5160-3-06.
Criteria for the protective level of care
| (A) |
This rule describes the criteria for an
individual to meet the protective level of care. |
| (B) |
The
criteria for the protective level of care is met when:
| (1) |
The
individual's needs for long-term services and supports (LTSS), as
defined in rule 5101:3-3-05 of the Administrative Code, are less than
the criteria for the intermediate or skilled levels of care, as
described in paragraphs (B)(4), (C), and (D)(4) of rule 5101:3-3-08
of the Administrative Code. |
| (2) |
The
individual's LTSS needs are less than the criteria for the
ICF-MR-based level of care, as defined in rule 5101:3-3-05 of the
Administrative Code. |
| (3) |
The
individual has a need for:
| (a) |
Less
than twenty-four hour support, as defined in rule 5101:3-3-05 of the
Administrative Code, in order to prevent harm due to a cognitive
impairment, as diagnosed by a physician or other licensed health
professional acting within his or her applicable scope of practice,
as defined by law; or |
| (b) |
Supervision, as defined in rule 5101:3-3-05 of the Administrative
Code, of one activity of daily living (ADL), as defined in rule
5101:3-3-05 of the Administrative Code and as described in paragraph
(C) of this rule, or supervision of medication administration, as
defined in rule 5101:3-3-05 of the Administrative Code; and |
| (c) |
Assistance, as defined in rule 5101:3-3-05
of the Administrative Code, with three instrumental activities of
daily living (IADL), as defined in rule 5101:3-3-05 of the
Administrative Code and as described in paragraph (D) of this
rule. |
|
|
| (C) |
For
the purposes of meeting the criteria described in paragraph (B)(3) of
this rule, an individual has a need in an ADL when:
| (1) |
The
individual requires supervision of mobility in at least one of the
following three components:
|
| (2) |
The
individual requires supervision of bathing. |
| (3) |
The
individual requires supervision of grooming in all of the following
three components:
|
| (4) |
The
individual requires supervision of toileting in at least one of the
following four components:
| (a) |
Using
a commode, bedpan, or urinal; |
| (b) |
Changing incontinence supplies or feminine hygiene products; |
| (d) |
Managing an ostomy or catheter. |
|
| (5) |
The
individual requires supervision of dressing in at least one of the
following two components:
| (a) |
Putting on and taking off an item of
clothing or prosthesis; or |
| (b) |
Fastening and unfastening an item of clothing or prosthesis. |
|
| (6) |
The individual requires supervision of
eating. |
|
| (D) |
For
the purposes of meeting the criteria described in paragraph (B)(3) of
this rule, an individual has a need in an IADL when:
| (1) |
The
individual requires assistance with meal preparation. |
| (2) |
The individual requires assistance with
environmental management in all of the following three
components:
| (c) |
Yard work and/or maintenance. |
|
| (3) |
The individual requires assistance with
personal laundry. |
| (4) |
The
individual requires assistance with community access in at least one
of the following three components:
| (a) |
Accessing transportation; |
| (b) |
Handling finances; or |
|
| (5) |
The
individual requires assistance with shopping. Replaces: Part of 5101:3-3-08
|
|
Cite as Ohio Admin. Code 5160-3-06
History. Effective:
03/19/2012
R.C.
119.032 review dates:
03/01/2017
Promulgated Under:
119.03
Statutory Authority:
5111.02
Rule Amplifies:
5111.01,
5111.02 ,
5111.204
Prior Effective Dates: 9/24/93 (Emer.), 12/24/93, 7/1/08