Ohio Administrative Code Search
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Rule 173-39-02.20 | ODA provider certification: enhanced community living.
...(A) Definitions for this rule: (1) "Enhanced community living" (ECL) means a service promoting aging in place, in multi-family affordable housing, through access to on-site, individually-tailored, health-related, and supportive interventions for individuals who have functional deficits resulting from one or more chronic health conditions. (a) ECL includes the following activities: (i) The estab... |
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Rule 173-39-02.25 | ODA provider certification: structured family caregiving.
...iving" has the same meaning as in rule 5160-44-33 of the Administrative Code. (B) Requirements for every ODA-certified provider of structured family caregiving: (1) The provider is subject to rule 173-39-02 of the Administrative Code. (2) The provider is subject to rule 5160-44-33 of the Administrative Code. (3) The provider may allow a person to serve as a caregiver only if the person meets a... |
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Rule 173-39-03 | ODA provider certification: applying for certification.
...(A) Initial steps: (1) A person may apply for certification by completing an application in the provider management system, which includes electronic submission of all supporting records required as part of the application. An incomplete application expires if the person does not complete the application within ninety days. (2) ODA shall review an application to determine if the application meet... |
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Rule 173-39-03.2 | ODA provider certification: changes of ownership interest or organizational structure.
...Introduction: Section 173.39 of the Revised Code prohibits ODA from paying a provider for services provided to individuals enrolled in the PASSPORT or assisted living programs unless the provider is an ODA-certified provider. ODA-certification is assigned to a provider's federal taxpayer identification number (TIN) and is not transferable. This rule applies in all instances where there is a change of owners... |
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Rule 173-39-04 | ODA provider certification: structural compliance reviews.
...ee to conduct subsequent reviews: (1) The one-year anniversary of the previous review if the provider is one of the following: (a) A provider of an adult day service. (b) A provider of an assisted living service. (c) An agency provider of personal care that is neither certified by medicare nor accredited by the accreditation commission for health care, the community health accreditation partner, t... |
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Rule 173-39-04 | ODA provider certification: structural compliance reviews.
...ch provider. (B) Subsequent reviews: (1) ODA's designee shall conduct subsequent reviews of providers of personal emergency response systems; home maintenance and chores; home medical equipment and supplies; home modification; non-emergency medical transportation; and non-medical transportation no later than seven hundred thirty days after the date of the previous review. (2) No later than three hundred sixty-five... |
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Rule 173-39-04 | ODA provider certification: structural compliance reviews.
...ee to conduct subsequent reviews: (1) The one-year anniversary of the previous review if the provider is one of the following: (a) A provider of an adult day service. (b) A provider of an assisted living service. (c) A provider of personal care, enhanced community living, waiver nursing, or structured family caregiving that is neither certified by medicare nor accredited by the accreditation c... |
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Rule 173-39-05 | ODA provider certification: disciplinary actions.
...(A) Introduction: Pursuant to section 173.391 of the Revised Code, ODA or its designee may impose disciplinary action against an ODA-certified provider (provider) for good cause, including misfeasance, malfeasance, nonfeasance, confirmed abuse or neglect, financial irresponsibility, or other conduct ODA determines is injurious, or poses a threat, to the health or safety of individuals being served. (B) Disciplinary ... |
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Rule 173-39-05 | ODA provider certification: disciplinary actions.
...(A) Introduction: Pursuant to section 173.391 of the Revised Code, ODA or its designee may impose disciplinary action against an ODA-certified provider (provider) for good cause, including misfeasance, malfeasance, nonfeasance, confirmed abuse or neglect, financial irresponsibility, or other conduct ODA determines is injurious, or poses a threat, to the health or safety of individuals being served... |
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Rule 173-39-05 | ODA provider certification: disciplinary actions.
...(A) Introduction: Pursuant to section 173.391 of the Revised Code, ODA or its designee may impose disciplinary action against an ODA-certified provider (provider) for good cause, including misfeasance, malfeasance, nonfeasance, confirmed abuse or neglect, financial irresponsibility, or other conduct ODA determines is injurious, or poses a threat, to the health or safety of individuals being served. (B) Disciplinary ... |
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Rule 173-40-01 | PASSPORT program (state-funded component): introduction and definitions.
...(A) Introduction: Chapter 173-40 of the Administrative Code regulates the state-funded component of the PASSPORT program created under section 173.522 of the Revised Code. (See Chapter 173-42 of the Administrative Code for rules on the medicaid-funded component of the PASSPORT program.) (B) Definitions for this chapter: "Authorized representative" has the same meaning as in rule 5160-1-33 of... |
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Rule 173-40-01 | PASSPORT program (state-funded component): introduction and definitions.
...SPORT program created under section 173.522 of the Revised Code. (See Chapter 173-42 of the Administrative Code for rules on the medicaid-funded component of the PASSPORT program.) (B) Definitions for this chapter: "Authorized representative" has the same meaning as in rule 5160-1-33 of the Administrative Code. "ODA" means the Ohio department of aging. "ODA's designee" has the same meaning... |
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Rule 173-40-01 | PASSPORT program (state-funded component): introduction and definitions.
...SPORT program created under section 173.522 of the Revised Code. (See Chapter 173-42 of the Administrative Code for rules on the medicaid-funded component of the PASSPORT program.) (B) Definitions for this chapter: "Authorized representative" has the same meaning as in rule 5160-1-33 of the Administrative Code. "Form ODA1115" means form ODA1115, "Financial Assessment Worksheet" (rev. February 2... |
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Rule 173-40-02 | PASSPORT program (state-funded component): individual eligibility requirements.
...basis of presumptive eligibility: (1) Consultation: The individual participated in a long-term care consultation under Chapter 173-43 of the Administrative Code. (2) Financial requirements: (a) The individual contacted either ODA's designee or ODM's administrative agency to apply for the medicaid-funded component of the PASSPORT program, but the application is still pending because ODM's ad... |
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Rule 173-40-02 | PASSPORT program (state-funded component): individual eligibility.
...basis of presumptive eligibility: (1) Consultation: The individual participated in a long-term care consultation under Chapter 173-43 of the Administrative Code. (2) Financial requirements: (a) The individual contacted either ODA's designee or ODM's administrative agency to apply for the medicaid-funded component of the PASSPORT program, but the application is still pending because ODM's ad... |
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Rule 173-40-02 | PASSPORT program (state-funded component): individual eligibility requirements.
...basis of presumptive eligibility: (1) Consultation: The individual participated in a long-term care consultation under Chapter 173-43 of the Administrative Code. (2) Financial requirements: (a) The individual contacted either ODA's designee or ODM's administrative agency to apply for the medicaid-funded component of the PASSPORT program, but the application is still pending because ODM's ad... |
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Rule 173-42-01 | PASSPORT program (medicaid-funded component): introduction and definitions.
...(A) Introduction: Chapter 173-42 of the Administrative Code regulates the medicaid-funded component of the PASSPORT program created under section 173.52 of the Revised Code. (See Chapter 173-40 of the Administrative Code for rules on the state-funded component of the PASSPORT program.) (B) Definitions for this chapter: "Authorized representative" has the same meaning as in rule 5160-1-33 of ... |
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Rule 173-42-01 | PASSPORT program (medicaid-funded component): introduction and definitions.
...SPORT program created under section 173.52 of the Revised Code. (See Chapter 173-40 of the Administrative Code for rules on the state-funded component of the PASSPORT program.) (B) Definitions for this chapter: "Authorized representative" has the same meaning as in rule 5160-1-33 of the Administrative Code. "Nursing facility" has the same meaning as in section 5165.01 of the Revised Code. "ODA... |
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Rule 173-42-03 | PASSPORT program (medicaid-funded component): enrollment and reassessment of individuals.
...rements for the program under rule 5160-31-03 of the Administrative Code, ODM's administrative agency shall determine if the individual meets all medicaid financial eligibility requirements required by that rule and ODA's designee shall determine if the individual meets all non-financial eligibility requirements required by that rule. An individual may contact either ODM's administrative agency or... |
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Rule 173-42-03 | PASSPORT program (medicaid-funded component): enrollment and reassessment of individuals.
...plications for enrollment as follows: (1) If the individual makes initial contact with ODM's administrative agency, then ODM's administrative agency shall help the individual apply and process the applications for medicaid (unless already enrolled in medicaid) and the medicaid-funded component of the PASSPORT program. If ODM's administrative agency notifies ODA's designee that the individual meet... |
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Rule 173-42-06 | PASSPORT program (medicaid-funded component): individuals' choices and responsibilities.
...(A) Person-centered planning: (1) The individual and ODA's designee shall meet by telephone, video conference, or in person to develop the individual's person-centered services plan (plan) according to rule 5160-44-02 of the Administrative Code. (2) Responsibilities for ODA's designee: (a) ODA's designee shall draft the plan in plain language that an individual with disabilities or limited ... |
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Rule 173-42-06 | PASSPORT program (medicaid-funded component): individuals' choices and responsibilities.
...(A) Person-centered planning: (1) The individual and ODA's designee shall meet by telephone, video conference, or in person to develop the individual's person-centered services plan (plan) according to rule 5160-44-02 of the Administrative Code. (2) Responsibilities for ODA's designee: (a) ODA's designee shall draft the plan in plain language that an individual with disabilities or limited ... |
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Rule 173-42-06 | PASSPORT program (medicaid-funded component): individuals' choices and responsibilities.
...(A) Person-centered planning: (1) The individual is subject to rule 5160-44-02 of the Administrative Code. To comply with that rule, the individual and ODA's designee have flexibility to meet by telephone, video conference, or in person to develop the individual's person-centered services plan (plan). (2) ODA's designee shall draft the plan according to the requirements in rule 5160-44-02 of... |
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Rule 173-43-05 | Long-term care consultation program:
staff certification.
...(A) Section 173.42 of the Revised Code permits a person to provide a consultation only if ODA certifies the person. (B) Qualifications for certification: ODA may certify a person to provide consultations only if the person meets all of the following qualifications: (1) The person is an employee of the program administrator. (2) The person meets at least one of the following qualifications: ... |
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Rule 173-45-06.1 | Long-term care consumer guide: information on services provided by facilities.
...h, each facility listed in the guide. (1) Services for nursing facility residents: A nursing facility may check any of the following boxes that describes a specialized service the nursing facility offers: (a) Alzheimer's disease/dementia care (secured or unsecured): A nursing facility may check the "Alzheimer's disease/dementia care (secured or unsecured)" box if it specializes in providing spec... |