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DOCUMENT RESUE
02510 - (A1792796] (Restricted)
[Policies in Ohio Nursing Homes Related to Contributions by
Relatives of Medicaid Patients]. May 23, 1977. 3 pp.
Report to Clyde Downing, Regional Commissioner, Department of
Health, Education, and Welfare: Region V, Chicago, IL; by Walter
C. Herrmann, Jr., Regional Manager, Field Operations Div.:
Regional Office (Detroit).
Issue Area: Health Programs: Fraud and Abuse In the Financing
Program (1206).
Contact: Field Operations Div.: Regional Office (Detroit).
Budget Function: Health: Nursing Homes (557); Income Security:
Public Assistance and Other Income Supplements ((04).
Four nursing homes in Ohio were reviewed to determine
if relatives of Medicaid patients were being forced to
contribute to the cost of their medical care.
Findings/Conclusions: The Otterbein Home in Lebanon received
$400,200 in voluntary contributions solicited on behalf of 140
patients, 104 of whom were Medicaid patients. These restricted
funds were not deducted from State Medicaid funds as required,
because, according to an official, the cost reports have no
space to list such contributions. Broadview Nursing Home, Inc,
in Parma was overpaid for a Medicaid patient who had been
discharged. In addition, one patient's personal allowance
account money was used to pay the cost of providing nursing home
care which was contrary to regulations. Olmasted Manor Nursing
Home, Inc., in North Olmasted destroyed patient's personal
records, violating State laws requiring such records to be kept
for 3 years, and used patient's personal money to pay for
services covered by Medicaid. Recommendations: The State of
Ohio should modify its cost report form to provide space for
deducting restricted contributions from operating costs, and
during audits of other nursing homes, determine if Testricted
contributions are being properly deducted from operating costs.
The Department of Health, Education, and elfare Region V should
determine if Otterbein Home's failure to deduct restricted
contrbutions has resulted in excess Medicaid payments from the
state, and, if so, whether such excesses could be recovered.
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