This amendment implements the provisions of Ohios Amended Substitute House Bill 1 regarding SFY s 2010 and 2011 intermediate care facilities for the mentally retarded (ICFs-MR) reimbursement. This amendment also delineates covered Medicaid services for ICF-MR providers, the revised ICF-MR outlier rate for SFY 2010, the methodology for establishing the total prospective rate for ICFs-MR, the reimbursement methodology for the ICF-MR franchise permit fee, and provisions for ICF-MR providers new to the Medicaid program.

Basic Methodology for Detennining Prospective Payment Rates.

Change in the State Plan to reflect provisions of Amended Substitute House Bill l (128th Ohio General Assembly) requiring nursing facilities (NFs) to arrange for therapy services for their residents in return for an additional per diem amount.

Pediatric Immunization Program.

Interagency Agreement between ODJFS and ODH, Vaccine for Children Program.

Hospital plan amendment related to the method and timeline for recalibrating DRG relative weights.

The proposed amendment updates five State Plan Amendment pages to reflect the new resource limit for Medicare Savings Plans, as amended by MIPP A section 112. The proposed amendment addresses MIPPA section 115 by exempting Medicare cost sharing from Medicaid estate recovery for six categories of dual eligibles with dates of service on or after January 1, 2010.

Memorandum of Understanding agreement between ODJFS and OHSAI.

This amendment sets forth the provisions of Ohios Amended Substitute House Bill I regarding the correction period for Minimum Data Set version 2.0 (MDS 2.0) submissions from Nursing Facilities (NFs) set forth under Supplement I of Attachment 4.19D of the state plan. This amendment also deletes obsolete sections 5101:3-3-541 and 5101: 3-3-545 from Attachment 3.1A. Supplement 3.

Cost Reports.