(A) General.
The JFS 04080 “Medicaid Resource Assessment Notice” (rev. 10/2005) shall conform to all conditions set forth in rule 5101:1-39-35 of the Administrative Code.
(B) Notification.
(1) All NF and ICF-MR operators shall furnish written notice at the time of admission to all individuals with a spouse living in the community of the individual’s right to have a resource assessment performed by the county department of job and family services (CDJFS). This includes individuals who, at the time of admission, are eligible for the medicare program, or who are covered by a private third party payer.
(2) The NF or ICF-MR operator shall do all of the following:
(a) Give a copy of the resource assessment notice to the resident’s family member, legal guardian, or authorized agent; and
(b) Send a copy of the signed resource assessment notice to the CDJFS within five working days; and
(c) Post an unsigned copy of the resource assessment notice in a prominent, publicly accessible place within the facility.
(C) Record retention.
A NF or ICF-MR operator shall keep a signed copy of the resource assessment notice in a resident’s record as long as he or she is a resident of the facility. This copy shall be made available upon request to the staff of the Ohio department of job and family services (ODJFS), the CDJFS, and the Ohio department of health (ODH).
Replaces: 5101:3-3- 16.1
Effective: 04/01/2008
R.C. 119.032 review dates: 04/01/2013
Promulgated Under: 119.03
Statutory Authority: 5111.02
Rule Amplifies: 5111.01, 5111.02
Prior Effective Dates: 1/1/90 (Emer), 3/22/90, 1/1/95, 1/2/96 (Emer), 3/14/96, 5/16/02, 9/29/05