(B) If a PASSPORT administrative agency (PAA) fails to comply with this chapter, ODA or the Ohio department of medicaid (ODM) may take whatever action against the PAA is appropriate under the terms of the three-party agreement entered into between ODA, ODM, and the PAA under sections 173.52 and 173.54 of the Revised Code.
(C) If a PACE organization fails to comply with this chapter, ODA or the centers for medicare and medicaid services (CMS) may take whatever action against the PACE organization is appropriate under the terms of the PACE organization agreement entered into by ODA, CMS, and the PACE organization under 42 C.F.R. Part 460, Subpart D.
(D) If a provider fails to comply with this chapter, ODA (or its designees) may take whatever action against the provider is appropriate under one or more of the following:
(1) Section 173.391 of the Revised Code and rule 173-39-05 of the Administrative Code when the provider is providing goods or services to individuals through a program requiring ODA-certification ODA-certified providers.
(2) The AAA-provider agreement entered into between the provider and the AAA when the provider is providing goods or services to consumers through a program not requiring ODA-certified providers.
Five Year Review (FYR) Dates: 04/01/2023
Promulgated Under: 119.03
Statutory Authority: 173.01, 173.02, 173.38, 173.381, 173.391, 173.392 ; 42 U.S.C. 3025(a)(1)(C); 45 C.F.R. 1321.11
Rule Amplifies: 173.38, 173.381; 45 C.F.R. 460.68(a), 460.71(a)(1), 460.371(a)(2), 460.194
Prior Effective Dates: 07/11/1991, 03/04/1997 (Emer.), 07/31/1997, 04/17/2003, 01/01/2008, 02/15/2009, 08/11/2011, 01/01/2013, 05/01/2014, 02/01/2015