The bill amends section 5164.16 of the Revised Code to update Medicaid reimbursement policies for hospice providers. It introduces new provisions that allow the Medicaid program to cover state plan home and community-based services for recipients with income not exceeding 225% of the federal poverty line, without requiring a level of care determination for eligibility. Additionally, it mandates that effective January 1, 2028, Medicaid hospice providers will be reimbursed for room and board for hospice patients residing in nursing facilities or ICF/IID at a rate equal to 100% of the established rate for those facilities when the patient receives routine or continuous home care.

Furthermore, the bill repeals the existing section 5164.16 of the Revised Code, indicating a significant overhaul of the previous regulations governing Medicaid hospice reimbursement. This legislative change aims to enhance the support and financial structure for hospice care within the Medicaid program, ensuring that providers are adequately compensated for the care they deliver to patients in various living arrangements.

Statutes affected:
As Introduced: 5164.16