Rule 5160-12-03 | Home health service providers.
(A) Home health services are provided by medicare certified home health agencies (MCHHA). MCHHAs must:
(1) Be certified for medicare participation by the centers for medicare and medicaid services.
(2) Be licensed by the Ohio department of health (ODH) in accordance with Chapter 3701-60 of the Administrative Code.
(3) Meet the conditions of participation in accordance with 42 C.F.R. part 484 (October 1, 2014).
(B) When terminating a service, providers of home health services need to submit written notification to the individual at least thirty days prior to the last date of service, unless:
(1) The individual's treating physician has discontinued home health services
(2) The treating physician has been notified that goals have been met;
(3) The individual no longer resides at their known place of residence or their whereabouts are unknown;
(4) The individual or another person has harmed or threatened to harm staff of the MCHHA;
(5) The individual has had a change in payor.
(6) Services are no longer authoized.
(C) Providers of home health services will maintain documentation on all aspects of services provided in accordance with this chapter. All documentation should be complete prior to billing for services provided and is subject to monitoring by ODM in accordance with rule 5160-1-27 of the Administrative Code. This includes, but is not limited to:
(1) Clinical records, including all signed orders; and
(2) Time keeping records that indicate the date and time span of the services provided during each visit, and the type of services provided.
(D) The MCHHA will notify the individual prior to a scheduled visit when unable to provide scheduled services.
(E) If home health services are being provided to an individual enrolled in a home and community-based services (HCBS) waiver, the services will be coordinated with the waiver administrator and documented in their person-centered care plan.
Last updated September 3, 2026 at 8:18 AM
Supplemental Information
Amplifies: 5164.16, 5162.03, 5164.02, 5166.02
Five Year Review Date: 9/3/2031
Prior Effective Dates: 4/7/1977, 5/1/1987, 3/30/1990 (Emer.), 6/29/1990, 7/1/1990, 3/12/1992 (Emer.), 6/1/1992, 7/31/1992 (Emer.), 10/30/1992, 7/1/1993 (Emer.), 9/1/1993, 1/1/1996, 7/1/1998, 9/29/2000, 9/1/2005, 7/1/2006, 11/8/2007, 7/1/2015