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The Ohio Medicaid Waiver program is a critical program for numerous individuals with developmental disabilities. This is a fact that we are well aware of at ABCS RCM.

This is one of the guiding principles that has allowed us to offer account management and billing services as well as workforce management tools since 1997.

How we help Ohio Waiver providers:

We help Medicaid waiver providers reclaim lost time. The experienced staff at ABCS RCM understands the unique billing requirements of Ohio Waiver Providers and the consumers they support. Our account management service also offers cloud-based workforce management tools that allow agencies to optimize their billing and staff schedules. No more printed spreadsheets and paper timecards.

About Home and Community-Based Services Waivers (HCBS):

The HCBS Waiver program is a vital financial resource for individuals with intellectual and developmental disabilities. It provides, essential funding for necessary caregiving services and supports. In the state of Ohio, the Department of Developmental Disabilities (DODD) administers different types of waivers.

The three Medicaid waiver types are the Individual Options (IO), Level One, and Self-Empowered Life Funding (SELF).

If a Waiver provider is delivering homemaker personal care (HPC) services they are likely utilizing the IO or/and Level One waiver.

These three Ohio Waiver types have different spending limits while still allowing for a diverse range of health personal care services.

Interestingly, in Ohio, there are a variety of funding sources. This means that an individual with intellectual or developmental disabilities can sometimes have their health and personal care needs filfulled without relying on a Medicaid funded waiver.

Ultimately, people with questions about supports and funding for disability services should contact their local Ohio County Board of Developmental Disabilities.

They can provide more information about Medicaid waivers and additional supports.

Unique Billing & Time Collection Challenges:

In the Waiver Provider industry, I-DD and similar caregiver agencies face unique challenges. They need to fully utilize what the state and counties have allocated. Reliable account management and accurate time collection tools are crucial.

Without these factors, even a social service agency with the best attentions, will be unable to provide service and supports for long.

Our Services:

ABCS RCM helps Ohio Medicaid Waiver Providers:

  • Fix utilization problems.
  • Clarify and document what was billed versus what was authorized.
  • Streamline the time-to-billing process & provide digital HPC documentation.
  • Allow agencies to become fully EVV compliant.
  • Provide account management, time collection & billing services for: supported living, adult day array, NMT and institutional respite.

ABCS RCM also provides account management and billing services for Intermediate Care Facilities for the Developmentally Disabled (ICF/DD).

Provider Type That Must Use EVV?

For Medicaid Waiver Providers in the state of Ohio, Phase 2 of the mandated electronic visit verification (EVV) goes into effect fully by August 5, 2019. After this date, the Ohio Department of Medicaid (ODM) will deny any claims that do not have a corresponding EVV punch.

The Ohio Department of Medicaid (ODM) is requiring many fee-for-service healthcare providers who directly send claims to Medicaid to use EVV.

For home health state plans this includes:

  • Health Aides
  • Nursing – RN, LPN & PDN
  • RN assessments

For home care waivers this includes:

  • Nursing – RN & LPN
  • Personal Care Aide
  • Home Care Attendant

Please refer to ODMs website for the latest updates on Phase 2 EVV implementation.

Waiver provider and other I-DD agencies must focus on the needs of their consumers. Finding properly trained direct support professionals (DSPs) is a challenge by itself. Maintaining accurate schedules, timecards and other documentation is extremely time-consuming. Agencies should take care of their consumers and DSPs, while ABCS RCM handles the account management and workforce management software.

From Cuyahoga and Summit counties to Franklin and Hamilton counties, ABCS RCM offers experienced Medicaid Waiver billing services. In addition, our workforce management software is custom built to meet the needs of Ohio Medicaid Providers.

Reach out to us for more information on Ohio’s EVV Phase 2 implementation, account management services for Medicaid waiver agencies or medical billing for another healthcare specialty.

To learn more about this topic or for general questions, email or call ABCS at 614-890-9822.

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Waiver billing Requirements, Ohio Waiver Providers, Ohio Medicai, DODD