Computer keyboard with "Medicaid" on a red keyThe Ohio Department of Developmental Disabilities (DODD) has finalized the fiscal year (FY) 2023 Medicaid rates for Ohio Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF) effective 7/1/2022 to 6/30/2023 using the provisions in the Senate bill amendment SB 239.  This amendment removed the ICF Cap and Rollback methodology included in HB 110, which allowed the rate formula to be restored and the reimbursement to be based on each provider’s calendar year (CY) 2021 costs. The statewide average 7/1/2022 Medicaid rate was $391.51, which was an average increase of $36.18 (10.2%) from the 7/1/2021 statewide average rate of $354.67.

In addition to rates being based on the expenses filed in CY 2021 cost reports, FY 2023 rates were impacted by increases in inflation factors and the related direct, indirect, and indirect efficiency ceilings, as well as updates to the RS Means for Fair Rental Value and related county modifiers.  Changes to providers’ average Ohio Developmental Disabilities Profile (ODDP) scores also affect rates on an annual basis.  Please contact us if you would like a detailed rate analysis.

Review your rate package for accuracy

Rate packages are expected to be uploaded into MITS this week.  Once they are posted, providers will have 30 days to file rate reconsideration requests. It is important that you review these calculations closely for possible errors and submit a timely request for reconsideration.  Contact us if you need assistance.

How can we help?

Please contact us for assistance with any of the following:

  • Reviewing your July 1, 2022 Medicaid rate
  • Filing a rate reconsideration
  • Downsizing analysis
  • Medicaid cost reporting and rate analysis
  • Benchmarking expenses, census and staffing against selected competitors, as well as county, peer group and statewide averages — 2021 Benchmarking Reports will be available soon!
  • Monthly billing services
  • Assistance with Provider Relief Fund reporting
  • PRF Compliance Audits and other program-specific government audits
  • Any other reimbursement, revenue cycle, accounting, or tax needs
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Miranda Bowden, CPA