(A) Except for service providers who
provide only interpreting, rehabilitation technology, work incentive planning
and coordination, pre-employment transition services (pre-ets), or
transportation services; vocational rehabilitation (VR) service providers must
have preliminary or final accreditation or certification by at least one of the
following entities to provide VR fee schedule services:
(1) The commission on
accreditation of rehabilitation facilities (CARF) so long as the accreditation
is for any one of the following categories of VR service;
(a) Community employment services (CES);
(b) Comprehensive vocational evaluation (CVE);
(c) Community integration (COI);
(d) Employee development services (EDS);
(e) Employment skills training (EST);
(f) Employment planning services (EPS);
(g) Organizational employment services (OES);
(h) Vision rehabilitation services (VRS); or
(i) Vocational services (VS).
(2) The joint commission
(JC) for accreditation in behavioral health care;
(3) The association for
education and rehabilitation of the blind and visually impaired, institutions
of higher education or organizations (schools or agencies) serving individuals
who are blind or with low vision;
(4) The national
orientation and mobility certification (NOMC) for cane travel and non-visual
instruction and the national certification in rehabilitation teaching for the
blind (NCRTB) for non-visual instruction. Certification through the governing
board with oversight of these two certifications, the national blindness
certification board (NBPCB) is an allowable credential;
Providers with NBPCB certification are required
to provide proof of liability insurance policy to OOD in amount not less than
two hundred fifty thousand dollars per incident.
(5) The academy for
certification of vision rehabilitation and education professionals (ACVREP)
serving individuals who are blind or with low vision receiving vision
rehabilitation and education services; or
Providers with ACVREP certification are
required to provide proof of liability insurance to OOD in amount not less than
two hundred fifty thousand dollars per incident.
(6) Providers certified
by the Ohio department of developmental disabilities (DODD) with at least one
year of experience in providing career planning and individual employment
support services as defined in rules 5123-9-13 and 5123-9-15 of the
Administrative Code respectively. The scope of services for these providers is
limited to individuals who would meet eligibility requirements for county
boards of developmental disabilities.
(B) In addition to the requirements
listed in paragraph (A) of this rule, additional credentialing shall be
required as specified for the following services:
(1) VR service providers
who conduct work incentives planning or coordination shall be certified as a
community work incentives coordinator (CWIC) or work incentives practitioner
(WIP);
(2) VR service providers
who provide job search assistance-supported employment (credential) services
under the VR fee schedule for participants who would meet eligibility
requirements for county boards of developmental disabilities shall be certified
by the Ohio department of developmental disabilities (DODD) in the areas of
career planning and individual employment supports. Provider staff who are
providing the service directly to the VR participant shall pass the certified
employment support professional (CESP) exam and maintain the credential offered
by the association of people supporting employment first (APSE) or hold a
certified rehabilitation counselor (CRC) credential to provide parts 1 and 2 of
the job assistance supported employment (credential) service;
(3) VR service providers
that offer supported employment job search assistance-supported employment
(credential) services to individuals with serious mental illness or
co-occurring mental illness and substance use disorder, and have have passed an
individual placement and support (IPS) fidelity review administered by the Ohio
department of mental health and addiction services (OMHAS) are exempt from the
CESP/CRC requirement; and
(4) VR service providers
that offer pre-ets must have a minimum of one year of experience in delivering
relevant vocational, educational, or independent living services to students
with disabilities.
(C) The following requirements regarding
licensure, accreditation, or certification also apply to VR service
providers:
(1) VR service providers
must maintain and renew certification or accreditation according to the entity
by which the provider was initially certified;
(2) VR service providers
shall submit documentation from the appropriate body verifying certification,
accreditation, or preliminary accreditation to OOD before requesting any
payment from OOD according to its fee schedule; and
(3) VR service providers
shall immediately notify OOD in writing if accreditation or certification
lapses, is revoked, or suspended.
(D) OOD shall not purchase or reimburse
for any services from any community rehabilitation program that does not obtain
accreditation following preliminary accreditation, maintain appropriate
accreditation, or certification status.
(E) Prior to utilization and when
requested by OOD, the community rehabilitation program shall complete a
provider acknowledgement and submit to OOD.
(F) Nothing in this rule creates an obligation for OOD to
purchase services from a provider, and OOD retains sole discretion over the
expenditure of VR funds.
(G) Provider applicants and approved providers.
(1) Provider applicants
seeking to deliver any of the services listed in the VR fee schedule shall
submit an application and supporting documentation through the provider
management program (PMP). The term "provider applicant" within this
rule relates to new provider agencies and does not apply to current approved
providers' individual staff or individual applicant(s).
(a) Provider applicants shall be required to participate in an
initial orientation prior to their application being approved in the
PMP.
(b) Provider applicants shall disclose any lapses, revocation, or
suspensions of any individual staff or agency licenses, accreditations, or
certifications within the previous five years of the date of their
application.
Failure to provide complete and accurate
information shall result in the immediate termination of the provider's
approved status.
(c) Provider applicants shall have an authorized representative
of the provider complete a provider acknowledgement before becoming an approved
provider.
(2) OOD shall review
provider application materials to determine compliance with the requirements in
paragraphs (A) and (C) of this rule, as well as any other relevant agency or
staff factors, performance, fiscal, or safety history that may relate to the
provision of quality services for individuals with disabilities. OOD may
request additional information as deemed necessary to ensure compliance with
paragraphs (A) and (C) of this rule prior to approving a provider's
application.
(3) OOD has sole
discretion to approve a provider's application or specific services, in
whole or part.
(4) Approved
providers.
(a) Approved providers shall comply with rule 3304-2-53 of the
Administrative Code, the VR services and standards guide, and technical
assistance provided by OOD.
Approved providers are not employees of OOD.
Providers are independent agencies, with no guarantee of referrals for services
regardless of current provider status.
(b) Providers shall only offer or provide services for which OOD
has approved the provider as meeting the minimum qualifications.
(i) OOD shall only
purchase services from providers who meet the minimum qualifications for
services as provided in this rule.
(ii) Providers shall
notify OOD in writing within five business days from the date the provider no
longer meets minimum qualifications. Providers who do not meet minimum
qualifications shall not accept any new authorizations for the
service.
(iii) OOD shall edit
information in the PMP to correct innacuracies or for system
integrity.
(5) Providers may be
removed from the PMP if they have not received or accepted an authorization for
services within the previous two federal fiscal years.
Providers may submit a new application in PMP
to request regaining their approved provider status.
(6) If a provider uses a
non-accredited subcontractor organization to provide any VR services, that
provider must receive approval from OOD.
(a) If a VR service provider subcontracts any of its VR services
through other providers, the provider must obtain certification, preliminary
accreditation, or accreditation in all VR services in which it subcontracts
unless a credentialing body identified in paragraph (A)(1) of this rule
routinely oversees all services, including subcontracted services, in the
course of the certification or accreditation process.
(b) The approved provider is responsible for all services
rendered by its subcontractor.
(c) Subcontracting shall not exceed twelve months, without the
written approval of the OOD executive director or designee.
(7) OOD may periodically
require approved providers to complete OOD provided training in relation to
specific service delivery, such as pre-ets, summer youth, and supported
employment job development. OOD may also periodically require providers to
complete OOD provided training in relation to health and safety, and
implementation of new systems such as the VR fee schedule updates, and the
vendor portal payment process. Training may be required as part of provider
support and remedies identified in paragraph (J) of this rule.
(8) Approved providers
shall submit a completed provider acknowledgment to OOD by October first of
each federal fiscal year. The provider acknowledgement may be submitted up to
sixty days prior to the October first due date. Providers shall not offer or
provide services in the new federal fiscal year until the provider
acknowledgement is submitted to OOD.
(H) Provider staff qualifications and background
checks.
(1) The term provider
staff shall include current, and potential new employees, including owners, and
independent contractors, who provide direct services under the VR fee schedule
or addenda services.
(a) Unpaid interns and volunteers shall not be considered
provider staff and shall not invoice for services provided to OOD
participants.
(b) Provider staff shall be at least eighteen years of age and
hold a high school diploma or the equivalent.
(2) Providers shall
perform background checks for provider staff, which shall include a check of
the following databases:
(a) System for award management;
(b) Office of the inspector general;
(c) Ohio department of developmental disabilities online abuser
registry;
(d) Ohio medicaid provider exclusion and suspension
list;
(e) Ohio attorney general sex offender search;
(f) Ohio department of rehabilitation and correction offender
search; and
(g) Ohio department of health nurse aide registry.
(3) Provider staff who
are listed in any of the databases with a corresponding offense are prohibited
from serving OOD participants.
(4) The provider shall
also obtain an FBI and BCI criminal record check. This background check may
occur concurrently or after the provider staff successfully completes the
requirements listed in paragraph (H)(2) of this rule.
(a) If provider staff has continuously lived within Ohio for at
least five years, only a BCI criminal check is required.
(b) If provider staff has lived within Ohio for fewer than five
years, or if provider staff were convicted of a crime in another state or of a
federal offense, an FBI and BCI criminal records check is required to be
completed.
(c) If a background check reveals a provider staff with an
offense the provider shall reference the paragraph (H)(10) of this rule
disqualifying offenses to determine if they can serve OOD
participants.
(5) Approved providers
may conditionally hire provider staff for up to sixty days while pending
receipt of the provider staff's criminal records results if all of the
following occurs:
(a) If provider staff has continuously lived within Ohio for at
least five years, only a BCI criminal check is required;
(b) Provider staff signs an agency attestation asserting they
have not been convicted of, pled guilty to, or been found eligible for
intervention in lieu of conviction for a disqualifying offense and has no
unreported pending criminal charges; and
(c) Provider staff who have received provisional hiring cannot
serve OOD participants beyond sixty days, or if the provider staff criminal
records check lists a disqualifying offense.
(6) Provider applicants
are required to submit background checks for all initial owners, management,
and provider staff as part of their PMP application.
(7) Providers shall
maintain written/electronic background checks for all provider staff, working
with OOD participants.
(8) Providers shall
provide a written/electronic verification of any provider staff's
background check to OOD within twenty-four hours' notice, if requested by
OOD.
(9) Approved providers
shall perform a check of the databases contained in paragraph (H)(2) of this
rule and obtain BCI background checks for all current provider staff no less
than once every five years and maintain written/electronic verification on
file.
(10) Background check
disqualifying offenses for provider staff with criminal offenses.
(a) Tier I: Permanent disqualification. Providers shall not
employ an applicant or continue to employ an employee, if the applicant or
employee has been convicted of, pleaded guilty to, or has been found eligible
for intervention in lieu of conviction for any of the following, or substantial
equivalent: aggravated murder, murder, voluntary manslaughter, felonious
assault, permitting child abuse, failing to provide for a functionally impaired
person, patient abuse and neglect, patient endangerment, kidnapping, abduction,
human trafficking, unlawful conduct with respect to documents, rape, sexual
battery, unlawful sexual conduct with a minor/formerly corruption of a minor,
gross sexual imposition, importuning, voyeurism, felonious sexual penetration,
disseminating matter harmful to juveniles, pandering obscenity, pandering
obscenity involving a minor, pandering sexually oriented matter involving a
minor, illegal use of minor in nudity-oriented material or performance,
soliciting/providing support for act of terrorism, making terrorist threats,
terrorism, medicaid fraud, conspiracy, attempt, or complicity when the
underlying offense is any of the offenses or violations listed in Tier
I.
(b) Tier II: Ten year disqualification. Providers shall not
employ an applicant or continue to employ an employee for a period of ten years
from the date the applicant or employee was fully discharged from imprisonment,
probation, and parole, if the applicant or employee has been convicted of,
pleaded guilty to, or has been found eligible for intervention in lieu of
conviction for any of the following, or substantial equivalent: involuntary
manslaughter, reckless homicide, child stealing {as it existed prior to July 1,
1996}, criminal child enticement, extortion, compelling prostitution, promoting
prostitution, enticement or solicitation to patronize a prostitute, procurement
of a prostitute for another, aggravated arson, arson, aggravated robbery,
aggravated burglary, illegal use of supplemental nutrition assistance program
or women, infants, and children program benefits, worker's compensation
fraud, identity fraud, aggravated riot, carrying concealed weapon, illegal
conveyance or possession of deadly weapon or dangerous ordnance in a school
safety zone, illegal possession of an object indistinguishable from a firearm
in a school safety zone, illegal conveyance, possession, or control of a deadly
weapon or ordnance into a courthouse, having weapons while under disability,
improperly discharging a firearm at or into a habitation or school, discharge
of firearm on or near prohibited premises, improperly furnishing firearms to
minor, engaging in pattern of corrupt activity, participating in criminal gang,
corrupting another drugs, trafficking in drugs, illegal manufacture of drugs or
cultivation of marihuana, illegal assembly of possession of chemicals for the
manufacture of drugs, placing harmful objects in food or confection,
conspiracy, attempt, or complicity when the underlying offense is any of the
offenses or violations listed in Tier II.
(c) Tier III: Seven year disqualification. Providers shall
not employ an applicant or continue to employ an employee for a period of seven
years from the date the applicant or employee was fully discharged from
imprisonment, probation, and parole, if the applicant or employee has been
convicted of, pleaded guilty to, or has been found eligible for intervention in
lieu of conviction for any of the following, or substantial equivalent: cruelty
to animals, prohibitions concerning companion animals, aggravated assault,
aggravated menacing, menacing by stalking, coercion, disrupting public service,
robbery, burglary, insurance fraud, inciting to violence, riot, inducing panic,
endangering children, domestic violence, intimidation, perjury, falsification,
falsification in theft offense, falsification to purchase firearm, or
falsification to obtain a concealed handgun license, escape, aiding escape or
resistance to lawful authority, illegal conveyance of weapons, drugs or other
prohibited items onto grounds of detention facility or institution, funding of
drug or marijuana trafficking, illegal administration or distribution of
anabolic steroids, tampering with drugs, ethnic intimidation, conspiracy,
attempt, or complicity when the underlying offense is any of the offenses or
violations listed in Tier III.
(d) Tier IV: Five year disqualification. Providers shall
not employ an applicant or continue to employ an employee for a period of five
years from the date the applicant or employee was fully discharged from
imprisonment, probation, and parole, if the applicant or employee has been
convicted of, pleaded guilty to, or has been found eligible for intervention in
lieu of conviction for any of the following, or substantial equivalent:
assault, menacing, public indecency, soliciting after positive human
immunodeficiency virus test, prostitution, deception to obtain matter harmful
to juveniles, breaking and entering, theft, unauthorize use of a vehicle,
unauthorized use of property, computer, cable, or telecommunication property,
telecommunications fraud, passing bad checks, misuse of credit cards, forgery,
forging identification cards, criminal stimulation, defrauding a rental agency
or hostelry, tampering with records, securing writings by deception,
personating an officer, unlawful display of law enforcement emblem, defrauding
creditors, receiving stolen property, unlawful abortion, unlawful abortion upon
minor, unlawful distribution of an abortion-inducing drug, interference with
custody, contributing to unruliness of delinquency of child, tampering with
evidence, compounding a crime, disclosure of confidential information,
obstructing justice, assaulting/harassing police dog or horse/service animal,
impersonation of peace officer, illegal administration, dispensing,
distribution, manufacture, possession, selling, or using any dangerous
veterinary drug, drug possession other than a minor drug possession offense,
permitting drug abuse, deception to obtain dangerous drugs, illegal processing
of drug documents, illegal dispensing of drug samples, unlawful purchase of
pseudoephedrine product, conspiracy, attempt, or complicity when the underlying
offense is any of the offenses or violations listed in Tier IV.
(e) Tier V: No disqualification. Provider staff are not
prohibited from providing OOD services if the provider staff employee or
applicant has been convicted or pleaded guilty to, or has been found eligible
for intervention in lieu of conviction for any of the following, or substantial
equivalent:
(i) Drug possession that is a minor drug possession
offense;
(ii) Illegal use or possession of drug
paraphernalia;
(iii) Illegal use or possession of marijuana drug
paraphernalia.
(f) Governor's pardon or court order expungement is
allowable and Provider staff may allow provider applicant or employee to
provide OOD services.
(g) OOD will allow provider staff who hold a current
certificate of qualification for employment (CQE) issued by a court of common
pleas with competent jurisdiction pursuant to section 2953.25 of the Revised
Code with the exception of provider staff who have an offense listed in Tier 1
of this rule.
(h) OOD will allow provider staff who hold a current
certificate of achievement (COA) and employability in a home and
community-based services-related field, issued by the Ohio department of
rehabilitation and correction pursuant to section 2961.22 of Revised Code,
except for provider staff who have an offense listed in Tier 1 of this
rule.
(i) OOD will allow provider staff who are current certified
peer recovery supporters as defined by rule 5122-29-15.1 of the Administrative
Code to provide direct services to individuals who are over eighteen years of
age who have a mental health or substance abuse disorder diagnosis, except for
provider staff who have an offense listed in Tier 1 of this rule.
(11) Provider staff
transporting participants are subject to the requirements in this paragraph and
shall also meet the following additional requirements:
(a) Shall be at least eighteen years of age;
(b) Shall have two years
of driving experience;
(c) Shall hold a valid driver's license as specified
by Ohio law;
(d) Shall be covered by valid liability insurance as
specified by Ohio law;
(e) Shall have their Ohio BMV driving record reviewed by an
approved provider. Provider staff is prohibited from transporting OOD
participants if the Ohio BMV (or equivalent state BMV) report shows the
following:
(i) Six or more points on
their driving record; or
(ii) Suspended or revoked
driver's license.
(f) Approved providers shall maintain and be able to
produce on request (within twenty-four hours) documentation of these
requirements.
(12) Providers failure to
follow the listed requirements for staff background checks and exclusions shall
result in OOD action identified in paragraph (J) of this rule.
(I) Ethics, safety, and protection of confidential personal
information.
(1) Provider staff shall
adhere to the ethical code of conduct for any licensure, certifications, or
accreditation credential that the agency or individual may hold. Providers are
responsible for the safety of individuals they are serving and must hold
appropriate insurance for any safety issues which may occur. Insurance coverage
must be a minimum of two hundred fifty thousand dollars per
occurrence.
(2) Providers shall have
policies or procedures concerning participant safety that includes at a
minimum, the handling of medical emergencies, equal employment opportunity
violations, sexual harassment, appropriate professional boundaries, and others
as required by OOD.
(a) Providers shall provide to OOD a copy of all policies and
procedures that address participant health and safety within twenty-four hours
of being requested.
(b) Providers shall report and document all events which affect
or pose a threat to the health and safety of individuals receiving services
from OOD through the significant incident report form (SIRF). Providers shall
follow the VR services and standards guide and other instruction on the SIRF
regarding timelines, contact, and reporting process.
(3) Provider staff shall
protect confidential personal information (CPI) of all program participants it
serves. CPI includes, but is not limited to: Individual's full name,
address, social security number, copies of identification, i.e., driver's
license, disability/medical history, or any combination of information that
could potentially identify a specific individual. Providers must develop and
follow written policies and procedures to ensure that this information is kept
in a secure and confidential manner. Providers must develop and follow policies
and procedures in regard to the following areas:
(a) Securely store paper or electronic information, such as in a
locked file cabinet or locked office when not in use;
(b) Store electronic media information securely, such as in an
encrypted format on a computer or other mobile device;
(c) Transport data where the data is not visible from the
exterior of the vehicle, and is not stored overnight in a vehicle;
(d) Restrict access to individual's information for business
related needs, and prevent access to records of family members or with any
cohabitating persons;
(e) Prevent electronic communications from being sent to
unintended recipients; and
(f) Other areas as identified and required by accrediting,
certification, or state and federal agencies.
On inquiry, providers shall provide their
internal CPI controls, including use of confidential e-mail, staff policy, and
staff training guidelines.
(4) Any provider loss,
misplacement, unauthorized sharing of, or other violation of CPI involving an
individual receiving services from OOD must be reported to OOD immediately when
a provider becomes aware of the incident. OOD shall review the circumstances of
any such CPI exposure or breach and meet with the provider to discuss possible
resolutions, which may include OOD requiring the provider to offer the affected
participant identity theft protection for at least one year. In all
circumstances the participant must be notified of any loss of confidential
personal information.
(5) Providers shall immediately notify
OOD when their accreditation, certification, or licensure has been revoked or
suspended by an accrediting or certifying body or another state or federal
authority in writing to PCMU@ood.ohio.gov. This includes situations that do not
involve individuals served by OOD. OOD will review the information and may
request additional information to determine the next step. At OOD's
discretion, referrals and authorizations may be temporarily suspended until the
issue is resolved. Failure to notify OOD of an issue shall result in suspension
from the OOD-approved provider list until the issue has been
resolved.
(6) Conflicts of interest: A conflict of
interest exists if the private interests of the provider or staff, interferes
with the public interest in which the staff person is required to serve in the
exercise of the provider's authority and duties in the provider's
position of employment. Provider staff shall not provide a service to or access
any case information for program participants with whom they may have a
potential conflict of interest. Provider staff may not provide services to
immediate family members (including in-laws and step-relatives). Individuals
may receive services from provider staff outside of their immediate family
members or those that report directly to them. Providers must develop a
procedure which outlines how to address potential conflicts of interest. If a
provider has questions regarding the appropriate service provision to any
individuals, or any potential conflicts of interest, they must disclose and
address this with OOD before providing services.
(7) OOD retains discretion to prohibit
delivery of services by specific provider staff members to OOD participants.
OOD may consider previous service delivery and history, complaints, and
allegations for the provider staff member.
(8) Providers are required to submit
authentic and accurate billing and reports which account for services, times,
and costs. Providers may not sign on behalf of participants, nor duplicate
participant signatures. Providers must submit billings and reports though
OOD's designated procedure outlined in the VR services and standards
guide. Providers shall use OOD's designated payment system and submission
process.
(9) Providers not following any of the
above standards regarding ethics, safety, or proper protection of CPI may
result in a remedy identified in paragraph (J) of this rule.
(J) Provider support and management
(1) Providers shall
establish written internal quality control mechanisms to deliver quality
services and ensure accurate reports and invoices.
(2) OOD shall perform
reviews of provider services, for various reasons including, but not limited
to, specific service delivery issues, risk-based reviews, fiscal integrity, and
routine program evaluation and monitoring. Reviews may include service quality,
reporting accuracy, fiscal components, and other service
dimensions.
(3) Provider reviews may
produce observations or findings. Observations are expected to be addressed to
rectify minor and easily corrected errors. More pervasive, systemic, ongoing,
or egregious findings will result in a formal corrective action plan (CAP)
designed to correct identified findings.
(4) Providers shall be
given the opportunity to respond to any provider review, observation, or
finding, including submitting additional documentation, information, or
responses. Providers may submit an initial objection in writing within ten days
of receiving a review, observation, or finding to note that they disagree and
will provide a written rebuttal (further documentation, information, or
response). If a provider submits an objection, then the provider shall submit
their rebuttal within thirty days of receiving the review, observation, or
finding. This process may result in a CAP with a required cure
period.
(5) As a response to
fiscal, quality, or safety concerns, OOD may implement during investigations or
as part of a CAP an alternate billing process such as a single point of contact
for bills submitted together monthly, suspension of specific services with a
nexus to the observation or finding, or suspension of all services, based on
the protection and safety of individuals with disabilities, the history and
pattern of concerns, and the severity or scope of concerns. OOD also reserves
the right to suspend the use of any specific provider staff for services based
on any noted concerns.
(6) Cost recovery may be
invoiced as part of any fact-finding investigation or review and will take into
account any additional provider response and supplemental documentation
provided which may mitigate cost recovery amounts. Providers shall have
forty-five days to submit any amount payable to OOD. If the amount owed to OOD
is not paid within forty-five days of receipt of the notice of invoiced
questioned cost, the account shall be submitted to the attorney general for
collection pursuant to section 131.02 of the Revised Code.
(7) When deficits are
identified through reviews or other means, OOD shall generally implement the
following sequence of intervention strategies:
(a) Technical assistance;
(b) Corrective action plan;
Corrective action plan may coincide with an
alternate billing process, suspension of referrals, and/or cost recovery;
and
(c) Suspension or revocation of approval status.
OOD shall identify the appropriate intervention
strategy for performance deficits. OOD will consider past performance history,
the pervasiveness of the concern, the impact on participant safety and public
health and fiscal implications as part of this assessment.
(8) Failure to provide
requested documentation or implement appropriate corrective actions during
intervention strategies shall result in suspension of the provider's
status until the documentation is provided and reviewed by OOD. Providers with
repeated CAPs without resolving the deficits on an ongoing basis may result in
the revocation of approval status.
(9) Providers shall
produce requested documentation or background information within five business
days or at a later date if agreed to in writing by OOD. Failure to provide the
requested materials shall result in a suspension of the provider's status
until the materials are provided and reviewed.
(10) Providers who do not
comply with a CAP, do not successfully complete their CAP to OOD's
satisfaction, and/or do not complete payment of cost recovery may result in the
temporary or ongoing suspension of services, or suspension or revocation of
approved provider status. OOD shall make its decision considering factors such
as past performance history, the pervasiveness of the concern, and the impact
on fiscal integrity, participant safety, and public health.
(11) OOD will provide
technical guidance and support to providers and refer providers to available
resources and technical guidance where appropriate.
(K) Medical, psychological, and dental
suppliers.
(1) Medical, psychological, and dental suppliers are not
required to adhere to requirements outlined for providers.
(2) OOD shall only purchase medical, psychological, and
dental services from suppliers with the proper licensure or
certification.
(L) The executive director of OOD may waive any paragraph
or paragraphs of this rule, if necessary, to appropriately serve individuals
with disabilities.
(M) This rule is designed to implement the Workforce
Innovation and Opportunity Act, 29 U.S.C. 32, and resulting
regulations.
