2006 Ohio Revised Code - [5111.22.2] 5111.222.Amount of payments to provider; adjustments.

[§ 5111.22.2] § 5111.222. Amount of payments to provider; adjustments.
 

(A)  Except as otherwise provided by sections 5111.20 to 5111.33 of the Revised Code and by division (B) of this section, the payments that the department of job and family services shall agree to make to the provider of a nursing facility pursuant to a provider agreement shall equal the sum of all of the following: 

(1) The rate for direct care costs determined for the nursing facility under section 5111.231 [5111.23.1] of the Revised Code; 

(2) The rate for ancillary and support costs determined for the nursing facility's ancillary and support cost peer group under section 5111.24 of the Revised Code; 

(3) The rate for tax costs determined for the nursing facility under section 5111.242 [5111.24.2] of the Revised Code; 

(4) The rate for franchise permit fees determined for the nursing facility under section 5111.243 [5111.24.3] of the Revised Code; 

(5) The quality incentive payment paid to the nursing facility under section 5111.244 [5111.24.4] of the Revised Code; 

(6) The median rate for capital costs for the nursing facilities in the nursing facility's capital costs peer group as determined under section 5111.25 of the Revised Code. 

(B)  The department shall adjust the rates otherwise determined under divisions (A)(1), (2), (3), and (6) of this section as directed by the general assembly through the enactment of law governing medicaid payments to providers of nursing facilities, including any law that does either of the following: 

(1) Establishes factors by which the rates are to be adjusted; 

(2) Establishes a methodology for phasing in the rates determined for fiscal year 2006 under uncodified law the general assembly enacts to rates determined for subsequent fiscal years under sections 5111.20 to 5111.33 of the Revised Code. 
 

HISTORY: 151 v H 66, § 101.01, eff. 7-1-05; 151 v H 530, § 101.01, eff. 6-30-06.
 

The effective date is set by § 812.03 of 151 v H 530. 

Not analogous to former RC § 5111.222 (140 v H 291; 141 v H 428; 143 v H 822), repealed 144 v H 904, § 2, eff 12-22-92.

The effective date is set by § 612.18 of 151 v H 66. 

 

Effect of Amendments

151 v H 530, effective June 30, 2006, in (A)(5), substituted "facility" for "facility's quality tier group"; in the introductory language of (B), substituted "rates otherwise determined under divisions (A)(1), (2), (3), and (6)" for "payment otherwise determined under division (A)"; and, in (B)(1), substituted "rates" for "payments".