Ohio Administrative Code
Title 5160 - Ohio Department of Medicaid
Chapter 5160-3 - Long-Term Care Facilities; Nursing Facilities; Intermediate Care Facilities for the Individuals with Intellectual Disabilities
Section 5160-3-41 - Nursing facilities (NFs): placement into peer groups
Universal Citation: OH Admin Code 5160-3-41
Current through all regulations passed and filed through September 16, 2024
(A) NF peer groups shall be assigned according to sections 5165.16 , 5165.17, and 5165.19 of the Revised Code based on the provider's geographical location and the number of licensed beds reported on the provider's annual cost report for the calendar year preceding the fiscal year for which the rate is established.
(1) For a provider new to the medicaid
program, the Ohio department of medicaid (ODM) shall initially determine the
number of beds in the facility from the number of licensed beds documented in
the
provider's licensure application as verified by the
Ohio department of health (ODH). ODM shall subsequently determine the number of
beds in the facility from the number of licensed
beds reported on the provider's annual cost report.
(2) In the case of a change of operator, the
entering operator shall be assigned to the peer group that had previously been
assigned to the exiting operator on the day immediately preceding the date on
which the change of operator occurred. ODM shall subsequently determine the
number of beds in the facility from the number of licensed beds reported on the
entering provider's annual cost report.
(B) No adjustment will be made to the provider's placement in a peer group due to a change in bed size until the first day of the fiscal year following the filing of an annual cost report that reflects the change.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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