On June 30th House Bill 153 was signed into law enacting the ODJFS Fiscal Year 2011-2012 budget. In an effort to cut spending and curb Medicaid abuse, payment rates, for the base hour only, were cut. Agencies received a 5% rate cut for nursing services and a 6.2% rate cut for aide services. It was also ruled that independent providers will receive 20% less than the price paid to home care agencies because independent providers do not have as many business related expenses as an agency. The new pay rates are as follows:
New Agency Rates
CodeProcedureBase RateUnit Rate
G0154Agency RN/LPN$52.20$5.69
G0156Agency Aide$23.26$3.00
T1000Private Duty Nursing$52.20$5.69
T1002Waiver RN$52.20$5.69
T1003Waiver LPN$52.20$5.69
T1019Personal Care Aide$23.26$3.00
New Independent Provider Rates
CodeProcedureBase RateUnit Rate
S5125HCAS/Nursing$25.89$4.17
S5125HCAS/PC Aide (U8) $3.00
T1000Private Duty Nursing$41.76$5.69
T1002Waiver RN$41.76$5.69
T1003Waiver LPN$41.76$5.69
T1019Personal Care Aide$18.61$3.00
Pay Rate Change Effective 10/1/2011
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