173-38-01 Assisted living program (medicaid-funded component): introduction and definitions.

(A) Introduction: Chapter 173-38 of the Administrative Code regulates the medicaid-funded component of the assisted living program created under section 173.54 of the Revised Code. (See Chapter 173-51 of the Administrative Code for rules on the state-funded component of the assisted living program.)

(B) Definitions for Chapter 173-38 of the Administrative Code:

(1) "Assisted living program" ("program") means the home and community-based medicaid waiver program created under section 173.54 of the Revised Code that provides consumers in the program with the assisted living service under rule 173-39-02.16 of the Administrative Code and, in some cases, the community transition service under rule 173-39-02.17 of the Administrative Code, if the consumers reside in a residential care facility and would otherwise receive services in a nursing facility if the waiver program was not available.

(2) "Authorized representative" has the same meaning as in rule 5160:1-1-55.1 of the Administrative Code.

(3) "CDJFS" means "county department of job and family services."

(4) "Nursing facility" has the same meaning as in section 5165.01 of the Revised Code.

(5) "ODA" means "the Ohio department of aging."

(6) "ODA's designee" has the same meaning as "PASSPORT administrative agency" in section 173.42 of the Revised Code. The current PASSPORT administrative agencies are the area agencies on aging listed in rule 173-2-04 of the Administrative Code plus "Catholic Social Services of the Miami Valley."

(7) "ODM" means "the Ohio department of medicaid."

(8) "Service plan" (aka, "care plan") means the written outline of the services that ODA's designee expects a provider to furnish to a consumer.

Effective: 03/01/2014
R.C. 119.032 review dates: 11/29/2013 and 03/01/2019
Promulgated Under: 119.03
Statutory Authority: 173.01 , 173.02 , 173.54
Rule Amplifies: 173.54
Prior Effective Dates: 07/16/2006, 09/18/2009, 03/12/2011, 09/29/2011, 02/16/2012