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Printed Date: 9/22/2015
As the Review Choice Demonstration (RCD) for home health agencies (HHAs) in Ohio continues, the time for Cycle 3 is approaching.
If an HHA's full affirmation rate or claim approval rate is 90 percent or greater for the previous six-month period, it may choose one of the subsequent review options:
NOTE: If an HHA is eligible for a subsequent review option, but does not make a selection during the selection period, the HHA will be placed in Choice 4.
If an HHA’s full affirmation rate or claim approval rate is less than 90 percent for the previous six-month period, it may choose one of the initial review options:
NOTE: If an HHA is eligible for an initial review option, but does not make a selection during the selection period, the HHA will be placed in Choice 2.
For those options that are evaluated every six months, the claims or PCR requests reviewed during the cycle will determine the provider’s results. Providers will continue in their selected option during the calculation and selection period. The affirmation/claim approval rate calculation period occurs during the month of March 2021 with results letters being sent to HHAs by the end of March 2021. The selection period for Cycle 3 will take place from April 1, 2021 through April 15, 2021. HHAs that do not make a selection during that time period will default to either Choice 2 or Choice 4 as noted earlier in this article.
As providers transition from Cycle 2 to Cycle 3, please be advised of the actions required when changing from one choice to another.
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Last Updated: 03/29/2021
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