173-43-04 Time frames.

(A) If an individual has applied for medicaid coverage, ODA’s designee shall complete the consultation in accordance with the applicable time frame for providing the LOC determination as specified in rule 5101:3-3-15 of the Administrative Code.

(B) Except for a consultation mentioned in paragraph (A) of this rule, ODA’s designee shall complete every consultation no later than five calendar days after ODA’s designee receives a request for the consultation.

(C) An individual or the representative of the individual may request that ODA’s designee provide a consultation on a date that is later than the date required. In such cases, ODA’s designee shall provide the consultation at a time that is mutually agreed-upon between the individual (or the representative of the individual) and ODA’s designee.

(D) If ODA’s designee cannot complete the consultation within the number of days required, or if the individual was admitted to a NF due to an emergency in accordance with paragraph (G)(4) of rule 173-43-02 of the Administrative Code, ODA’s designee may take the following action:

(1) Exempt the individual from the consultation if it is decided that it would not be beneficial to perform the consultation after the NF admission;

(2) Provide the consultation as soon as practicable after the individual has been admitted to a NF in the case of an applicant for admission to a NF; or,

(3) Provide the consultation as soon as practicable in the case of a NF resident for whom ODA’s designee is required to provide a consultation.

Effective: 06/30/2007

R.C. 119.032 review dates: 06/30/2011

Promulgated Under: 119.03

Statutory Authority: 173.02, 173.42

Rule Amplifies: 173.42