Effective: June 19, 2020
Latest Legislation: House Bill 481 - 133rd General Assembly
Except as otherwise provided by sections 5165.151 to 5165.157 and 5165.34 of the Revised Code, the total per medicaid day payment rate that the department of medicaid shall pay a nursing facility provider for nursing facility services the provider's nursing facility provides during a state fiscal year shall be determined as follows:
(A) Determine the sum of all of the following:
(1) The per medicaid day payment rate for ancillary and support costs determined for the nursing facility under section 5165.16 of the Revised Code;
(2) The per medicaid day payment rate for capital costs determined for the nursing facility under section 5165.17 of the Revised Code;
(3) The per medicaid day payment rate for direct care costs determined for the nursing facility under section 5165.19 of the Revised Code;
(4) The per medicaid day payment rate for tax costs determined for the nursing facility under section 5165.21 of the Revised Code;
(5) If the nursing facility qualifies as a critical access nursing facility, the nursing facility's critical access incentive payment paid under section 5165.23 of the Revised Code.
(B) To the sum determined under division (A) of this section, add sixteen dollars and forty-four cents.
(C) From the sum determined under division (B) of this section, subtract one dollar and seventy-nine cents.
(D) To the difference determined under division (C) of this section, add the per medicaid day quality payment rate determined for the nursing facility under section 5165.25 of the Revised Code.
(E) To the sum determined under division (D) of this section, add, for state fiscal year 2021, the per medicaid day quality incentive payment rate determined for the nursing facility under section 5165.26 of the Revised Code.