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Ohio Laws and Rules
(A) The department received approval effective July 1, 1990 to provide home and community-based (HCBS) services to persons aged sixty and over who require intermediate or skilled care in a program known as preadmission screening system providing options and resources today (PASSPORT).
(1) The PASSPORT HCBS waiver services and program eligibility criteria are set forth in Chapter 5101:3-31 of the Administrative Code.
(2) Financial eligibility for the PASSPORT HCBS waiver program is determined in accordance with Chapter 5101:1-39 of the Administrative Code.
(3) Maximum allowable reimbursement rates for the PASSPORT HCBS waiver program are listed in appendix A to this rule and are to be effective on July 1, 2007. The maximum allowable reimbursement rates for services rendered prior to July 1, 2007 are the maximum allowable reimbursement rates in appendix A of this rule less three percent. PASSPORT HCBS reimbursement must be provided in accordance with paragraphs (A) to (C) of rule 5101:3-1-60 of the Administrative Code.
Appendix
PASSPORT Waiver Rates
Service Billing Maximum Billing unit
Enhanced adult day service $41.20 1 day
Enhanced adult day service $20.60 1/2 day
Enhanced adult day service $1.29 15 minutes
Intensive adult day service $54.08 1 day
Intensive adult day service $27.04 1/2 day
Intensive adult day service $1.69 15 minutes
Adult day service transportation $2.18 1 mile
Adult day service transportation $16.32 1 one-way trip
Adult day service transportation $20.11 1 round trip
Meals: home delivered $6.51 1 meal
Meals: therapeutic $9.19 1 meal
Homemaker service $3.79 1/4 hour
Chore service $2,575.00 1 job
Social work counseling service $16.03 1/4 hour
Nutritional consultation service $13.14 1/4 hour
Personal care service $4.28 1/4 hour
Home medical equipment & supplies: Ambulatory $5,150.00 1 Item
Home Med. Eq. and Supplies: Ambulatory – Second One $5,150.00 1 Item
Home Med. Eq. and Supplies: Ambulatory – Third One $5,150.00 1 Item
Home Med. Eq. and Supplies: Non-Ambulatory $5,150.00 1 Item
Home Med. Eq. and Supplies: Non-Ambulatory – Second One $5,150.00 1 Item
Home Med. Eq. and Supplies: Non-Ambulatory – Third One $5,150.00 1 Item
Home Med. Eq. and Supplies: Hygiene and Disposables $5,150.00 1 Item
Home Med. Eq. and Supplies: Hygiene and Disposables-Second One $5,150.00 1 Item
Home Med. Eq. and Supplies: Hygiene and Disposables-Third One $5,150.00 1 Item
Home Med. Eq. and Supplies: Equipment Repair $5,150.00 1 Item
Home Med. Eq. and Supplies: Nutrition Supplement and Supplies $5,150.00 1 Item
Emergency response system $46.35 1 month rental
Emergency response system $46.35 installation
Emergency response system $100.00 alternative ERS device
Minor home modification $7,725.00 1 completed work order
Independent living assistance: in person activities $5.15 1/4 hour
Independent living assistance: travel attendant $5.15 1/4 hour
Independent living assistance: telephone assistance $5.15 completed call
Transportation $1,287.50 1 round trip
Transportation $643.75 1 one way trip
All services are reimbursed at the usual and customary rates or the Medicaid maximum rate whichever is lower.
Effective: 10/01/2007
R.C. 119.032 review dates: 07/16/2007 and 10/01/2012
Promulgated Under: 119.03
Statutory Authority: 5111.85
Rule Amplifies: 5111.85
Prior Effective Dates: 1/1/04, 7/1/06, 7/2/07 (Emer.)