • If permanent NF stay or long-term (>90 days), contact SRS Recovery Manager to request SRSP disenrollment • Disenrollment will be entered into Ohio Benefits by SRS Recovery Manager; CDJFS must run the case in Ohio Benefits in order to close the SRSP span in MITS 4