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A Summary of New ICF Reimbursement Standards

Beginning in July of 2018, the government will modify the reimbursement rules it’s used since 1993 for intermediate care facilities (ICF) through a reimbursement redesign. Organized by level of care and bed size, ICFs receive reimbursement according to their group. Anytime there is a change in standards, it is important to know their timeframe and overall impact. Fortunately, the recent changes made to the reimbursement standards are meant to help ICFs.

The New Standard’s Effect on Rates

The overall effect and purpose of the reimbursement redesign is to generate higher rates for ICFs. Each ICF will have ample time to figure out exactly how the changes will affect their facility. This reimbursement redesign will help cover more costs and create specific rate increase amounts.

In terms of direct care, the rate will remain largely similar. The rates will continue to be based off costs and case mix, which measures acuity. There will be new requirements such as Developmental Disabilities Profile (DDP) assessments and a different way of scoring individual acuity. There will also be direct care ceilings that will hinge on the percentage above the median cost.

For indirect care, rates will also be quite similar to the previous system. Personal care should still be available as well as health services for disabled clients. The setup of higher ceilings is the most noticeable change to the formula for indirect care.

When it comes to capital, the fair rental value (FRV) will determine the market rent depending on location, size, and age from original construction. There will be new caps and a new incentive for renovation, as well as FRV rate add-ons.

Approximate Timeline of the New System

The Direct Support Personnel Payment (DSPP) add-on will continue for two years and then be replaced. The phasing out of the DSPP will take place in state fiscal year (SFY) 2021 and the quality incentive payment system will take its place.

It will take three full fiscal years before the system transitions and the ICF reimbursements completely adhere to the new regulations and parameters. Full implementation of the new model begins in SFY 2022. During this transition period, the Ohio Department of Developmental Disabilities (DODD) will examine how ICF rates compare to the new system and the old system and the DODD will pay the higher rate. All ICFs will be subject to the new system in SFY 2022 regardless of their rates before and after the change.

There are estimates for rates, but the exact rates beginning in July of 2018 are not yet known. The transition is meant to be an improvement to the current system in place. These changes are not going to be a radical departure from the previous system. They are meant to improve the reimbursement system for all ICFs.

Jamie Dixon contributed this blog. Jamie is a member of the Gilmore Jasion Mahler Healthcare Specialist Team, with an expertise in long-term care, home healthcare and hospice.  

If you’d like to receive additional informative and helpful blogs, you can sign up for Gilmore Jasion Mahler’s free quarterly newsletter Practice Management Advisor. It offers articles on issues impacting physician practices as well as other healthcare entities. You may also want to sign up for our free tax newsletter Focus.

Established in 1996, Gilmore Jasion Mahler, LTD (GJM) is the largest public accounting firm in Northwest Ohio, with offices in Maumee and Findlay. Locally owned, GJM offers cloud-based accounting services and provides comprehensive services including assurance, business advisory, tax, risk advisory and healthcare management. The Firm’s professionals specialize in industries including construction & real estate, healthcare, manufacturing & distribution and utilities.

How Will the New Tax Law Impact Mergers & Acquisitions?

The Tax Cuts and Jobs Act is already impacting the business sector, changing not only tax strategy for businesses, but their day to day operations. GJM Audit Partner Greg Taylor says this is also a time for some important conversations when it comes to growth.

If you're interested in receiving more informational articles and tax strategy ideas direct to your inbox, be sure to sign up for our free GJM tax newsletter Focus. You may also want to consider signing up for some of our free quarterly industry newsletters, including The Manufacturer (for those in manufacturing & distribution), On-Site (construction & real estate industry), Practice Management Advisor (physician practices and other healthcare practices) and The Expert (with a focus on business valuation and litigation support). Sign up here for any of GJM's free newsletters.

Established in 1996, Gilmore Jasion Mahler, LTD (GJM) is the largest public accounting firm in Northwest Ohio, with offices in Maumee and Findlay. Locally owned, GJM offers cloud-based accounting services and provides comprehensive services including assurance, business advisory, tax, risk advisory and healthcare management. The Firm's professionals specialize in industries including construction & real estate, healthcare, manufacturing & distribution and utilities

Meet Our New Tax Associate Jess Knepper

Jessica Knepper Gilmore Jasion MahlerWe’re happy to announce that the Gilmore Jasion Mahler tax team is one stronger today. Jessica Knepper is now on board as a Tax Associate. Here’s a Q&A so you can get to know better. Welcome to GJM, Jess!

Describe your role at GJM. As a tax associate, I prepare tax returns for various entities and individuals. I work with senior associates, managers, and partners to complete these returns.

When did you start working at GJM? My first day as a full time associate was June 4th, 2018; however, I have completed two tax internships with the firm as well.

Why did you choose the accounting industry? I chose the accounting industry because of the job satisfaction it provides. I love the feeling of working hard on a return/project and seeing the finished product.  It is rewarding to help our clients solve their financial questions and needs.

What do you like best about accounting? I love that accounting provides numerous opportunities for career development. GJM offers several career paths that specialize in different areas (manufacturing, healthcare, not-for-profit, etc.). I appreciate that I can go into basically any industry in the business world while working at GJM.

Are you from the Toledo area originally? If not, where are you from? Yes, I was raised in Toledo and graduated from Sylvania Southview High School. Jessica Knepper Pistol League

What do you like about living in Northwest Ohio? I like living in Northwest Ohio because there is so much to do. One of my favorite things about living in this area is all of the different metro parks. Going to Mud Hens and Walleye games downtown is really cool too. Northwest Ohio is close to major cities so catching a Tiger’s game, going shopping in Columbus, or taking a weekend trip to Chicago is attainable.

Where did you go to college? My freshman year I played Division II softball at Hillsdale College. After my freshman year, I transferred to the University of Toledo were I received my bachelor’s degree. I just completed my MSA from UT as well.

Do you have any pets, hobbies, family? One of my favorite things to do in the warmer months is rollerblading. My preferred place to blade is the University Trail. On a good day I can blade over 12 miles. In the winter months I like to shoot on the GJM pistol league team. This past winter, I got third place in the tournament. My parents have an Airedale terrier named Kenzie. She is five years old and definitely the favorite child. I have a sister who lives in the area and a brother who lives in California.

How do you like to spend your free time? Right now, I am studying for my CPA so most of my free time goes towards passing that. When I am not studying I like to be outside. Every week I play on a church league softball team, GJM’s kickball team, and GJM’s beach volleyball team. My boyfriend also coaches JV baseball at St. Francis and I try to catch as many of those games as I can during their season. His sister plays soccer so I like going to watch her play. Basically, most of my free time goes towards playing or watching sports. I do indulge in watching the Bachelor and Bachelorette on ABC as well.Jessica Knepper baseball

Are you involved in any community organizations, do any volunteer work? In the past, I volunteered at the Toledo Area Humane Society. Currently, I am not involved in any volunteer organizations but would love to join something through GJM. I know that Flag City Honor Flight, Hannah’s Socks, and Big Brothers Big Sisters of Northwest Ohio are some of the amazing organizations that GJM serves each year.

What is something people may be surprised to find out about you? I was recently awarded the 2nd place Graduate Student Manuscript Competition from the Ohio Region’s American Accounting Association for my research paper on Six Sigma.   

Anything else you’d like to add? I also enjoy traveling. Last summer I was able to go to Las Vegas, Charleston, and New York City. During spring break this year I traveled to Phoenix. My favorite thing about my trip to Phoenix was going to a spring training game and catching a ball in the stands. At the end of this month, I am going to Hilton Head. I always like to go somewhere that I have never been before. Something that is on my bucket list is to watch a baseball game at every stadium in America, which combines my love of baseball with my love of traveling.

I am excited to start my career at GJM!

New GJM Manufacturing Award

Gilmore Jasion Mahler manufacturing awardDo you know of someone in manufacturing & distribution who's making a lasting impact in the Findlay area? You now have the opportunity to recognize their efforts. Maybe it's someone within your own company: a member of the leadership team, or a colleague you think deserves recognition. Or maybe it’s another businessperson within the community. Someone you know from your community service work or a fellow board member for a nonprofit organization.

Gilmore Jasion Mahler is pleased to announce it's sponsoring a new award as part of the Findlay-Hancock County Chamber of Commerce Small Business Awards. The Gilmore Jasion Mahler Manufacturing & Distribution Leadership Impact Award recognizes an individual who has made a difference in the manufacturing industry in Findlay-Hancock County. But it’s about much more than an individual’s contributions to the industry. It’s more about the “whole person”.

The exact award description is as follows:  

This award will be presented to an individual whose dedication and hard work have made a lasting impact on the manufacturing industry in Findlay-Hancock County. The award recognizes contributions not only in manufacturing, but also honors an individual’s character and the impact they have made. Any individual at any level of a company can be nominated.   

The new award is one of several that will be presented at the 55th Annual Small Business Awards on October 11 at Winebrenner Theological Seminary at The University of Findlay.

The other awards include:

  • Small Business of the Year
  • Small Business Person of the Year
  • Emerging Business of the Year
  • Family-Owned Small Business of the Year
  • Downtown Champion of the Year
  • Manufacturing Excellence of the Year
  • Agriculture Enterprise Champion of the Year
  • Women in Business Champion of the Year
  • Professional of the Year
  • Diversity Small Business of the Year
  • “Go Local” Small Business Champion
  • Customer Service of the Year 

Nominations for this year's awards were accepted through the end of June. If you missed the chance to nominate this year, consider nominating for next year. The Small Business Awards are presented by the Findlay·Hancock County Chamber of Commerce and Findlay Publishing Company.  

Established in 1996, Gilmore Jasion Mahler, LTD (GJM) is the largest public accounting firm in the region, with offices in Maumee and Findlay. Locally owned, GJM offers comprehensive services including assurance, business advisory, tax, risk advisory and healthcare management. GJM’s professionals specialize in industries including construction & real estate, healthcare, manufacturing/distribution and utilities.

Another Successful Honor Flight

Flag City Honor Flight homecomingJune 5th was a very long day for dozens of area veterans. It was also a day they will most likely never forget. 76 of them boarded a plane and traveled to Washington, D.C. to see the memorials built in their honor. It was the 13th mission for Flag City Honor Flight. Gilmore Jasion Mahler is a proud supporter of Flag City Honor Flight. Our firm’s special event Carnevale 2017 helped to pay for the June flight. Flag City Honor Flight Homecoming, Gilmore Jasion MahlerWe also helped out with the welcome home celebration. Some of our team was there to cheer as the veterans arrived home. We also handed out American flags and posters to the crowd gathered for the homecoming. We hope you enjoy a couple of pictures from flight day, and encourage you to see all of the Flag City Honor Flight photos from the June 5 flight in their online portfolio. Don't forget to mark your calendar for the next flight on October 2, so you can help give our heroes the welcome home they deserve.

Established in 1996, Gilmore Jasion Mahler, LTD (GJM) is the largest public accounting firm in Northwest Ohio, with offices in Maumee and Findlay. Locally owned, GJM offers cloud-based accounting services and provides comprehensive services including assurance, business advisory, tax, risk advisory and healthcare management. The Firm's professionals specialize in industries including construction & real estate, healthcare, manufacturing & distribution and utilities.