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November 26, 2007

ShareODMRDD Interpretation for the Daily Billing Unit: Settings Where Both OSOC & HCP Routine Are Required in Congregate Settings

The Ohio Department of Mental Retardation and Developmental Disabilities (ODMRDD) has a new Daily Billing Unit (DBU) to be used by service providers and county boards to simplify the daily billing calculations associated with delivering Homemaker Personal Care (HPC) services to people in shared settings. The new DBU will help ODMRDD ensure statewide consistency in determining the amount of daily services individuals need, including on-site on-call services.

The approval has triggered the following implementation dates:

  • December 31, 2007- people not sharing HPC services with others, but are using negotiated rates must transition to 15 minute billing units for HPC services. People receiving Adult Foster Care Services using negotiated rates, must use the new Adult Foster Care daily rate.

  • March 1, 2008- possible extension for people sharing HPC services with negotiated rates or Adult Foster Care and 15 minute units. However, CMS has not officially approved this extension.

  • November 2008- possible extension for people sharing HPC services and using the 15 minute billing unit to transition from the 15-minute unit to the DBU within a year from the date the DBU rule is filed. However, CMS has not officially approved this time line.

 

 

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