Tag: Ohio
AAH state update: Tennessee, Ohio, Illinois, Rhode Island
April 4, 2022HME News Staff
The Tennessee Senate has passed SB 2134, legislation to strengthen access to complex rehab technology. It would prohibit insurers from considering the location where CRT products will be used when making a medical necessity determination; require insurers to offer a prior authorization process for coverage determinations; and require insurers to pay 100% of benefits approved in a prior authorization issued by a plan. The legislation now heads to the Tennessee House for consideration. A companion...
Ohio: Medicaid seeks steep oxygen cut
November 22, 2013Elizabeth Deprey
COLUMBUS, Ohio - Providers in Ohio are fighting the state's plan to set Medicaid rates for oxygen to 36% below the lowest Round 2 rate in the state.
“With the cuts we're already seeing from Medicare, if Medicaid also makes those cuts, it's going to hamper the service we offer our patients,” said Jamie Blair, vice president of New Boston, Ohio-based Genesis Respiratory Services.
Ohio Medicaid in September announced the cuts as part of a plan to move both oxygen and custom...
Ohio: Medicaid may require surety bonds
August 23, 2013Elizabeth Deprey
COLUMBUS, Ohio - HME providers are “high risk,” and therefore should be required to get surety bonds if they want to participate in Ohio's Medicaid program, according to a recent audit report.
That may or may not be a big deal, stakeholders say.
“As Medicare providers, a lot of our members already have that,” said Kam Yuricich, executive director of the Ohio Association of Medical Equipment Services (OAMES). “The big question is if this will be a separate...
Storm chaser? That's me!
July 26, 2012Elizabeth Deprey
In making cold calls over the past week or so, I've talked to several providers who've gone above and beyond in some pretty extreme weather situations.
It seems like everything hit at once: fires in the West, major outages in DC, a huge wind storm in Ohio. Providers didn't seem to miss a beat though, continuing to deliver oxygen and serve patients while the emergencies went on around them.
Kristy Warner in Ohio said a transfilling station on site helped her staff to be able to make deliveries around...
Ohio takes step in right direction
December 9, 2009Theresa Flaherty, Managing Editor
Ohio lawmakers yesterday passed a bill that would require insurance coverage for diabetes. The state is one of a handful that do not currently require such coverage.
Think about it. There are (I believe) four states I could never live in for this one reason. What happened to the land of the free?
The proposal still has to pass the Ohio Senate and, according to news reports, passage is uncertain. The big concern for lawmakers: insurance mandates would burden small businesses.
I work for a small business....