Ohio Administrative Code Search

... the following definitions apply: (1) "Executive order" means a rule written by: (a) Kenneth D. Gaver, director, Ohio department of mental health and mental retardation, July 1971 through August 1974; (b) William H. Davis, acting director, Ohio department of mental health and mental retardation, September 1974 through January 1975; and (c) Timothy B. Moritz, director, Ohio department of mental...

...ollowing definitions shall apply: (1) "Executive order" means a rule written by: (a) Kenneth D. Gaver, director, Ohio department of mental health and mental retardation, July 1971 through August 1974; (b) William H. Davis, acting director, Ohio department of mental health and mental retardation, September 1974 through January 1975; and (c) Timothy B. Moritz, director, Ohio department of mental...

... meets the requirements of Chapter 5139-35 of the Administrative Code, may apply for approval from the department. The department will post on their website when applications for new CRCs are being accepted. (B) Procedure for approval (1) As part of the application process, staff of the department will make an on-site visit to the facility and review supporting materials to determine the agency'...

..., 2907.32, 2907.321, 2907.322, 2907.323, 2911.01, 2911.02, 2911.11, 2911.12, 2919.12, 2919.22, 2919.24, 2919.25, 2923.12, 2923.13, 2923.161, 2925.02, 2925.03, 2925.04, 2925.05, 2925.06, or 3716.11 of the Revised Code, a violation of section 2905.04 of the Revised Code as it existed prior to July 1, 1996, a violation of section 2919.23 of the Revised Code that would have been a violation of section...

..., 2907.32, 2907.321, 2907.322, 2907.323, 2911.01, 2911.02, 2911.11, 2911.12, 2919.12, 2919.22, 2919.24, 2919.25, 2923.12, 2923.13, 2923.161, 2925.02, 2925.03, 2925.04, 2925.05, 2925.06, or 3716.11 of the Revised Code, a violation of section 2905.04 of the Revised Code as it existed prior to July 1, 1996, a violation of section 2919.23 of the Revised Code that would have been a violation of section...

...he following standards are mandatory: (1) Written policy, procedure and practice shall provide that soap, washcloths, towels, toothbrush, toothpaste, deodorant, shampoo, hair and skin products and personal hygiene supplies be provided to the child by the CRC. (2) Written policy, procedure and practice shall designate the specific duties that the children must assume in the care and upkeep of their own sleeping and ...

...(A) Application (1) Any detention center which believes that it meets the requirements of Chapter 5139-37 of the Administrative Code, may apply for approval and financial assistance on forms provided by the department. (2) A new applicant may apply to the department at any time. However, a period of sixty days may be required to process the application. (3) Renewal applicants should submit, on an annual basis, a f...

...ted matter involving a minor), 2907.323 (illegal use of minor in nudity-oriented material performance), 2911.01 (aggravated robbery), 2911.02 (robbery), 2911.11 (aggravated burglary), 2911.12 (burglary), 2919.12 (unlawful abortion), 2919.22 (endangering children), 2919.24 (contributing to unruliness or delinquency of a child), 2919.25 (domestic violence), 2923.12 (carrying concealed weapons), 2923...

...ted matter involving a minor), 2907.323 (illegal use of minor in nudity-oriented material performance), 2911.01 (aggravated robbery), 2911.02 (robbery), 2911.11 (aggravated burglary), 2911.12 (burglary), 2919.12 (unlawful abortion), 2919.22 (endangering children), 2919.24 (contributing to unruliness or delinquency of a child), 2919.25 (domestic violence), 2923.12 (carrying concealed weapons), 2923...

...cial release to probation (division (B)(1) of section 2152.22 of the Revised Code) or a judicial release to parole (divisions (B)(2), (C)(1) and (D)(2) of section 2152.22 of the Revised Code) from a revocation shall have their time set at either ninety days unless the journal entry specifies a different amount of time. (B) Youth returning to the department from supervised release shall be set at...

...rative criteria as described in agency 5160 of the Administrative Code. (A) A medical service is reimbursable if: (1) The service is determined medically necessary as defined in rule 5160-1-01 of the Administrative Code. (2) The service is agreed to by the medicaid-covered individual or the medicaid-covered individual's authorized representative. (3) The service is rendered to a medicaid...

...s agency in accordance with section 1347.15 of the Revised Code effective April 9, 2009, the following definitions apply: (1) "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. (2) "Acquisition of a new computer system" means the purchase of a "computer system," as defined in this rule...

...ld be billed in accordance with rule 5160-9-06 of the Administrative Code. (A) Definitions. (1) "Medicare" is a federally financed program of hospital insurance (part A) and supplemental medical insurance (also called SMI or part B) for aged and disabled persons. (2) "Medicare Benefits" means the health care services available to an individual through the medicare program where payment for th...

... lesser of the following amounts: (1) The provider's billed charges for the service (except for hospital and nursing facility services); or (2) The deductible, coinsurance and co-payment amount as provided by the medicare part C plan; or (3) The difference between the medicare part C plan's payment to a provider for a service or services identified and the medicaid maximum allowable rei...

...t meet all of the following criteria: (1) Are not hospital services defined in accordance with Chapter 5160-2 of the Administrative Code; (2) Are not nursing facility services included in the nursing facility per diem as defined in accordance with Chapter 5160-3 of the Administrative Code; (3) Are covered as supplemental medical insurance benefits under the medicare program; and (4) Are provided to dual eligibles...

... medicaid in accordance with section 5162.35 of the Revised Code. (B) The PASSPORT waiver provides home and community based services to individuals enrolled in the waiver in accordance with rule 5160-31-04 of the Administrative Code. (C) The PASSPORT HCBS waiver covered services and eligibility requirements are set forth in Chapter 5160-31 of the Administrative Code. (D) The maximum allowable p...

... medicaid in accordance with section 5162.35 of the Revised Code. (B) The PASSPORT waiver provides home and community based services to individuals enrolled in the waiver in accordance with rule 5160-31-04 of the Administrative Code. (C) The PASSPORT HCBS waiver covered services and eligibility requirements are set forth in Chapter 5160-31 of the Administrative Code. (D) The maximum allowable p...

... medicaid in accordance with section 5162.35 of the Revised Code. (B) The PASSPORT waiver provides home and community based services (HCBS) to individuals enrolled in the waiver in accordance with rule 5160-31-03 of the Administrative Code. (C) The PASSPORT HCBS waiver covered services and eligibility requirements are set forth in Chapter 5160-31 of the Administrative Code. (D) The maximum al...

...caid (ODM), in accordance with section 5162.35 of the Revised Code. (B) The assisted living HCBS waiver is an alternative to nursing facility placement for persons age twenty-one and over who require an intermediate level of care or a skilled level of care as set forth in rule 5160-3-08 of the Administrative Code and are enrolled in the waiver. (1) The assisted living HCBS waiver's services ...

...caid (ODM), in accordance with section 5162.35 of the Revised Code. (B) The assisted living HCBS waiver is an alternative to nursing facility placement for persons age twenty-one and over who require an intermediate level of care or a skilled level of care as set forth in rule 5160-3-08 of the Administrative Code and are enrolled in the waiver. (1) The assisted living HCBS waiver's services ...

...caid (ODM), in accordance with section 5162.35 of the Revised Code. (B) The assisted living HCBS waiver is an alternative to nursing facility placement for persons age twenty-one and over who require an intermediate level of care or a skilled level of care as set forth in rule 5160-3-08 of the Administrative Code and are enrolled in the waiver. (1) The assisted living HCBS waiver's services ...

...(A) Definitions. (1) "Coordination of benefits" (COB) means the process of determining which health plan or insurance policy will pay first or determining the payment obligations of each health plan, medical insurance policy, or third party resource when two or more health plans, insurance policies or third party resources cover the same benefits for a medicaid covered individual. (2) "Coordinat...

... following Administrative Code rules: (1) Co-payments for dental services are described in rule 5160-5-01 of the Administrative Code. (2) Co-payments for vision services are described in rule 5160-6-01 of the Administrative Code. (3) Co-payments for non-emergency emergency department services are described in rule 5160-2-21.1 of the Administrative Code. (4) Co-payments for pharmacy services are described in rule...

...(A) Out-of-state providers: (1) Should be licensed, accredited, or certified by their respective states to be considered eligible to receive reimbursement for services provided to Ohio medicaid covered individuals. (2) Should meet any standards applicable to the provision of the service in the state in which the service is being furnished, as well as those standards set forth in the Ohio med...

...ed substance as defined in section 3719.01 of the Revised Code. (D) Services that are not covered by the medicaid program, including services requiring prior authorization that have been denied by ODM, may be billed to a medicaid recipient when the conditions in paragraphs (C)(2) to (C)(4) of this rule are met. (E) Any individual not covered by medicaid on the date of service is financially resp...