Bill > HB552

This bill amends Ohio's Medicaid regulations to establish new reimbursement rules for hospice providers, specifically addressing how providers will be compensated for patients residing in nursing facilities or intermediate care facilities for individuals with intellectual disabilities (ICF/IID). The bill maintains existing provisions that allow Medicaid recipients of any age to receive home and community-based services if their income is at or below 225% of the federal poverty line and they have a medical need for the service. The key new provision requires the Ohio Medicaid director to adopt rules by January 1, 2028, mandating that hospice providers be reimbursed at 100% of the nursing facility or ICF/IID daily rate for patients receiving routine home care or continuous home care. This change aims to ensure fair and comprehensive reimbursement for hospice providers caring for patients in long-term care facilities. The bill also repeals the existing version of section 5164.16, effectively replacing the old regulations with these new provisions.

Health and Social Services

https://www.legislature.ohio.gov/legislation/136/hb552