Pipeline EXTRA! House changes to Executive Budget update ICF provisions, pull independent provider changes

On April 14, the Ohio House of Representatives introduced the substitute version of House Bill 64 (FY2016-17 Executive Budget).

After reviewing the proposed budget and listening to many hours of testimony from individuals, families, and providers, the House Finance Committee made several changes to the Executive Budget. The changes to DODD’s portion include:

  • Revisions to changes affecting the Intermediate Care Facility (ICF) Program. The Department worked with stakeholders to amend the as introduced ICF provisions found in HB 64. Big changes include removing the flat rate provision for RACs 5 and 6, and applying the flat rate to only new admissions, restoring the grandfather provision that allows more than two individuals to occupy a bedroom, while securing conversion benchmarks for ICF conversions from private ICF providers.
  • Removal of the provision transitioning independent providers to a new supervisory model. Language prohibiting the Department of Medicaid from entering into Medicaid provider agreements with independent providers was taken out in the substitute bill.
  • Clarification around changes to Adult Day Services.
    New language specifies that it is the General Assembly’s intent to ensure individuals who are receiving Adult Day services, including sheltered workshops, must be fully informed of any new home and community-based options, and will be able to continue receiving services in a variety of settings.
  • Establishment of a Developmental Center (DC) Closure Commission. New language establishes a Commission that will review and approve recommendations to close any DC.  The language prohibits the Governor from closing a DC without the Commission’s approval.

For more details about these changes and the budget process, visit DODD.Ohio.gov/OurFuture. You can read HB 64 Sub Bill, and learn more about all of the changes to Ohio’s developmental disabilities system.

The full House will vote on the Executive Budget next week. The bill will then go to the Ohio Senate, who will complete the same process of review, testimony, and revisions as the House.

If you have questions, please call the DODD Budget and Developmental Center Closure Hotline toll-free at 855-611-6446 (OHIO) or 614-728-5311.