Rule 5122-25-11 | Refusal and revocation of certification.
(A) The director may refuse to certify certifiable services and supports, refuse to renew certification, or revoke certification if any of the following applies to the provider:
(1) The provider is not in compliance with the rules in this chapter or Chapters 5122-24, 5122-26, 5122-27, 5122-28, or 5122-29 of the Administrative Code;
(2) The provider has been cited for a pattern of serious noncompliance or repeated violations of statutes or rules during the current certification period or any previous certification period;
(3) The provider has been found to be in violation of section 5119.36 or 5119.396 of the Revised Code;
(4) The provider submits false or misleading information as part of a certification application, renewal, on-site review, or investigation or submits false or misleading information to the department of medicaid or a board of alcohol, drug addiction or mental health services;
(5) The provider does not have adequate staff and equipment to provide the certifiable services or supports;
(6) The provider, whether through its directors, officers, employees, agents, or contractors, falsifies client records in any way;
(7) The provider becomes aware of an employee falsifying information on client records which have been billed to the department of medicaid or the department of medicaid's contractor and fails to pay back the funds within thirty days or notify the department of medicaid within thirty days;
(8) The provider is aware of an employee who has abused or neglected a client and has failed to take appropriate disciplinary action to correct the situation;
(9) The department has been notified under section 5119.367 of the Revised Code, or is aware that the provider, any owner or principal of the provider, or any subsidiary of the provider or owner has been the subject of an adverse action, as defined in that section, taken during the three-year period immediately preceding the date of notification or date of becoming aware of the adverse action;
(10) The provider misuses or fails to properly account for the disbursement of local, state, or federal funds;
(11) The provider fails to provide timely access to its records as requested by the department;
(12) The provider has not fulfilled the certification fee prerequisite, unless exempt from the fee;
(13) If applicable, the provider does not possess current and appropriate accreditation for the services for which it seeks certification or has been providing services; or
(14) The provider altered or modified its certificate.
(B) The department's refusal to certify certifiable services or supports, refusal to renew certification, or decision to revoke certification is subject to appeal under Chapter 119 of the Revised Code.
(C) If the director proposes to take action under section 5119.36 of the Revised Code or this rule on an initial or renewal application, the director is to notify the board of alcohol, drug addiction, and mental health services serving the alcohol, drug addiction, and mental health service district in which the certifiable services or supports will be or were provided, and provide the board an opportunity to respond with respect to that initial or renewal application.
(D) Any provider that has had its certification revoked pursuant to this rule is not eligible to apply to the department for certification for at least five years from the date of revocation without the written consent of the department. Any provider with a principal or subsidiary who was a principal or subsidiary of another organization that had its certification revoked is not eligible to apply to the department for certification for at least five years from the date of revocation without the written consent of the department.
(E) Any person or government entity for which the department has refused to certify certifiable services and supports or has refused to renew certification pursuant to this rule is not eligible to apply to the department for certification for at least three years from the date of refusal without the written consent of the department. Any provider, any owner or principal of the provider, or any subsidiary of the provider or owner that had its certification refused is not eligible to apply to the department for certification for at least three years from the date of refusal without the written consent of the department.
(F) The date on which certification was refused or revoked is the date specified by the department in writing to the provider. On and after such date, the provider is not to provide certifiable services.
(G) Not later than thirty days after the issuance of a final order for disciplinary action, the department shall provide notice of that action to the applicable board of alcohol, drug addiction, and mental health services.
Last updated August 3, 2026 at 8:28 AM
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