173-38-05 Covered services.

(A) A consumer's service plan may authorize no more than these two services:

(1) The assisted living service under rule 173-39-02.16 of the Administrative Code; and,

(2) The community transition service under rule 173-39-02.17 of the Administrative Code.

(B) While a provider may provide a consumer who is enrolled in the medicaid-funded component of the assisted living program with a service that is not authorized in the consumer's service plan, ODA (or ODA's designee) shall not reimburse a provider for any service that is not explicitly authorized in the consumer's service plan.

Effective: 09/29/2011
R.C. 119.032 review dates: 07/13/2011 and 09/29/2016
Promulgated Under: 119.03
Statutory Authority: 173.01 , 173.02 , 5111.89
Rule Amplifies: 5111.89
Prior Effective Dates: 09/18/2009