OH SB295

Revises Medicaid reimbursement rates for nursing facilities in Ohio, dividing fiscal year 2011 into two separate periods with distinct payment methodologies.

For the first half of fiscal year 2011 (July 1 - December 31, 2010), nursing facilities receive rates calculated under existing formulas with cumulative increases of 5% (2% + 2% + 1%) to case mix-unit costs, ancillary/support costs, tax costs, and capital costs.

For the second half of fiscal year 2011 (January 1 - June 30, 2011), rates are recalculated using adjusted case-mix methodology that factors in the rate differences and quality incentive adjustments from the first half.

Both periods include a workforce development incentive payment of $5.70 per Medicaid day, with funds required to improve employee retention and direct care staffing levels; Department must report by September 30, 2012 on the payment's impact.

Establishes rate caps and floors: first half rates cannot exceed 102.25% or fall below 99% of fiscal year 2010 partial rates; includes provisions for real estate tax adjustments and quality incentive payments.