Who: Nursing Facilities
The online quality survey applies to all active NF providers in calendar year 2014. New providers after January 1, 2015 and those providers that changed ownership (exiting and entering) during calendar year 2014 need not register and submit the survey.
What: Quality survey to be released on 3-16-2015
The Ohio Department of Medicaid (ODM) has mailed instructions to providers and will release the web-based data collection tool for quality points on Monday, March 16, 2015.
Where: Complete online at Survey Tool
When: Complete quality survey between 3-16-2015 and 5-31-2015
The web based survey will open for input on March 16, 2015. The survey must be submitted electronically no later than May 31, 2015, to be considered for the state fiscal year (FY) 2016 rate setting (7/1/15 to 6/30/16). Surveys can only be completed during the period 3/16/2015 to 5/31/2015. Late submissions are not accepted under any circumstances.
Why: To earn full incentive and avoid leaving money on the table
It is imperative that your facility earn at least 5 points to avoid losing significant reimbursement. Out of the 20 quality points available, 10 are earned through the survey. Points earned in excess of five may make the facility eligible for a quality bonus if any additional dollars are available. In addition, you may be able to use a high quality score in your marketing and negotiation with managed care plans.
Each point is worth $3.29. A 100 bed facility with statewide average occupancy and Medicaid utilization earning only 4 points would lose approximately $64,000 in reimbursement. In FY 2015, about 30 facilities did not complete the survey. About half of those were still able to earn 5 of the remaining 10 points to get the full quality incentive payment. However, all of the facilities that did not reach 5 points failed to complete the survey. We estimate that approximately $850,000 was left on the table and may be available in the bonus pool. Mark your calendar now so you aren’t left behind this year.
How: Follow instructions to complete survey
The process of accessing and submitting the survey instrument involves three steps:
Step 1: Registration
Step 2: Creating a password and logging in to the web site
Step 3: Complete the survey instrument
The survey instrument is a four-page document. The first page consists of seven questions, which require answers and each of the next three pages have one table for each page, which requires quantitative information. As you answer the questions, the system automatically saves the information you entered. You do not have to answer all the questions.
The entered information can be changed any time before the May 31 deadline. However, you must click on the “SUBMIT” button for your results to be included. We have heard of providers that completed the survey but did not submit and consequently lost reimbursement.
Click the links for ODM instructions and the Quality Incentive Payments-Web Based Tool: