Table 7. Services used for case-mix reimbursement in Maryland, Ohio, and West Virginia.
| Maryland | Ohio | West Virginia |
|---|---|---|
| — | Personal hygiene1 | Personal hygiene1 |
| Bathing2 | — | — |
| Dressing2 | — | — |
| Eating2 | Eating or tube feeding | Eating or tube feeding |
| Tube feeding3 | — | — |
| Mobility2 | Mobility | Mobility |
| Incontinence or catheters2 | Incontinence or catheters | Incontinence |
| — | — | Catheters |
| Turning and positioning3 | — | |
| Decubitus care3 | Dressings and non-routine skin care | Dressings and non-routine skin care |
| — | Medications | Medications |
| Single injections | Injections | Injections |
| Multiple injections | — | — |
| — | Appliances or restraints | Appliances or restraints |
| Restraints | — | — |
| — | Enemas or douches | Enemas or douches |
| Suctioning or tracheostomy | Suctioning or tracheostomy | Suctioning or tracheostomy |
| Oxygen or aerosol (IPPB) | Oxygen or aerosol (IPPB) | Oxygen or aerosol (IPPB) |
| Colostomy, ileostomy, or ureterostomy | Colostomy, ileostomy, or ureterostomy | Colostomy, ileostomy, or ureterostomy |
| Intraveneous and subcutaneous fluids | Intravenous and subcutaneous fluids | Intravenous and subcutaneous fluids |
| — | Behavioral or mental status | Behavioral or mental status |
| — | Habilitation4 | — |
| — | Specialized services | — |
| — | Physical therapy | — |
| — | Occupational therapy | — |
| — | Speech and/or audiology therapy | — |
| — | Psychological therapy | — |
1
Personal hygiene in Ohio and West Virginia includes bathing, dressing, hair care, nail care, shaving, and dental care.
2
All activities of daily living together are utilized in Maryland to categorize patients into light, moderate, or heavy-care classifications.
3
These services are utilized to categorize patients into the Maryland heavy special-care classification.
4
In Ohio, the habilitation service determines the patient's need for any of the 5 rehabilitation therapies listed next.
NOTE: IPPB is intermittent positive pressure breathing.
SOURCE: (Maryland, Ohio, and West Virginia regulations, as summarized in Foley et al. 1984.)