Ohio Rev. Code Ann. § 5124.24 – Determination of per medicaid day quality incentive payment

(A) For fiscal year 2022 and each fiscal year thereafter, the department of developmental disabilities shall determine in accordance with division (C) of this section a per medicaid day quality incentive payment for each ICF/IID that earns for the fiscal year at least one point under division (B) of this section.
(B) Each fiscal year beginning with fiscal year 2022, the department, in accordance with rules authorized by this section, shall award to an ICF/IID points for quality indicators the ICF/IID meets for the fiscal year. The quality indicators used under this division shall be based on the recommendations contained in the report submitted to the director of developmental disabilities by the ICF/IID quality indicators workgroup established by Section 261.230 this act .
(C) An ICF/IID's per medicaid day quality incentive payment for a fiscal year shall be the product of the following:
1. (1) The relative weight point value for the fiscal year as determined under division (D) of this section;
2. (2) The number of points the ICF/IID was awarded under division (B) of this section for the fiscal year.
(D) The relative weight point value for a fiscal year shall be determined as follows:
1. (1) For each ICF/IID, determine the product of the following:
  1. (a) The number of inpatient days the ICF/IID had for the applicable cost report year;
  2. (b) The number of points the ICF/IID was awarded under division (B) of this section for the fiscal year.
2. (2) Determine the sum of all of the products determined under division (D)(1) of this section for the fiscal year;
3. (3) Determine the amount equal to one per cent of the total desk-reviewed, actual, allowable direct care costs of all ICFs/IID for the applicable cost report year;
4. (4) Divide the amount determined under division (D)(3) of this section by the sum determined under division (D)(2) of this section.
(E) The director of developmental disabilities shall adopt rules under section 5124.03 of the Revised Code as necessary to implement this section, including rules that specify or establish all of the following:
1. (1) The data needed for the department to determine whether an ICF/IID meets the quality indicators specified in division (B) of this section, the medium through which a report of the data is to be submitted to the department, and the date by which the report of the data must be submitted to the department;
2. (2) Satisfactory evidence needed to determine that an ICF/IID has met the quality indicators;
3. (3) The method by which ICFs/IID are to be awarded points under division (B) of this section and the number of points that each quality indicator is worth based on the quality indicator's relative importance compared to the other quality indicators.