5122-25-08 Certification fees.

(A) Deemed status

Providers who have received deemed status pursuant to mle 5122-25-04 of the Administrative Code are subject to the following fee structure:

(1) A provider applying for initial certification and deemed status that has obtained appropriate accreditation for all of the services in which it is seeking certification shall be exempt from paying a certification fee.

(2) A provider applying for initial certification and deemed status which has obtained accreditation for some, but not all, of the services for which it is seeking certification shall pay a certification fee calculated based on only those non-accredited services which the provider is seeking certification.

(3) When renewing certification, a provider with deemed status for some or all of its services shall pay a certification fee calculated based only those services which are non-accredited.

(4) A provider granted deemed status chosing not to renew its accreditation for some or all of its services shall pay a certification fee within sixty days of notifying the department that it has chosen not to submit an application to renew its accreditation. The certification fee shall be based upon the non-accredited services and shall be prorated for the remainder of the provider's certification term.

(B) Non-deemed status

(1) Initial certification: A provider not seeking deemed status shall pay the certification fee at the time of application.

(2) A non-deemed status provider seeking to renew its certification shall pay a renewal fee at least sixty days prior to the expiration of its current certification.

(C) Certification fee The certification fee shall be calculated based on the provider's total annual budget for services which are being certified, but which are not accredited, using table one:

Table 1 certification fee

Annual budget for certified services:

Fee owed:

$0 through $75,000

$0

$75,001 through $250,000

$100

$250,001 through $500,000

$1000

$500,001 through $1,500,000

$2000

$1,500,001 through $3,000,000

$3000

over $3,000,000

$4000

(1) Consumer operated services shall be exempt from the certification fee.

(2) Providers shall be exempt from certification fees for the health home service during the period in which the provider is attempting to obtain accreditation as required by rule 5122-29-33 of the Administrative Code.

(3) Driver intervention program providers may exclude the cost of housing from the annual budget when calculating certification fees.

(D) Additional services

(1) Non-deemed providers.

A non-deemed provider adding an additional service during the term of certification shall pay an additional certification fee based upon the annual budget of the new service for each occurence of adding one or more additional service. The fee shall be calculated using table one of this rule and prorated for the remainder of the provider's certification term.

(2) Deemed providers.

A deemed provider adding an additonal service during the term of certification shall pay an additional certification fee only for those additional services for which the provider is not accredited. The fee shall be calculated using table one of this rule and prorated for the remainder of the provider's certification term.

(E) A provider whose deemed status has been revoked in accordance with rule 5122-25-02 of the Administrative Code shall be assessed a certification fee in accordance with this rule, which shall be due within sixty days of the department revoking deemed status.

(F) The certification fee must be paid by the provider into the sale of goods and services fund created pursuant to section 5119.44 of the Revised Code.

Replaces 5122-25-08

Effective: 2/1/2016
Five Year Review (FYR) Dates: 02/01/2021
Promulgated Under: 119.03
Statutory Authority: 5119.36
Rule Amplifies: 5119.36
Prior effective dates: 10/1/03, 7/1/09