(A) An eligible provider for purposes of this chapter is an entity that is operating a program certified in accordance with the requirements set forth in Chapters 3793:2-1 and 3793:2-2 of the Administrative Code, or certified in accordance with the requirements set forth in Chapters 3793:2-1 and 3793:2-2 of the Administrative Code and licensed according to Chapter 3793:2-3 of the Administrative Code as a methadone program ,or certified in accordance with the requirements set forth in Chapters 3793:2-1 and 3793:2-5 of the Administrative Code . For services provided prior to July 1, 2012 an eligible provider must contract with an alcohol and drug addiction services board or an alcohol, drug addiction and mental health services board to receive medicaid reimbursement for the medicaid covered services defined in rule 5101:3-30-02 of the Administrative Code. For services provided after July 1, 2012, no contract between the provider and board is required for reimbursement of medicaid covered services. Alcohol and other drug treatment services must be provided in accordance with Chapter 5101:3-30 and Chapter 5101:3-1 of the Administrative Code.
(B) For any provider that is a government entity which receives nonfederal public funds, including but not limited to county departments of human services, county children services boards and local education agencies, eligibility is further contingent upon demonstration by the agency, 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 service(s) and certified as representing expenditures eligible for federal financial participation.
(C) An eligible provider must have a signed valid Ohio health plans provider agreement approved by and on file with the Ohio department of job and family services.
R.C. 119.032 review dates: 04/16/2012 and 07/01/2017
Promulgated Under: 119.03
Statutory Authority: 5111.02
Rule Amplifies: 5111.01, 5111.02, 3793.06, 3793.11, section 5111.913 in Am. Sub. HB153 of the 129th General Assembly
Prior Effective Dates: 7/1/91 (Emer.), 9/30/91, 8/1/93