5101:3-27-01 Eligible providers.

(A) An “eligible provider” for purposes of this chapter is one of the following:

(1) The Ohio department of mental health, when providing a community mental health service that meets the requirements set forth in section 5111.022 of the Revised Code and Chapters 5122-23 to 5122-29 of the Administrative Code; or

(2) An agency meeting the requirements set forth in section 5111.022 of the Revised Code that has negotiated a contract with a community mental health board as defined in rule 5122-24-01 of the Administrative Code. For such an agency that is a government entity which receives nonfederal public funds, including but not limited to county departments of human services, county children’s services boards and local education agencies, eligibility is further contingent upon demonstration by the agency, as requested by the department of mental health, that sufficient state and/or local public funds not otherwise encumbered to match other federal funds will be committed to match Title XIX funds for reimbursement of the contracted services.

(3) In addition to the requirements of paragraph (A)(1) or (A)(2) of this rule, any medicaid covered service as set forth in rule 5101:3-27-02 of the Administrative Code must be provided.

(B) An eligible provider may subcontract for services. For such services to be billable, the services must be certified in accordance with section 5119.61 of the Revised Code and provided in accordance with the provisions set forth in Chapter 5101:3-27 of the Administrative Code.

R.C. 119.032 review dates: 4/16/2002 and 04/16/2007

Promulgated Under: 119.03

Statutory Authority: 5111.02

Rule Amplifies: 5111.01, 5111.02, 5111.022

Prior Effective Dates: April 20, 1982 (Temp.), August 1, 1982, March 19, 1987, September 1, 1991