Latest News & Communications

As our members continue to provide high quality care to Ohio’s vulnerable populations, LeadingAge Ohio is urging everyone to review the following resources on control and prevention of Coronavirus (COVID-19).

If you have a question, concern, or want to share resources regarding COVID-19, we have a dedicated email account. Send a message to COVID19@leadingageohio.org, and we will get back to you quickly. As always, feel free to email or call any LeadingAge Ohio staff individually. 

Can't find what you're looking for?  Be sure and use the search feature at the bottom of our website.  

Recent Updates

Amended Health Orders

Adult Day Orders

Visitation Orders

Testing Orders

Vaccination Information/Resources

Communication around the vaccine with residents and staff is important.  We've compiled several resources below to help in getting the word out and building confidence around the vaccine.

LeadingAge Ohio All Member Q & A: Vaccine Mandate (11/9/21)
LeadingAge Ohio All Member Q & A: Vaccine Participation (1/12/21)

Testing Resources

Lab Capacity Dashboard

The new dashboard provides self-reported information about labs that can run tests, including hours of operation, types of tests they accept, estimated turn-around time, and locations.

LeadingAge Resources

Visitation During COVID-19

As CMS updated visitation guidance for nursing homes, LeadingAge collaborated with Pathway Health on a Visitation During COVID-19 Toolkit for members. The 10 segment toolkit helps an organization navigate visitation guidance through a leader's guide, implementation checklists, competency tools for managers and all staff as well as a pre and post-test for all staff.  The toolkit can be modified or edited to your organization’s needs. The elements of the toolkit also may be used by various providers and service lines in the continuum of care.

Pandemic Playbook 

An interactive collection of insight, wisdom, and critical lessons LeadingAge members have learned about serving older adults during a catastrophic health crisis.

Coronavirus Resources

Visit this page regularly for current information, tools, and resources to help LeadingAge members plan for and respond to COVID-19.

06/30/2022

ODA Awareness for Preparedness Webinar

On June 29, the Ohio Department of Aging (ODA) hosted the Awareness for Preparedness Creating Health Environments webinar for Long-Term Care Facility Residents and Staff.

06/30/2022

Workforce Wins in House Appropriations bill for HHS

Today, the House Appropriations Committee released its reports accompanying the fiscal year 2023 Labor, Health and Human Services, Education and Related Agencies (Labor-HHS) appropriations bill and its revised fiscal year 2023 subcommittee allocations.

06/30/2022

LeadingAge Ohio convenes adult day, AAA leaders to discuss rebuild

Statewide, numerous adult day centers have closed over the past two years, as a result of prolonged COVID-related closures and the challenges of rebuilding amidst lagging reimbursement, new infection control practices, and public fears about congregate settings.

06/30/2022

CMS releases Phase 3 Requirements of Participation

Yesterday, the Centers for Medicare & Medicaid Services (CMS) announced surveyor guidance for Phase 3 Requirements of Participation, as well as clarifications and technical corrections for Phase 2 guidance issued in 2017.

06/23/2022

LeadingAge Ohio responds to DeWine Administration survey on direct care workforce challenges

Last week, LeadingAge Ohio responded to a survey released by the DeWine Administration regarding ongoing direct care workforce challenges.

06/23/2022

More Phase 4 Payments being distributed

HRSA announced last week that it is sending out the latest batch of Phase 4 Provider Relief Fund (PRF) payments ($427M) to 1,400 providers nationwide.

06/23/2022

IRS increases standard mileage rate

To keep pace with the rising price of gas, the Internal Revenue Service (IRS) has increased the standard mileage reimbursement rate halfway through the year for the first time since 2011.

06/23/2022

Honoring Wishes hosts C-TAC June 29

C-TAC is the Coalition to Transform Advanced Care, a national advocacy group dedicated to improving the lives of Americans impacted by serious illness.

06/23/2022

New LeadingAge Ohio website launching, planned outage this Friday

This Friday, LeadingAge Ohio will launch a new website update and redesign. Anyone trying to access the website between the hours of 8:00-10:00AM may receive an error message.

06/16/2022

2022 LeadingAge Ohio Annual Conference and Trade Show - REGISTRATION NOW OPEN!

Join us August 30 - September 1, 2022 at the Hilton Columbus at Easton for the LeadingAge Ohio Annual Conference and Trade Show!

06/09/2022

Ohio employers should weigh in on work-based learning

LeadingAge Ohio is part of the Complete to Compete (C2C) coalition, a statewide network of employers, education and higher education stakeholders working to improve post-secondary attainment and better align education / training with Ohio’s jobs.

06/09/2022

2022 LeadingAge Ohio Annual Conference and Trade Show: Hotel reservation, exhibitor booth registration NOW OPEN - Attendee registration opening next week!

Join LeadingAge Ohio August 30-September 1, 2022 at the Hilton Columbus at Easton for the LeadingAge Ohio Annual Conference and Trade Show. This year’s theme is Momentum!

05/12/2022

Help Your Board Hit the Governance Bullseye, webinar series: Starts June 7

LeadingAge Ohio and HJ Sims invite you to join this webinar series with your board members, as HJ Sims provides a series of comprehensive virtual content geared directly toward the governance of senior living providers. The series will benefit all leaders within our field, especially board members, leadership teams, and individuals new to these roles.

03/17/2022

CMS approves relief for nursing facilities, hospices

Yesterday afternoon, the Ohio Department of Medicaid (ODM) reached out to LeadingAge Ohio to notify providers that the Centers for Medicare & Medicaid Services (CMS) had approved the state plan amendment (SPA) which would allow distribution of HB169 funds to nursing facilities, intermediate care facilities, and hospice programs.

03/03/2022

ARPA Assisted Living Provider Relief Funding

The Ohio Department of Aging and Ohio Department of Medicaid conducted a call today for Ohio’s assisted living facilities on the process for applying for the American Rescue Plan Act of 2021 (ARPA) funding outlined in House Bill 169. Ohio has provided additional information on the funding on the Ohio Grants Partnership webpage.

You asked... We answered regarding Certification of Terminal Illness Content

You asked... We answered regarding Certification of Terminal Illness Content

You Asked:

Should the Certification of Terminal Illness (CTI) have both related and unrelated diagnoses in the narrative?  

We Answered:

The CTI needs to have the reason the physician believes the individual has 6 months or less to live (the patient’s prognosis) and what clinical findings help substantiate that prognosis.  The CTI may or may not have the actual diagnoses listed, oftentimes it does, but that is not a requirement of the content of the CTI. Please see the regulatory citation below from the CoP’s.

The CTI does not necessarily have to list the non-related diagnoses.  However, to help substantiate the related and not related drugs, items, or services, it is good for the hospice physician to list what they believe are non-related diagnoses somewhere in the medical record.  Often the non-related diagnoses might be listed on the plan of care or in a physician progress note.

418.22 Certification of terminal illness

(b) Content of certification. Certification will be based on the physician's or medical director's clinical judgment regarding the normal course of the individual's illness. The certification must conform to the following requirements:

(1) The certification must specify that the individual's prognosis is for a life expectancy of 6 months or less if the terminal illness runs its normal course.

(2) Clinical information and other documentation that support the medical prognosis must accompany the certification and must be filed in the medical record with the written certification as set forth in paragraph (d)(2) of this section. Initially, the clinical information may be provided verbally, and must be documented in the medical record and included as part of the hospice's eligibility assessment.

(3) The physician must include a brief narrative explanation of the clinical findings that supports a life expectancy of 6 months or less as part of the certification and recertification forms, or as an addendum to the certification and recertification forms.

(i) If the narrative is part of the certification or recertification form, then the narrative must be located immediately prior to the physician's signature.

(ii) If the narrative exists as an addendum to the certification or recertification form, in addition to the physician's signature on the certification or recertification form, the physician must also sign immediately following the narrative in the addendum.

(iii) The narrative shall include a statement directly above the physician signature attesting that by signing, the physician confirms that he/she composed the narrative based on his/her review of the patient's medical record or, if applicable, his/her examination of the patient.

(iv) The narrative must reflect the patient's individual clinical circumstances and cannot contain check boxes or standard language used for all patients.

(v) The narrative associated with the 3rd benefit period recertification and every subsequent recertification must include an explanation of why the clinical findings of the face-to-face encounter support a life expectancy of 6 months or less.

(4) The physician or nurse practitioner who performs the face-to-face encounter with the patient described in paragraph (a)(4) of this section must attest in writing that he or she had a face-to-face encounter with the patient, including the date of that visit. The attestation of the nurse practitioner or a non-certifying hospice physician shall state that the clinical findings of that visit were provided to the certifying physician for use in determining continued eligibility for hospice care.

(5) All certifications and recertifications must be signed and dated by the physician(s), and must include the benefit period dates to which the certification or recertification applies.

You asked... We answered June 28

You asked... We answered regarding Home Health therapy orders

You Asked:

If there is a home health patient who does not have an order for physical therapy (PT) on admission, but three weeks later has an event and needs a therapy evaluation, how long of a time-frame does the therapist have to get out to the home to evaluate the patient if the nurse gets an order for physical therapy to evaluate and treat with no specific date applied to the order?  Is it a 5-day window to evaluate and treat the patient like the admission time-frame?

We Answered:

LeadingAge Ohio reached out to the Ohio Department of Health (ODH) regarding the timeframe for an evaluation and treatment from the therapist after the start of care. This was ODH’s response:

There is no specific time frame in the regulations; however, if the physician writes an order for PT to evaluate and treat, we would expect to see a PT visit to evaluate and treat. Some agencies have policies stipulating time frames and some have “expectations” that the visit would happen as soon as possible. ODH has seen these orders fall thru the cracks and it’s many weeks before therapy ever sees the patient or sometimes not at all. There is often no follow up with the physician to inform him/her of the delay or reason why therapy never provided service. Either of those scenarios would result in a citation. 

 

Home Health and Hospice Newsletter: June 28, 2022

[Duplicate] Home Health and Hospice Newsletter: June 28, 2022

Home Health and Hospice Newsletter: June 21, 2022

Home Health and Hospice Newsletter: June 14, 2022

Home Health and Hospice Newsletter: June 7, 2022

Home Health and Hospice Newsletter: May 31, 2022

Home Health and Hospice Newsletter: May 24, 2022

Home Health and Hospice Newsletter: May 17, 2022

Home Health and Hospice Newsletter: May 10, 2022

Home Health and Hospice Newsletter: May 3, 2022

Home Health and Hospice Newsletter: April 26, 2022

Home Health and Hospice Newsletter: April 19, 2022

Home Health and Hospice Newsletter: April 12, 2022

Home Health and Hospice Newsletter: April 5, 2022

Home Health and Hospice Newsletter: March 29, 2022

Home Health and Hospice Newsletter: March 22, 2022

Home Health and Hospice Newsletter: March 15, 2022

Home Health and Hospice Newsletter: March 8, 2022

Provider/Setting Specific

PROVIDER OR SETTING-SPECIFIC RESOURCES

Adult Day/PACE/Senior Centers

Affordable Housing

COVID-19 Update and Discussions for Affordable Housing Call Notes [Members Only]

September 23 | September 1 |August 19 |August 5 |July 1 |July 1June 24 |  June 17 | June 10 |  June 3 | May 27 | May 20 | May 13 | May 6 |  April 29 (includes PPT and resource links)  | April 22 | April 8 | April 1 | March 18

Assisted Living Communities

Home Health

Hospice

Life Plan Communities

Nursing Homes

You Asked... We Answered

You asked... We Answered

Can a facility request an 1135 waiver to use plastic barriers to mitigate the spread of COVID-19, since CMS has ended the COVID-19 waiver allowing for temporary barriers?

Read More >

You asked... We Answered

Is there guidance on what type of eye protection can be worn? Our facility has several different types and we want to ensure we are only using what is recommended.

Read More >

You asked... We Answered

Does a facility have to move a COVID-19 positive resident to a designated COVID isolation unit, or can a facility choose to shelter them in place? Our facility is not seeing large outbreaks like at the beginning of the pandemic and we feel we can staff better if we keep them in their current room versus re-opening an entire unit.

Read More >

You asked... We Answered

Does a facility have to move a COVID-19 positive resident to a designated COVID isolation unit, or can a facility choose to care for them in place?

Read More >

You asked... We Answered

Is an employee who has received two doses of their primary series vaccine but is not yet eligible for the booster considered up-to-date, or does the employee have to be routinely tested according to the routine testing schedule outlined in the CMS QSO-20-38-NH memo?

Read More >

You asked... We Answered

Does the medical waste or general waste (trash) from healthcare facilities treating COVID-19 positive individuals have to be handled as if it is biohazardous waste?

Read More >

You asked... We Answered

The Centers for Disease Control and Prevention (CDC) webpage has information on both the COVID-19 county level and community transmission level. Which one should I be following to determine universal source control, relaxing of restrictions, and testing?

Read More >

You asked... We Answered

Has there been any additional clarification on how the HB 169 funds can be used by nursing facilities? Specifically, is there a timeframe within which we can use them? What is the definition of “direct care”?

Read More >

You asked... We Answered

How long should a facility leave a resident room empty after a COVID positive resident leaves that room?

Read More >

You asked... We Answered

What is a respiratory protection program?

Read More >

You asked... We Answered

I received our relief payment through MITS last week, and remember that there were restrictions requiring nursing facilities to spend the funds on direct care. Can you remind me what the rules were around how nursing homes could spend the relief funds through Medicaid?

Read More >

You asked... We Answered

Are nursing facilities able to immediately stop using eye protection as universal source control once the community transmission level drops to a moderate to low level or do we have to wait two weeks as required for testing?

Read More >

[Duplicate] You Asked... We Answered 2/10/22

After the phase 2 deadline of March 15, 2022, do new hires need to have their vaccination series completed before providing care or can just be starting?

Read More >

You Asked... We Answered

Will a facility be cited if they are above the 90% threshold of staff vaccination but has a plan to achieve a 100% staff vaccination rate within 30 days of the March 15 phase two deadline?

Read More >

You Asked... We Answered 3/8/22

Will HB 138 allow an EMS to follow a written DNR-CC and DNR-CCA orders from a nurse practitioner (NP) or physician assistant (PA)?

Read More >

You Asked... We Answered 3/1/22

Have transmission-based precautions been reduced from 14 days to 10 days for individuals being cared for in healthcare settings, including home health?

Read More >

You Asked... We Answered 3/1/22

Regarding our hospice inpatient unit (IPU), we have patients being transported to and from our IPU via ambulance. These are not emergency transports. I was initially told that we did not need to ensure compliance of the ambulance staff having COVID-19 vaccines as they fell under emergency services, but just this morning was told that we should have verification of the compliance of each ambulance staff member entering our hospice inpatient unit. What is your take on this?

Read More >

You Asked... We Answered 2/22/22

We have been conducting our Interdisciplinary Group (IDG) meetings virtually since the beginning of the pandemic. I am wondering what ODH is requiring for proof of attendance at these virtual IDG meetings. Our team leaders overseeing the IDG meeting is documenting the names of the individuals in attendance at the meeting and then signing their name to attest to the fact the person was at the meeting. Is that good enough?

Read More >

You Asked... We Answered 2/17/22

Are facilities required to maintain the vaccination records onsite for all contracted vendors?

Read More >

You Asked... We Answered 2/15/22

Is the Election Statement Addendum and the Patient Notification of Hospice Non-Covered Items, Services and Drugs required for Medicaid like it is for Medicare?

Read More >

You Asked... We Answered 2/10/22

After the phase 2 deadline of March 15, 2022, do new hires need to have their vaccination series completed before providing care or can just be starting?

Read More >

You Asked... We Answered 2/3/22

Is there new guidance for testing residents during outbreak testing or new symptoms? Does this new testing guidance allow residents to be removed from quarantine sooner?

Read More >

You Asked... We Answered 2/1/22

When there is a larger hospice patient, for safety reasons we need to send 2 hospice aides to the home at the same time to assist the patient with bathing or getting the patient out of bed. How should those visit frequencies be listed on the plan of care? Should visit frequency be listed as 1 visit 3 times a week (in other words, 3 visits a week) or 2 visits 3 times a week (in other words, 6 visits a week)?

Read More >

You asked... We answered 1/27/22

We are trying to figure out when we can bring a healthcare worker that was exposed back to work. Is a healthcare worker considered up to date if they are fully vaccinated but not boosted? It has only been three months since this worker had their second vaccine dose, so they are not eligible yet to have their booster dose.

Read More >

You Asked... We Answered 1/13/22

Is there guidance on when a facility can use mitigation staffing strategies?

Read More >

You Asked... We Answered 1/6/22

Should nursing homes and assisted living facilities use the Regional Rapid Response Assistance Program (R3AP) for help accessing oral antiviral therapies, similar to the process for monoclonal antibody therapies?

Read More >

You Asked... We Answered 12/22/21

We have a resident who wants to use a humidifier. Is there any guidance about humidifiers related to COVID-19?

Read More >

You Asked... We Answered 12/16/21

Do rapid COVID tests detect the Omicron variant?

Read More >

You Asked... We Answered 12/9/21

Is health screening still required, and is it required to be handled by an individual such as a receptionist 24/7? We ask due to the relaxing of the visitation guidance.

Read More >

You Asked... We Answered 12/7/21

I was reading the Ohio rules for hospice. The inpatient respite length of stay stood out to me. Ohio law states no more than seven consecutive days, where I understood respite to be no more than five nights and on day six would be paid at the routine homecare rate. Has something changed?

Read More >

Regulations

Quality

Need Help?

Susan Wallace, MSW, LSW

Susan Wallace

President / CEO
614-545-9024
swallace@leadingageohio.org 

  • Staff oversight, fiscal & operations of organization
  • Primary contact for policy priority development & advocacy 
  • Staff liaison to Advocacy Committee, Nursing Facility/Assisted Living Reimbursement, Billing/eligibility and Clinical/ Operations Subcommittees

Stephanie DeWees, HSE, LPN, LNHA, BS

Stephanie DeWees

Quality & Regulatory Specialist - Long Term Care 
614-545-9034
sdewees@leadingageohio.org 

  • Supports planning and execution of the association's education initiatives for long term care
  • Provides resources for quality and regulatory strategies
    • Offers 911 survey support
    • Facilitates networking opportunities through regional events
    • Provides training on state and national trends, initiatives and enforcement
  • Staff liaison to Professional Development Committee and SNF/AL Subcommittee

Anne Shelley, MBA, BSN, RN

Anne Shelley

Director of Home Health/Hospice Regulatory Relations
614-545-9030
ashelley@leadingageohio.org 

  • Reviews state and federal policies and regulations and provides technical and regulatory support to Home Health and Hospice members
  • Works with state and federal agencies and regulatory bodies to develop policy and rules for the home health and hospice industry
  • Provides education for hospice and palliative care providers related to regulatory and operational issues
Our national partner, LeadingAge, is an association of 6,000 not-for-profit organizations dedicated to expanding the world of possibilities for aging. Together, we advance policies, promote practices and conduct research that support, enable and empower people to live fully as they age.