173-39-02.17 Community transition service.

(A) As used in this rule, “community transition service” means all of the following:

(1) The payment of non-recurring set-up expenses for an individual leaving an institutional setting to receive assisted living services in a residential care facility licensed by the Ohio department of health. Such expenses may include the purchase of furnishings, household supplies, and incidentals that are not provided by the consumer’s residential care facility, but are essential to the health and welfare of the consumer and ordered in the assisted living care plan. Allowable expenses include the following: essential household furnishings and furniture, window coverings, food preparation items, bed linens, bath linens, set-up fees/deposits to establish utility services (including telephone service, electrical service, natural gas service, and water service), services necessary for the health and safety of the individual (including a pest eradication service), a one-time cleaning expense prior to occupancy, moving expenses, necessary adaptations to improve accessibility to the home that are not the responsibility of the landlord, and activities to arrange for and procure needed resources;

(2) A service that is limited to that which cannot be accomplished through existing formal or informal systems, and that which is not the legal or contractual responsibility of an individual other than the consumer; and,

(3) A service that is delivered no later than ninety calendar days after the date of initial enrollment into the assisted living waiver program.

(B) One unit of community transition services is a per-job bid rate that includes the cost of the purchase, delivery, and set-up of items and deposits made as ordered in the care plan. This rate is a rate that is negotiated and approved by ODA’s designee and accepted by the consumer.

(C) Only a provider who is an ODA-certified long-term care agency provider, an ODA-certified long-term care non-agency provider, or an assisted living provider under rule 173-39-02 of the Administrative Code may provide a community transition service.

(D) Each provider of a community transition service shall do the following:

(1) Only perform a community transition service if that service has been approved and authorized by the case manager;

(2) Demonstrate consumer involvement in the selection of items on the consumer’s behalf;

(3) Deliver all items no later than ninety calendar days from the date the consumer is enrolled into the assisted living waiver program; and,

(4) Maintain a record of each purchase by documenting the date the service was delivered, the name of the vendor from which the item was purchased, an accurate description of the item purchased, and the signature (or initials) of the consumer (or the authorized representative of the consumer) as verification of service delivery.

Replaces: 173-39-02.17

Effective: 03/22/2008

R.C. 119.032 review dates: 03/21/2012

Promulgated Under: 119.03

Statutory Authority: 173.02, 173.391

Rule Amplifies: 173.39, 173.391

Prior Effective Dates: 3/31/2006