Ohio Administrative Code Search
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Rule 173-45-09 | Long-term care consumer guide: fees, invoices, and penalties.
...sumer guide fees from facilities: (1) From nursing facilities, ODA shall collect six hundred fifty dollars. (2) From residential care facilities, ODA shall collect three hundred fifty dollars. (B) Invoices: Annually, ODA shall provide each facility described in paragraphs (A)(1)(a) and (A)(1)(b) of this rule with an invoice requesting payment of the consumer guide fee. The invoice shall inc... |
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Rule 173-45-09 | Long-term care consumer guide: fees, invoices, and penalties.
...sumer guide fees from facilities: (1) From nursing facilities, ODA shall collect six hundred fifty dollars. (2) From residential care facilities, ODA shall collect three hundred fifty dollars. (B) Invoices: Annually, ODA shall provide each facility described in paragraphs (A)(1)(a) and (A)(1)(b) of this rule with an invoice requesting payment of the consumer guide fee. The invoice shall inc... |
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Rule 173-45-10 | Long-term care consumer guide: consumer satisfaction surveys.
...(A) Definitions for this rule: (1) "Consumer satisfaction survey" means the customer satisfaction survey under section 173.47 of the Revised Code. (2) "Domain" means a subset of a survey question identified by the survey administrator as an area of interest to long-term care facility consumers. (3) "Survey administrator" means a designee of ODA responsible for implementing a consumer satisfaction survey. (B) Surv... |
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Rule 173-50-01 | PACE: introduction and definitions.
...(A) Introduction: Chapter 173-50 of the Administrative Code regulates PACE. PACE is a managed-care program that provides its participants with all of their necessary health care, medical care, and ancillary services in acute, sub-acute, institutional, and community settings. Examples of PACE services are primary and specialty care, adult day services, personal care services, inpatient hospital sta... |
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Rule 173-50-01 | PACE: introduction and definitions.
...e" has the same meaning as in rule 5160-36-01 of the Administrative Code. "CMS" means "the centers for medicare and medicaid services." "IDT" means "inter-disciplinary team." "ODA" means "the Ohio department of aging." "ODA's designee" has the same meaning as in rule 173-39-01 of the Administrative Code. "ODM" means "the Ohio department of medicaid." "ODM's administrative agency" has ... |
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Rule 173-50-02 | PACE: eligibility requirements.
...s all the following requirements: (1) The person is at least fifty-five years of age. (2) The person resides within a PACE organization's service area. (3) The person has an intermediate or skilled level of care in accordance with rule 5160-3-08 of the Administrative Code. (4) ODA or its designee determine the person can live in a community setting without jeopardizing his or her health and ... |
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Rule 173-50-02 | PACE: participant eligibility.
...el of care in accordance with rule 5160-3-08 of the Administrative Code. (D) ODA determines, according to 42 C.F.R. 460.150(c)(2), that the person can live in a community setting without jeopardizing his or her health and safety. (E) The person, who may be enrolled as a medicaid or a non-medicaid enrollee, is responsible for payment to the PACE organization as follows: (1) If a person is applyi... |
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Rule 173-50-03 | PACE: enrollment, plan of care, and reassessment.
...(A) Oversight: (1) ODA manages the enrollment for PACE. (2) ODA determines if a slot is available in PACE. (3) ODA reserves the right to restrict enrollment based upon funding for PACE. (4) ODA reserves the right to increase or decrease the maximum number of PACE slots. (B) Enrollment process, in general: (1) To begin the enrollment process, a person may apply through either ODM's admini... |
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Rule 173-50-03 | PACE: enrollment, plan of care, and reassessment.
...(A) Oversight: (1) ODA manages the enrollment for PACE. (2) ODA determines if a slot is available in PACE. (3) ODA reserves the right to restrict enrollment based upon funding for PACE. (4) ODA reserves the right to increase or decrease the maximum number of PACE slots. (B) Enrollment process, in general: (1) To begin the enrollment process, a person may apply through either ODM's admini... |
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Rule 173-50-03 | PACE: application, assessment, enrollment, plan of care, reassessment, and continued enrollment.
...(A) Oversight: (1) ODA manages the enrollment for PACE. (2) ODA determines if a slot is available in PACE. (3) ODA may restrict enrollment based upon funding for PACE. (4) ODA may increase or decrease the maximum number of PACE slots. (B) Intake process: (1) A person may apply for PACE through either ODM's administrative agency or a PACE organization. The two agencies coordinate intake w... |
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Rule 173-50-03 | PACE: application, assessment, enrollment, plan of care, reassessment, and continued enrollment.
...(A) Oversight: (1) ODA manages the enrollment for PACE. (2) ODA determines if a slot is available in PACE. (3) ODA may restrict enrollment based upon funding for PACE. (4) ODA may increase or decrease the maximum number of PACE slots. (B) A person may apply for PACE through either ODM's administrative agency or a PACE organization. The two agencies coordinate intake with ODA. (1) The PAC... |
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Rule 173-51-01 | Assisted living program (state-funded component): introduction and definitions.
...(A) Introduction: Chapter 173-51 of the Administrative Code regulates the state-funded component of the assisted living program created under section 173.543 of the Revised Code. (See Chapter 173-38 of the Administrative Code for rules on the medicaid-funded component of the assisted living program.) (B) Definitions for this chapter: "Assisted living program" (program) means the state-funded... |
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Rule 173-51-01 | Assisted living program (state-funded component): introduction and definitions.
...iving program created under section 173.543 of the Revised Code. (See Chapter 173-38 of the Administrative Code for rules on the medicaid-funded component of the assisted living program.) (B) Definitions for this chapter: "Assisted living program" (program) means the state-funded component of the assisted living program. This component temporarily provides eligible individuals with the assis... |
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Rule 173-51-01 | Assisted living program (state-funded component): introduction and definitions.
...iving program created under section 173.543 of the Revised Code. (See Chapter 173-38 of the Administrative Code for rules on the medicaid-funded component of the assisted living program.) (B) Definitions for this chapter: "Assisted living program" (program) means the state-funded component of the assisted living program. ODA created the component under the authority of section 173.543 of the... |
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Rule 173-51-02 | Assisted living program (state-funded component): eligibility requirements.
...t of the assisted living program: (1) Consultation: The individual participated in a long-term care consultation under section 173.42 of the Revised Code and 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 assisted living program, but the app... |
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Rule 173-51-02 | Assisted living program (state-funded component): eligibility.
...t of the assisted living program: (1) Consultation: The individual participated in a long-term care consultation under section 173.42 of the Revised Code and 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 assisted living program, but the app... |
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Rule 173-51-02 | Assisted living program (state-funded component): eligibility requirements.
...t of the assisted living program: (1) Consultation: The individual participated in a long-term care consultation under section 173.42 of the Revised Code and 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 assisted living program, but the app... |
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Rule 173-51-03 | Assisted living program (state-funded component): disenrollment and other adverse actions.
... or more of the following situations: (1) The individual no longer meets all requirements under rule 173-51-02 of the Administrative Code, unless the only requirement the individual no longer meets is the PETI requirement listed in paragraph (A)(5) of that rule, during a state of emergency declared by the governor, or during a federal public health emergency if federal financial participation pays for all of the ind... |
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Rule 173-51-03 | Assisted living program (state-funded component): disenrollment and other adverse actions.
...more of the following situations: (1) The individual no longer meets all requirements under rule 173-51-02 of the Administrative Code, unless the only requirement the individual no longer meets is the PETI requirement listed in paragraph (A)(5) of that rule or during a state of emergency declared by the governor. (2) ODM's administrative agency determined the individual meets all medicaid fi... |
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Rule 173-51-03 | Assisted living program (state-funded component): disenrollment and other adverse actions.
...more of the following situations: (1) The individual no longer meets all requirements under rule 173-51-02 of the Administrative Code, unless the only requirement the individual no longer meets is the PETI requirement listed in paragraph (A)(5) of that rule, during a state of emergency declared by the governor, or during a federal public health emergency if federal financial participation pay... |
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Rule 173-60-03 | Nursing home quality initiative: approval and rescission processes for quality improvement projects.
...(A) Approval: (1) An entity that sponsors a quality improvement project may apply for ODA's approval of its project by completing the application found by following the "submit your proposal here" link on the "Nursing Home Quality Initiative" website (https://aging.ohio.gov/nursinghomequalityimprovement). (2) ODA shall deny a proposed project if the entity in paragraph (A)(1) of this rule does n... |
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Rule 173-60-03 | Nursing home quality initiative: approval and rescission processes for quality improvement projects.
...(A) Approval: (1) An entity that sponsors a quality improvement project may apply for ODA's approval of its project by completing the application found by following the "submit your proposal here" link on the "Nursing Home Quality Initiative" website (https://aging.ohio.gov/nursinghomequalityimprovement), unless paragraph (B) of this rule applies. (2) ODA shall deny a proposed project if the... |
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Rule 175-10-01 | Definitions.
... promulgated in accordance with section 1347.15 of the Revised Code, the following definitions apply: (A) "Access" as a noun means an instance of copying, viewing, or otherwise perceiving whereas "access" as a verb means to copy, view, or otherwise perceive. (B) "Acquisition of a new computer system" means the purchase of a "computer system," as defined in this rule, that is not a computer system currently in place... |
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Rule 175-10-04 | Confidentiality statutes.
... this agency in accordance with section 1347.15 of the Revised Code: (A) Social security numbers: 5 U.S.C. 552a., unless the individual was told that the number would be disclosed. (B) "Bureau of Criminal Investigation and Information" criminal records check results: section 4776.04 of the Revised Code. (C) Financial statements and data submitted to the agency for any purpose by any person in connection with apply... |
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Rule 175-12-01 | Definitions.
...owner under division (D) of section 175.17 of the Revised Code. (F) "Designated reporter" means the project development owner or one of the owner's direct or indirect partners, members, or shareholders, as selected by the owner under division (B) of section 175.17 of the Revised Code. (G) "Development costs" means actual costs for marketing, appraisal, closing, administration, land, site dev... |