Expand list to include all of those listed for the State of Section Yes; Conditions and 45, HS $0.16M $0.66M $0.66M 3/1/13 Routine Yes Yes No Yes No Yes Yes (HACs) Payment adjustments Technical made annually based on HACs Readmissions Increase time span for Section which readmissions are not 45, Ch. $0.38M $1.53M $1.53M 3/1/13 No Yes Yes No Yes No Yes Yes III, HS reimbursed Section Leave Days Eliminate reimbursement Section 45-Yes; Nursing for hospital leave & 67, NF; Routine Facility therapeutic leave days Section Technical IMD Eliminate - Nursing Facility: 45, HS; ICF-MR 10 hospital leave days & 36 Section Sections $0.16M $0.64M $0.64M 3/1/13 Yes Yes No Yes Yes Yes No therapeutic leave days 67 (II and Eliminate - ICFMR: 25 III), 50 (III) hospital leave days & 52 Section and 97 therapeutic leave days (II)-Major PNMI-Appendix C and F Section Pharmacy Expand Medication 80, RxS Management Initiative/J 4/1/13-J Code $0.17M $0.64M $0.64M Yes Yes Yes No Yes No Yes No Code PDL PDL Section 90, PS Monitor use of No; in Children and Section Managed $0.3M $0.3M 3/1/13 No Yes No Yes Yes Yes No 80, RxS through Adults and Seniors PDL PA required Total savings for Short-term strategies $5.38M $5.38M $1.35M
Conditions (HACs) Expand list to include all of those listed for the State of and Payment adjustments made annually based on HACs Section 45, HS $0.16M $0.66M $0.66M 3/1/13 Yes; Routine Technical Yes Yes No Yes No Yes Yes Readmissions Increase time span for which readmissions are not reimbursed Section 45, Ch. III, HS $0.38M $1.53M $1.53M 3/1/13 No Yes Yes No Yes No Yes Yes Leave Days Nursing Facility IMD ICF-MR Eliminate reimbursement for hospital leave & therapeutic leave days Eliminate - Nursing Facility: 10 hospital leave days & 36 therapeutic leave days Eliminate - ICFMR: 25 hospital leave days & 52 therapeutic leave days PNMI-Appendix C and F Section 67, NF; Section 45, HS; Section Section $0.16M $0.64M $0.64M 3/1/13 Section 45-Yes; Routine Technical Sections 67 (II and III), 50 (III) and 97 (II)-Major Yes Yes No Yes Yes Yes No Pharmacy Expand Medication Management Initiative/J Code PDL Section 80, RxS Section 90, PS $0.17M $0.64M $0.64M 4/1/13-J Code PDL Yes Yes Yes No Yes No Yes No Monitor use of in Children and Adults and Seniors PA required Section 80, RxS $0.3M $0.3M 3/1/13 No; Managed through PDL No Yes No Yes Yes Yes No Total savings for Short-term strategies $1.35M $5.38M $5.38M