As our members continue to provide high quality care to Ohio’s vulnerable populations, LeadingAge Ohio is urging everyone to review the following resources on control and prevention of Coronavirus (COVID-19).

COVID19@leadingageohio.org

If you have a question, concern, or want to share resources regarding COVID-19, we have a dedicated email account. Send a message to COVID19@leadingageohio.org, and we will get back to you quickly. As always, feel free to email or call any LeadingAge Ohio staff individually. 

Can't find what you're looking for?  Be sure and use the search feature at the bottom of our website.  

Recent Updates

Recent All Member Calls: Information

September 14: Don't Leave Money on the Table - 2021 QIP Collaborative

Webinar Call Slides
Zoom Recording Link 9 14 21

August 25:  Vaccine Mandate -- Resources available to-date on Biden Administration vaccine mandate announcement

All member Webinar Call Slides
Zoom Recording Link 8 25 21

July 27: FY 2022 Proposed Home Health Wage Index Rule & state home health licensure changes

All Member Webinar Call Slides
Zoom Recording Link 7 27 21

July 13: Overview of the State FY 2022-2023 Biennium Budget impact on LeadingAge Ohio members

All Member Webinar Call Slides
Zoom Recording Link 7 13 21

June 29: Discussion of HSA Provider Relief Timetables and Reporting

All Member Webinar Call Slides (pdf)
Zoom Recording Link 6 29 21


June 8:  Open time for general questions across all providers

All Member Call Slides (pdf)
All Member Call Recording

May 25:  Updated CDC guidance (masks, cohorting, vaccinations, etc.)

Discussion of Reopening Guidance [Members Only]
All member call recording

May 11: Regional Rapid Response Assistance Program (R3AP)

Discussion of Regional Rapid Response Assistance Program R3AP
All member call recording

April 27: Discussion of Closed POD vaccination program and Biennial Budget

All member call recording

April 27: All member call slides (pdf) [Members Only]

ODH Business Vaccine Program 4.27.21

Handouts Dr. Jump COVID-19

Information on Cycle Threshold SARS-COV-2 Fact Sheet

Amended Health Orders

Adult Day Orders

Visitation Orders

Testing Orders

Vaccination Information/Resources

Communication around the vaccine with residents and staff is important.  We've compiled several resources below to help in getting the word out and building confidence around the vaccine.

LeadingAge Ohio All Member Q & A: Vaccine Participation (1/12/20)

Testing Resources

Lab Capacity Dashboard

The new dashboard provides self-reported information about labs that can run tests, including hours of operation, types of tests they accept, estimated turn-around time, and locations.

LeadingAge Resources

Visitation During COVID-19

As CMS updated visitation guidance for nursing homes, LeadingAge collaborated with Pathway Health on a Visitation During COVID-19 Toolkit for members. The 10 segment toolkit helps an organization navigate visitation guidance through a leader's guide, implementation checklists, competency tools for managers and all staff as well as a pre and post-test for all staff.  The toolkit can be modified or edited to your organization’s needs. The elements of the toolkit also may be used by various providers and service lines in the continuum of care.

Pandemic Playbook 

An interactive collection of insight, wisdom, and critical lessons LeadingAge members have learned about serving older adults during a catastrophic health crisis.

Coronavirus Resources

Visit this page regularly for current information, tools, and resources to help LeadingAge members plan for and respond to COVID-19.

 

Communications

Vaccination Information/Resources

Crisis Communications Toolkit


Home Health & Hospice News

Home Health and Hospice Newsletter: September 21, 2021

Home Health and Hospice Newsletter: September 14, 2021

Home Health and Hospice Newsletter: August 31, 2021

Home Health and Hospice Newsletter: August 24, 2021

Home Health and Hospice Newsletter: August 17, 2021

Home Health and Hospice Newsletter: August 10, 2021

Home Health and Hospice Newsletter: July 27, 2021

Home Health and Hospice Newsletter: July 20, 2021

Home Health and Hospice Newsletter: July 13, 2021

Home Health and Hospice Newsletter: July 6, 2021

Home Health and Hospice Newsletter: June 29, 2021

Home Health and Hospice Newsletter: June 22, 2021

Home Health and Hospice Newsletter: June 15, 2021

Home Health and Hospice Newsletter: June 8, 2021

Home Health and Hospice Newsletter: June 1, 2021

Home Health and Hospice Newsletter: May 25, 2021

Home Health and Hospice Newsletter: May 11, 2021

Home Health and Hospice Newsletter: May 4, 2021

Home Health and Hospice Newsletter: April 27, 2021

Home Health and Hospice Newsletter: April 20, 2021

Home Health and Hospice Newsletter: April 13, 2021

Home Health and Hospice Newsletter: April 6, 2021

Home Health and Hospice Newsletter: March 30, 2021

Home Health and Hospice Newsletter: March 16, 2021

Home Health and Hospice Newsletter: March 9, 2021

Home Health and Hospice Newsletter: March 2, 2021

Home Health and Hospice Newsletter: February 23, 2021

Home Health and Hospice Newsletter: February 16, 2021

Home Health and Hospice Newsletter: February 9, 2021

Home Health and Hospice Newsletter: February 2, 2021

Home Health and Hospice Newsletter: February 2, 2021

Home Health and Hospice Newsletter: January 19, 2021

Home Health and Hospice Newsletter: January 12, 2021

Home Health and Hospice Newsletter: January 5, 2021

Home Health and Hospice Newsletter: December 22, 2020

Home Health and Hospice Newsletter: December 15, 2020

Home Health and Hospice Newsletter: December 8, 2020

Home Health and Hospice Newsletter: November 24, 2020

Home Health and Hospice Newsletter: November 17, 2020

Home Health and Hospice Newsletter: November 10, 2020

Education & Webinars

Coronavirus Spotlight Podcasts

LeadingAge Coronavirus Spotlights

Podcast series featuring presentations by LeadingAge members and subject-matter experts who have been guests on the live daily online updates. Listen to these brief but informative podcasts to learn more about how your colleagues are coping with the pandemic. 

Policies & Regulations

None at this time.

Provider/Setting Specific

PROVIDER OR SETTING-SPECIFIC RESOURCES

Adult Day/PACE/Senior Centers

Affordable Housing

COVID-19 Update and Discussions for Affordable Housing Call Notes [Members Only]

September 23 | September 1 |August 19 |August 5 |July 1 |July 1June 24 |  June 17 | June 10 |  June 3 | May 27 | May 20 | May 13 | May 6 |  April 29 (includes PPT and resource links)  | April 22 | April 8 | April 1 | March 18

Assisted Living Communities

Home Health

Hospice

Life Plan Communities

Nursing Homes

 

 

 

Toolkits/Guidance

PARRT Image

LeadingAgeOhioShop

Activity Professionals

Job Placement Support - We Need You

LeadingAge Visitation During COVID-19 Toolkit

Activity Professionals

Crisis Communications Toolkit

You Asked... We Answered

You Asked... We Answered: 8/24/21

Will the new vaccine mandate for nursing facilities require hospice staff to be vaccinated in order to go to the nursing facilities to care for patients?

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You Asked... We Answered: 8/17/21

Can an Advanced Practice Registered Nurse (APRN) or Physician’s Assistant (PA) sign the plan of care for a certifying physician who is ill, or can another physician within the practice sign the POC for the original MD?

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You Asked... We Answered: 8/10/21

When COVID began, Medicare changed the nurse comprehensive assessment requirement to every 21 days. Is that still in effect or has it returned to every 14 days?

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You Asked... We Answered: 7/27/21

May a hospice use Continuous Home Care (CHC) in instances where the family wants to care for their loved one, but feels intimidated and uncertain how to care for them? May we use CHC to teach them, stabilize the environment, assess learning, and reinforce procedures in order to prevent a crisis when they don’t know what to do in a situation?

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You Asked... We Answered: 7/20/21

Is it a requirement for a hospice to obtain a physician’s order for GIP (General Inpatient) or CHC (Continuous Home Care) when these levels of care changes are made?

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You Asked... We Answered: 7/13/21

Is it possible to bill two inpatient respite care stays back-to-back so the family has more time to be away or rest?

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You Asked... We Answered: 7/6/21

One of our lead STNAs asked if the STNA for our QAPI team can rotate turns attending the meeting or if it must be the same STNA each time. We are currently meeting monthly.

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You Asked... We Answered: 6/30/21

When will the new language that allows temporary nurse aides working in the pandemic to become STNAs take effect?

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You Asked... We Answered: 6/28/21

Do we need to give the actual medication diversion policy to our patients, or can we summarize our policy for them and provide them the summary?

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You Asked... We Answered: 6/22/21

Can a HH agency delay services to a patient due to waiting on authorization from their insurance company? I know if a person goes to the doctor and they need a MRI and it needs to be authorized the doctor or hospital will not do it until it is authorized. We have insurance companies that are taking 2 weeks or better before giving us authorization and then they may come back with only 1 visit, and we’ve already seen the patient for 3 visits. Therefore, we have to write off the rest. The family wants hospice and Hospice B is willing to admit the patient to hospice with the primary diagnosis of COPD, so the patient can continue to get dialysis for their end stage renal disease (ESRD). My question is, even if Hospice B admits the patient with the primary diagnosis of COPD, wouldn’t they still be responsible for the dialysis, as the patient’s ESRD would be contributing to their terminal condition?

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You Asked... We Answered: 6/15/21

We had an attending physician refer their patient to hospice and then left on a long vacation. Is it possible for another physician in their group practice to sign the Certification of Terminal Illness (CTI) on behalf of the attending physician?

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You Asked... We Answered: 6/11/21

We are having issues getting new admissions transported from Columbus. The ambulance companies are all short staffed and are only transporting on “will-call” meaning they won’t transport our patients unless they have an emergency run to Columbus. With this being the case, a patient could be transported at any time. The family wants hospice and Hospice B is willing to admit the patient to hospice with the primary diagnosis of COPD, so the patient can continue to get dialysis for their end stage renal disease (ESRD). My question is, even if Hospice B admits the patient with the primary diagnosis of COPD, wouldn’t they still be responsible for the dialysis, as the patient’s ESRD would be contributing to their terminal condition?

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You Asked... We Answered: 6/1/21

We have the following patient scenario and question related to a patient who is wanting dialysis and is on hospice. Hospice A admitted a patient on May 12 to hospice with a diagnosis of end stage renal disease and additional diagnoses of COPD and CHF. The patient and family both said they were no longer going to pursue dialysis. However, on May 17, the patient had a good weekend, signed a revocation form from Hospice A, and recieved dialysis. The family wants hospice and Hospice B is willing to admit the patient to hospice with the primary diagnosis of COPD, so the patient can continue to get dialysis for their end stage renal disease (ESRD). My question is, even if Hospice B admits the patient with the primary diagnosis of COPD, wouldn’t they still be responsible for the dialysis, as the patient’s ESRD would be contributing to their terminal condition?

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You Asked... We Answered: 5/25/21

I see that SB 58 passed the senate and I was wondering if it would apply to inpatient hospice units or just nursing facilities?

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You Asked... We Answered: 5/18/21

When billing for Medicaid hospice telehealth visits, should the GT modifier be added to the level of care code? This would mean the routine home care, T2042 or continuous care, T2043. Or, should the GT modifier be added to the discipline code, like a RN nursing visit, G0299 or Social worker visit, G0155 since those are the folks performing the telehealth visits?

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You Asked... We Answered: 5/11/21

We are seeking clarification as to whether a physician or other allowed practitioner must be notification of discharge when a home health plan of care (POC) is followed as written, goals have been met and is signed by the ordering provider? The State Operations Manual (SOM) doesn’t have any additional guidance and the Conditions of Participation (CoPs) state the physician must agree with the discharge from home health services. Does the physician signature on the POC indicate agreement?

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You Asked... We Answered: 5/4/21

We just received several ADRs (Additional Documentation Requests) from Palmetto GBA for post-payment reviews of General Inpatient (GIP) stays longer than 7 days. There are several of the ADRs requested and the patient was not in a GIP bed for 7 days. Why is Palmetto pulling claims that have GIP stays shorter than 7 days when the letter clears states GIP equal to or greater to 7 days?

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You Asked... We Answered: 4/27/21

For hospice, is a physician order required for a change in the level of care to General Inpatient (GIP) or Continuous Home Care (CHC)?

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You Asked... We Answered: 4/13/21

Have hospice recertification surveys resumed with the Ohio Department of Health (ODH)?

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You Asked... We Answered: 4/6/21

Should a facility test a fully vaccinated healthcare worker who has had an exposure but is asymptomatic?

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You Asked... We Answered: 4/6/21

If a nursing home employee is exposed to COVID-19 outside of the facility; has been fully vaccinated over a month ago; and is not exhibiting any signs and/or symptoms of COVID-19, may they continue to work in the facility without quarantining at home?

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You Asked... We Answered: 3/30/21

When legal representatives request the hospice addendum, they are sometimes out of town and have limited accessibility. In these cases, we send the form electronically within the mandated five days from start of care. Our challenge is getting a signed copy returned to us within the five day timeframe, if at all. What can we do to get the signed copy back?

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You Asked... We Answered: 3/23/21

We have a patient who is no longer hospice appropriate - we are working on his "graduation" process and discharging him from hospice due to no longer being terminally ill. We typically complete the Notice of Medicare Non-Coverage (NOMNC) for our Medicare patients, but this is the first patient we are discharging who has had Caresource Medicaid as their payer.

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You Asked... We Answered: 3/16/21

I was asked to get clarification on the 48-hour rule for the Hospice Initial Assessment. If a patient is admitted at 8:00PM on March 1, does the initial assessment have to be completed by 8:00PM on March 3 or by end of day on March 3?

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You Asked... We Answered: 3/9/21

If a company provides state plan home health aide hours and then another agency provides PASSPORT hours for the same consumer, does there have to be a break in services? For example, can one agency provide state plan services from 9:00-11:00AM and then another agency provide PASSPORT services from 11:01-2:00PM?

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You Asked... We Answered: 3/2/21

I know there was recent legislation ensuring the right for a nursing facility resident to have their choice of a hospice provider. Is there a similar law or rule for assisted living residents?

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You Asked... We Answered: 2/22/21

Do you know how many Medicare Advantage (MA) Plans will be participating in the hospice Value-Based Insurance Design (VBID) model in Ohio and can a hospice provider still apply to be in the demo?

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You Asked... We Answered: 2/16/21

Does LeadingAge Ohio know if physician assistants (PAs) are able to sign orders in Ohio for hospice patients?

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You Asked... We Answered: 2/9/21

In speaking with social workers from other hospices, and there are differences of opinion regarding what can be counted as a social work visit under the current Hospice CMS Flexibilities. Can LeadingAge Ohio clarify whether a phone call (audio only) with a patient counts as a visit or not? I thought that if a telephone was used for a social work visit, there needed to be audio and visual with real-time with interactive capabilities. I thought that if a telephone was used for a social work visit that there needed to be audio & visual, real-time with interactive capabilities, otherwise it would simply be a social work telephone call. I appreciate any information you are able to share.

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You Asked... We Answered: 2/2/21

How often do nursing home residents and staff need to be tested in an outbreak? Ohio guidance says 3 to 7 days so does that mean we only have to test weekly?

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You Asked... We Answered: 2/1/21

There was an open-door forum in early January where CMS said, “If two visits occurred on the same day and there are appropriate claims submitted for the two visits in the last three days of life, it would count toward meeting this new measure.” Is that really true? The way the measure is written, it sounds like the visits would have to be on two separate days in the last three days of life.

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Need Help?

Kathryn Brod, MBA

Kathryn Brod

President/CEO
614-545-9014
kbrod@leadingageohio.org

  • Is the association's primary spokesperson
  • Oversees staff and daily operations
  • Promotes LeadingAge Ohio's position and public policy goals to elected officials; staff liaison to Advocacy Committee
  • Responsible for implementing LeadingAge Ohio's strategic direction
  • Works with LeadingAge Ohio Board of Directors
  • Staff liaison to Human Resources Committee

Patrick Schwartz

Patrick Schwartz

Director of Strategic Communications
614-545-9026
pschwartz@leadingageohio.org 

  • Serves as lead member communications and media strategist for key association initiatives
  • Oversees digital strategy, including websites, newsletters and social media channels
  • Provides strategic direction for communicating organizational goals and achievements to members, partners, policy makers and the media
  • Serves as primary contact for media inquiries
  • Staff liaison to Communications/PR committee
Our national partner, LeadingAge, is an association of 6,000 not-for-profit organizations dedicated to expanding the world of possibilities for aging. Together, we advance policies, promote practices and conduct research that support, enable and empower people to live fully as they age.