Latest News

March 14, 2019 - Training Registration for the Ohio Department of Medicaid’s (ODM) Electronic Visit Verification (EVV) Phase 2

Training Registration for the Ohio Department of Medicaid’s (ODM) Electronic Visit Verification (EVV) Phase 2 will open on April 1, 2019. The attached communication provides an overview of how training will work and what to expect for Phase 2 training. Training opens on May 6, 2019 and space is limited. Please see the attached document for more information.

 

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March 13, 2019 - ICD-10 - MAL 626 Updated - Delay in Requirement for All Atypical / Non-Diagnosing Providers to Report ICD-10 on Claims Starting April 1, 2019

On February 22, a decision was made to postpone the implementation date of the systems work that will require all atypical and non-diagnosing provider to report ICD-10 on claims starting April 1, 2019. A new implementation date has not yet been decided.

 

Read More Ohio HCBS News.

December 27, 2018 - Changes to the Ohio Home Care Waiver

Effective Jan. 1, 2019, new waiver provider requirements, service specifications and conditions for participation for nursing, home modifications, home care attendant services, out of-home respite, home delivered meals and personal emergency response systems will take effect. The requirements and specifications will directly impact the Ohio Home Care Waiver and will be outlined Ohio Administrative Code (OAC) Chapter 5160-44.

 

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.

 

In-Person Training for Home and Community Based Waiver Providers

Public Consulting Group (PCG), on behalf of the Ohio Department of Medicaid, conducts in-person trainings around the State. The locations rotate month to month, so if any of the current trainings being offered are not near you, please check back as PCG will be adding new locations every couple of months. This training is not mandatory but it is recommended. The training is a high level overview of several Ohio Administrative Codes that govern the Waiver program. Topics include: Criminal Record Background Checks, Provider Conditions of Participation, Provider-Type-Specific Requirements, Developing Clinical Records, Provider Billing, Structural Reviews, and Incident Management & Reporting. So, whether you’re new to the Ohio Home Care Waiver program, or simply looking to refresh your knowledge, this is training is for you!

 

Public Consulting Group, on behalf of the Ohio Department of Medicaid, will be conducting three trainings around the state.

 

*Registration is required. See below for details:

 

Location: Akron-Summit County Public Library
Address: 60 South Hight Street, Akron, Ohio 44326
Date: Monday, April 15, 2019
Time: 1:00 pm - 3:00 pm

Room: Auditorium

To register, please click here

Location: Beachwood Public Library-Cuyahoga County
Address: 25501 Shaker Blvd, Beachwood, Ohio 44122
Date: Tuesday, April 16, 2019
Time: 10:30 am - 12:30 pm

Room: Auditorium

To register, please click here

Location: Geneva Public Library
Address:4335 Park Avenue, Ashtabula, Ohio 44004
Date: Monday, May 20, 2019
Time: 11:00 am - 1:00 pm

Room: Meeting Room A/B

To register, please click here

Location: State Library of Ohio
Address: 274 E. First Avenue, Columbus, Ohio 43201
Date: Friday, June 21, 2019
Time: 11:00 am - 1:00 pm

Room: Large Boardroom

To register, please click here

 

Presenters will be staying after the training to answer specific provider questions. For questions, please call 1-877-908-1746.

 

**Continuing Education Credits Offered

 

PCG is an approved provider for Social Work CE credit by the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist (CSWMFT) Board. Provider #RSX071403. The Ohio Board of Nursing recognizes the State of Ohio CSWMFT Board as an approved provider of CNE for multi-disciplinary activities. Attendees must sign in on time and remain for the entire session to receive a certificate of attendance. This program is approved for 2 CEs per the CSWMFT Board.

 

Home Health Aides will also receive 2 hours of continuing education towards the 12 hours required each year.

 

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 Health 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