3701-44-09 Operation of home health program; establishment of list of services covered by the home health program.

(A) The home health program shall list which of the services specified in this paragraph may be authorized for payment under the home health program. The list shall apply to services requested by eligible individuals or families that include eligible individuals who reside in the state. The program may list any or all of the following services and may revise the list when it considers revision to be appropriate. Appropriate services include home health care provided by registered nurses and licensed practical nurses licensed pursuant to Chapter 4723. Of the Revised Code, social work and counseling as provided by individuals licensed pursuant to Chapter 4757. Of the Revised Code, home health aide, homemaker services, home intravenous therapy, respite care and hospice services.

All services set forth above are contingent upon United States department of health and human services, health resources and services administration, policy and approval. Inpatient hospital and nursing home services are not covered under the home health program.

(B) The home health program shall establish and may revise dollar limitations or other limitations on each category of services as specified in paragraph (A) of this rule that it lists for purposes of payment by the home health program. The director may establish additional limitations on services for which payment may be authorized because of program fiscal constraints.

(C) The home health program shall provide copies of the list prepared under paragraph (B) of this rule and any revisions to the director and the community-based HIV case managers serving the area.

R.C. 119.032 review dates: 06/29/2006 and 06/29/2011

Promulgated Under: 119.03

Statutory Authority: 3701.241

Rule Amplifies: 3701.241

Prior Effective Dates: 7/20/2001