Latest News

July 2, 2020 - Adult Day Health Service Guidance

The Ohio Department of Medicaid (ODM) wants to make you aware of new emergency provisions affecting adult day services in home and community-based service waivers administered by ODM and the Ohio Department of Aging (ODA). ODM sought and received approval from the Centers for Medicare and Medicaid Services (CMS) in the Appendix K to permit adult day service delivery telephonically or in an individual’s home as opposed to the adult day center. These new adult day service provisions are effective immediately and are supported by emergency rules enacted by ODM and ODA.

 

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July 2, 2020 - Expanding Direct Care Workforce in Ohio's HCBS Waivers

The Ohio Department of Medicaid (ODM) wants to make you aware of new emergency provisions affecting Ohio’s direct care workforce. ODM sought and received approval from the Centers for Medicare and Medicaid Services (CMS) to ease restrictions on family members being providers in Ohio’s home and community-based services (HCBS) waivers. Effective immediately, agency providers of specific waiver services are permitted to hire individuals who may have been previously excluded from furnishing waiver services.

 

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April 16, 2020 - COVID-19 Guidance and FAQ Updates

The Ohio Department of Medicaid has provided guidance and FAQ’s regarding the latest updates on COVID-19 impacting OHCW, PASSPORT, and MyCare providers.

Read More Ohio HCBS News.

Ordering, Referring, Prescribing (ORP) Requirements:

For more information visit the ODM ORP Web page here.

 

Changes to the Transitions Carve Out Waiver

Beginning February 1, 2015 and ending no later than June 30, 2015; Individuals enrolled on the Transitions Carve Out Waiver will be moving over to the Passport/Choices waivers. Providers who serve these individuals will need go through the Ohio Department of Aging (ODA) certification process. Please go to the following website with questions about ODA certification: http://www.aging.ohio.gov/resources/providerinformation

 

Additional information and answers related to the Transitions Carve Out Waiver changes, click here.

 

Online Mandatory Provider Training

This notice is to inform all providers of services to individuals on an Ohio Department of Medicaid (ODM) home and community-based services waiver of mandatory training on incident management. An "incident" is an alleged, suspected or actual event that is not consistent with the routine care of, and/or service delivery to, an individual enrolled on an ODM waiver.

 

To complete this requirement, providers have the option to view the training at: http://ohiohcbs.pcgus.com/TrainingMaterials. Agencies also may choose to train their employees in a different manner. Regardless of how providers complete this training, they must document in writing that they have reviewed the rule.

 

In addition, upon entering into a Medicaid provider agreement, and annually thereafter, all providers must acknowledge in writing they have reviewed Ohio Administrative Code Rule 5160-45-05 Ohio department of Medicaid (ODM)-administered waiver program: incident management system, which can be found at http://codes.ohio.gov/oac/5160-45-05

 

Questions may be directed to ODM's contracted Provider Oversight Contractor, Public Consulting Group (PCG) at 1-877-908-1746

 

Public Consulting Group (PCG) and its PCG division have partnered with the Ohio Department of Medicaid (ODM) to provide Provider Oversight and Incident Management for its Home and Community-Based Services Waiver programs, the Ohio Home Care Waiver. PCG enrolls waiver providers, conducts provider oversight as well as incident investigations in coordination with providers, case management agencies, local agencies, and the many state sister agencies of ODM.  

 

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Contact Us

For more information about Public Consulting Group and how we can assist you in delivering or receiving Home and Community Based Waiver Services, please contact us at the following:

Public Consulting Group
Provider Oversight
Ohio HCBS Waivers

155 East Broad Street 8th Floor Columbus, OH 43215
Phone: 877-908-1746
Fax: 614-386-1344
E-mail: ohiohcbs@pcgus.com