The Ohio Department of Insurance will not include long term care (LTC) in its 2010 prompt pay data call. Under Ohio law, health insuring corporations (or HMOs) and health insurers are required to provide claims information to the Department. In 2009, health insurers received a letter from the Department indicating that it would begin requiring this information beginning in 2010. However, in January the Department will send companies a follow up letter specifying that the prompt pay data call will not include LTC claims information in 2010.
At the suggestion of LTC insurers, the Department is considering whether to adopt the NAIC’s LTC Model, which addresses prompt pay issues specifically for LTC insurers.