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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Ohio Administrative Code Search

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Rule 5160-40-01 | Medicaid home and community-based services program - individual options waiver.

...(A) Purpose (1) The Ohio department of developmental disabilities (DODD) is responsible for the daily operations of the individual options (IO) waiver which will be administered pursuant to sections 5166.02 and 5166.20 of the Revised Code. (2) DODD operates the IO waiver program pursuant to an interagency agreement with the Ohio department of medicaid (ODM) in accordance with section 5162.35 of...

Rule 5160-41-05 | Waiting lists for home and community-based services administered by the Ohio department of developmental disabilities.

...nity-based services. (B) Definitions (1) "County board" means a county board of developmental disabilities established under Chapter 5126. of the Revised Code with local administrative authority. (2) "DODD" means the Ohio department of developmental disabilities established under section 121.02 of the Revised Code. (3) "Home and community-based services" means services provided under a medicai...

Rule 5160-41-05 | Waiting lists for home and community-based services administered by the Ohio department of developmental disabilities.

...nity-based services. (B) Definitions (1) "County board" means a county board of developmental disabilities (CBDD) established under Chapter 5126. of the Revised Code with local administrative authority. (2) "DODD" means the Ohio department of developmental disabilities established under section 121.02 of the Revised Code. (3) "Home and community-based services" means services provided under a ...

Rule 5160-41-08 | Free choice of provider requirements for medicaid home and community-based services programs administered by the Ohio department of developmental disabilities.

...rograms in accordance with section 5162.35 of the Revised Code. In accordance with section 5166.21 of the Revised Code, the DODD, as the designated administrator, shall promulgate rule(s) to require that recipients of home and community-based services are provided choice of medicaid home and community-based providers consistent with federal free choice of provider requirements set forth in 42 C.F....

Rule 5160-41-17 | Medicaid home and community-based services program - self-empowered life funding waiver.

...(A) Purpose. (1) The purpose of this rule is to establish the self-empowered life funding waiver as a component of the medicaid home and community-based services program pursuant to sections 5166.02 and 5166.20 of the Revised Code. (2) The self-empowered life funding waiver program provides necessary waiver services to individuals who meet criteria for a developmental disabilities level of care ...

Rule 5160-41-17 | Medicaid home and community-based services program - self-empowered life funding waiver.

...(A) Purpose. (1) The Ohio department of developmental disabilities (DODD) is responsible for the daily operation of the self-empowered life funding (SELF) waiver which will be administered pursuant to sections 5166.02 and 5166.20 of the Revised Code. (2) DODD operates the SELF waiver program pursuant to an interagency agreement with the Ohio department of medicaid (ODM) in accordance with sectio...

Rule 5160-41-18 | Individual options waiver-payment standards.

...(DODD) in accordance with sections 5166.02 and 5166.23 of the Revised Code. (B) The DODD is responsible for the daily administration of certain components of the medicaid program, to include HCBS, pursuant to an interagency agreement with the Ohio department of medicaid (ODM) in accordance with sections 5162.35 and 5166.21 of the Revised Code. (C) Individuals enrolled in the individual options HCB...

Rule 5160-41-19 | Level one waiver-payment standards.

...ies (DODD) in accordance with sections 5166.02 and 5166.23 of the Revised Code. (B) The DODD is responsible for the daily administration of certain components of the medicaid program, to include HCBS, pursuant to an interagency agreement with the Ohio department of medicaid (ODM) in accordance with sections 5162.35 and 5166.21 of the Revised Code. (C) Individuals enrolled in the level one HCBS pro...

Rule 5160-41-20 | Self-empowered life funding waiver - payment standards.

...(DODD) in accordance with sections 5166.02 and 5166.23 of the Revised Code. (B) The DODD is responsible for the daily administration of certain components of the medicaid program, to include HCBS, pursuant to an interagency agreement with the Ohio department of medicaid (ODM) in accordance with sections 5162.35 and 5166.21 of the Revised Code. (C) Payment for SELF waiver services will not exceed...

Rule 5160-42-01 | Medicaid home and community-based services program - level one waiver.

...vices program pursuant to sections 5166.20 and 5166.02 of the Revised Code. (1) The level one waiver program provides necessary waiver services to individuals of any age who meet the criteria for a developmental disabilities level of care in accordance with rule 5123-8-01 of the Administrative Code, and other eligibility requirements established in this rule. (2) The Ohio department of developm...

Rule 5160-42-01 | Medicaid home and community-based services program - level one waiver.

...(A) Purpose (1) The Ohio department of developmental disabilities (DODD) is responsible for the daily operation of the level one (L1) waiver which will be administered pursuant to sections 5166.20 and 5166.02 of the Revised Code. (2) DODD operates the L1 waiver program pursuant to an interagency agreement with the Ohio department of medicaid (ODM) in accordance with section 5162.35 of the Revis...

Rule 5160-43-01 | Specialized recovery services program definitions.

...ntains the definitions used in Chapter 5160-43 of the Administrative Code applicable to the specialized recovery services program. (B) Definitions. (1) "Acknowledgment of responsibility" means the document created between the Ohio department of medicaid (ODM) or its designee and an individual enrolled in the program that identifies the interventions recommended by the recovery manager to remedy risks to the health ...

Rule 5160-43-01 | Specialized recovery services program definitions.

...ns the definitions used in Chapter 5160-43 of the Administrative Code applicable to the specialized recovery services program. (B) Definitions. (1) "Adult Needs and Strengths Assessment (ANSA)" (8/2021) is an integration information assessment tool for use in the development of individualized person-centered care plans, to monitor outcomes, and to help design and plan systems of care for adults ...

Rule 5160-43-01 | Specialized recovery services program definitions.

...following definitions apply to Chapter 5160-43 of the Administrative Code: (1) "Adult Needs and Strengths Assessment (ANSA)" (8/2021) is an integration information assessment tool for use in the development of individualized person-centered care plans, to monitor outcomes, and to help design and plan systems of care for adults with behavioral health challenges. (2) "Authorized representative" ...

Rule 5160-43-02 | Specialized recovery services program individual eligibility and program enrollment.

...ll of the following requirements: (1) Be at least twenty-one years of age; (2) Be determined eligible for Ohio medicaid in accordance with Chapters 5160:1-1 to 5160:1-5 of the Administrative Code; (3) Have a behavioral health diagnosis, be active on the solid organ or soft tissue waiting list, or diagnosed chronic condition as listed in the appendix to this rule; (4) Participate in an init...

Rule 5160-43-02 | Specialized recovery services program individual eligibility and program enrollment.

...f they meet all of the following: (1) Be at least twenty-one years of age; (2) Be determined eligible for Ohio medicaid in accordance with Chapters 5160:1-1 to 5160:1-5 of the Administrative Code; (3) Have a behavioral health diagnosis, be active on the solid organ or soft tissue waiting list, or have a diagnosed chronic condition as listed in qualifying diagnosis appendix which is availabl...

Rule 5160-43-03 | Specialized recovery services program individual rights and responsibilities.

...he program in accordance with rule 5160-43-02 of the Administrative Code shall be informed of their rights and responsibilities. Individuals also have choice and control over the arrangement and provision of home and community-based services (HCBS), and the selection and control over the direction of approved services. (B) An individual enrolled in a specialized recovery services program has the ...

Rule 5160-43-03 | Specialized recovery services program individual rights and responsibilities.

...he program in accordance with rule 5160-43-02 of the Administrative Code shall be informed of their rights and responsibilities. Individuals also have choice and control over the arrangement and provision of home and community-based services (HCBS), and the selection and control over the direction of approved services. (B) An individual enrolled in a specialized recovery services program has ...

Rule 5160-43-03 | Specialized recovery services program individual rights and responsibilities.

...he program in accordance with rule 5160-43-02 of the Administrative Code shall be informed of their rights and responsibilities. Individuals also have choice and control over the arrangement and provision of home and community-based services (HCBS), and the selection and control over the direction of approved services. (B) An individual enrolled in a specialized recovery services program has ...

Rule 5160-43-04 | Specialized recovery services program covered services and provider requirements.

...nity integrated employment positions. (1) IPS-SE activities include: (a) Benefits planning; (b) Development of a vocational plan; (c) General consultation, including advocacy and building and maintaining relationships with employers; (d) Individualized job supports, including regular contact with the individual's employer(s), family members, guardians, advocates, treatment providers, and other co...

Rule 5160-43-04 | Specialized recovery services program covered services and provider requirements.

...nity integrated employment positions. (1) IPS-SE activities include: (a) Benefits planning; (b) Development of a vocational plan; (c) General consultation, including advocacy and building and maintaining relationships with employers; (d) Individualized job supports, including regular contact with the individual's employer(s), family members, guardians, advocates, treatment providers, and other co...

Rule 5160-43-04 | Specialized recovery services program covered services and provider requirements.

...nity integrated employment positions. (1) IPS-SE activities include: (a) Benefits planning; (b) Development of a vocational plan; (c) General consultation, including advocacy and building and maintaining relationships with employers; (d) Individualized job supports, including regular contact with the individual's employer(s), family members, guardians, advocates, treatment providers, and other co...

Rule 5160-43-05 | Specialized recovery services program provider conditions of participation.

...services program providers shall: (1) Maintain an active, valid medicaid provider agreement as set forth in rule 5160-1-17.2 of the Administrative Code. (2) Comply with all applicable provider requirements set forth in this chapter of the Administrative Code, including but not limited to: (a) Provider requirements as set forth in rule 5160-43-04 of the Administrative Code; (b) Incident rep...

Rule 5160-43-05 | Specialized recovery services program provider conditions of participation.

...services program providers shall: (1) Maintain an active, valid medicaid provider agreement as set forth in rule 5160-1-17.2 of the Administrative Code. (2) Comply with all applicable provider requirements set forth in this chapter of the Administrative Code, including but not limited to: (a) Provider requirements as set forth in rule 5160-43-04 of the Administrative Code; (b) Incident rep...

Rule 5160-43-05 | Specialized recovery services program provider conditions of participation.

...services program providers shall: (1) Maintain an active, valid medicaid provider agreement as set forth in rule 5160-1-17.2 of the Administrative Code. (2) Comply with all applicable provider requirements set forth in this chapter of the Administrative Code, including but not limited to: (a) Provider requirements as set forth in rule 5160-43-04 of the Administrative Code; (b) Incident rep...