Focus on the needs as Than suggests if probably the best route. Having staff document what they are doing and what individuals are doing (how many times waking up at night, what needs they have at night) has sometimes been successful for us.

This is partly response to you and partly an additional question to others. We haven't had to make this argument yet, but are about to and I would be interested in knowing if someone feels confident that this does or does not have merit:
For Licensed facilities, the Admin and Operation rule states:
(5) The operator shall ensure that staff are on duty on the basis of the needs of individuals being served. Staff schedules shall be prepared in advance and available for review at each residential facility.

'the needs of the individuals being served' sort of begs the question--who determines that: only the county board or does the facility operator have a genuine voice. It seems to imply an obligation that goes beyond the IP planning process and establishes that the facility operator, as a FACILITY, has an obligation to ensure needs are met. Hence, it would seem that the operator of the facility should at least have a real voice in assessing what the needs are and what level of staffing is required to meet those needs. Thoughts?

Take Care,

Wylie Jones, PhD
Vice President of Strategic Operations
LADD
3603 Victory Parkway
Cincinnati, OH 45229
(p) 513.487.3927
(f) 513.861.5381

-----Original Message-----
From: Than Johnson [mailto:TJohnson@CRSI-OH.com]
Sent: Wednesday, October 4, 2017 3:24 PM
To: TR Residential
Cc: opra_members@opra.simplelists.com
Subject: Re: OSOC

Can u document health and safety needs and /or assessment outcomes of the individuals that would require awake staffing?
If so then you have a potential MUI not address on the service plan.
Thx
Than

Than Johnson
Chief Executive Officer, CRSI
www.crsi-oh.com > On Oct 4, 2017, at 3:14 PM, TR Residential (via opra_members list) <nobody@simplelists.com> wrote:
>
> Hello fellow OPRA members. I have a situation regarding OSOC in a 24
> hour 5 bed licensed home where the ssa is claiming she can no longer
> authorize awake staff at night. This coming only after one of the
> individuals had to move into a nursing home and it put the other folks
> into prior auth. In my opinion none of the remaining individuals
> services have changed so why should their awake staff get cut?! If any
> of you have had any success with negotiation on this or would like to
> chime in I could certainly use the knowledge. I have talked with a few
> other providers and they seem to agree. Please feel free to call me or
> email me directly at trresidential@yahoo.com
>
>
> Thank You,
>
> Maura Mantell
> Executive Director
> T/R Residential Care Facilities, Inc.
> P.O. Box 693
> Dresden, OH 43821
> 740-754-2600 Office
> 740-819-9064 Cell
>
> .
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