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Rule 5160:1-6-06.4 | Medicaid: transfers involving promissory notes, property agreements, and loans.

...(A) This rule describes how to treat transfers involving promissory notes, property agreements, and loans held by an institutionalized individuals, or his or her spouse, when the institutionalized individual is requesting medicaid payment for long-term care (LTC) services. (B) Assets used to purchase or obtain a promissory note, property agreement, or loan are considered to be improperly transferred unless the the p...

Rule 5160:1-6-06.4 | Medicaid: transfers involving promissory notes, property agreements, and loans.

...(A) This rule describes how to treat transfers involving promissory notes, property agreements, and loans held by an institutionalized individual, or his or her spouse, when the institutionalized individual is requesting medicaid payment for long-term care (LTC) services. (B) Assets used to purchase or obtain a promissory note, property agreement, or loan are considered to be improperly transferred unless the the pu...

Rule 5160:1-6-06.5 | Medicaid: restricted medicaid coverage period.

...(A) This rule describes how to calculate and apply a restricted medicaid coverage period (RMCP), which is the period of time that long-term care (LTC) services will not be paid for by medicaid because the institutionalized individual improperly transferred an asset. (B) RMCP calculation. (1) Total the value of all improperly transferred assets. (2) When the first month of requested payment ...

Rule 5160:1-6-06.5 | Medicaid: restricted medicaid coverage period.

...(A) This rule describes how to calculate and apply a restricted medicaid coverage period (RMCP), which is the period of time that long-term care (LTC) services will not be paid for by medicaid because the institutionalized individual improperly transferred an asset. (B) RMCP calculation. (1) Total the value of all improperly transferred assets. (2) When the first month of requested payment ...

Rule 5160:1-6-06.6 | Medicaid: undue hardship exemption.

...(A) This rule describes an undue hardship exemption for institutionalized individuals who are subject to a restricted medicaid coverage period (RMCP) described in rule 5160:1-6-06.5 of the Administrative Code. (B) The institutionalized individual will not be subject to a RMCP if the imposition of the RMCP would cause an undue hardship. (C) An undue hardship exists if the imposition of the RMCP would deprive the ins...

Rule 5160:1-6-06.6 | Medicaid: undue hardship exemption.

...(A) This rule describes an undue hardship exemption for institutionalized individuals who are subject to a restricted medicaid coverage period (RMCP) described in rule 5160:1-6-06.5 of the Administrative Code. (B) The institutionalized individual will not be subject to an RMCP when the imposition of the RMCP would cause an undue hardship. (C) An undue hardship exists when the imposition of t...

Rule 5160:1-6-06.7 | Medicaid: allegations of asset transfers by the social security administration.

...(A) This rule describes the social security administration's (SSA) reporting requirements to the Ohio department medicaid (ODM) of alleged transfer of assets by supplemental security income (SSI) applicants. (B) When an individual applies for SSI benefits, the SSA requests information from the applicant about any asset transfers and reports the information to ODM. (C) ODM forwards the information to the county dep...

Rule 5160:1-6-06.7 | Medicaid: allegations of asset transfers by the social security administration.

...(A) This rule describes the social security administration's (SSA) reporting requirements to the Ohio department medicaid (ODM) regarding alleged transfer of assets by supplemental security income (SSI) applicants. (B) When an individual applies for SSI benefits, the SSA requests information from the applicant regarding any asset transfers and reports the information to ODM. The SSA notifies ODM...

Rule 5160:1-6-06.8 | Medicaid: disposal of assets of individuals receiving services from the Ohio department of developmental disabilities and/or Ohio department of mental health and addiction services.

...(A) This rule describes the disposal of assets of individuals receiving services from the Ohio department of developmental disabilities (DODD) and/or Ohio department of mental health and addiction services (ODMHAS) and in receipt of medical assistance. (B) Individuals in receipt of medical assistance may have received or continue to receive services from the DODD and/or the ODMHAS. (1) DODD and ODMHAS provide for a...

Rule 5160:1-6-06.8 | Medicaid: disposal of assets of individuals receiving services from the Ohio department of developmental disabilities and/or Ohio department of mental health and addiction services.

...(A) This rule describes the disposal of assets of individuals who are receiving services from the Ohio department of developmental disabilities (DODD) and/or the Ohio department of mental health and addiction services (OhioMHAS) and who are in receipt of medical assistance. (B) Individuals in receipt of medical assistance may have received or continue to receive services from DODD and/or Ohio...

Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.

...(A) This rule describes how to calculate an institutionalized individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost. This rule only applies to an individual residing in a medical institution who does not have a base eligibility category which uses modified adjusted gross income (MAGI) budgeting methodology in accordance with Chapter 5160:1-4 of the Admini...

Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.

...(A) This rule describes how to calculate an institutionalized individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost. This rule only applies to an individual residing in a medical institution who does not have a base eligibility category which uses the modified adjusted gross income (MAGI) budgeting methodology in accordance with Chapte...

Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.

...(A) This rule describes how to calculate an institutionalized individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost. This rule only applies to an individual residing in a medical institution who does not have a base eligibility category which uses the modified adjusted gross income (MAGI) budgeting methodology in accordance with Chapter 5160:1-4 of the Ad...

Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.

...(A) This rule describes how to calculate an institutionalized individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost. This rule only applies to an individual residing in a medical institution who does not have a base eligibility category which uses the modified adjusted gross income (MAGI) budgeting methodology in accordance with Chapte...

Rule 5160:1-6-07.1 | Medicaid: post-eligibility treatment of income for individuals receiving services through a home and community-based services (HCBS) waiver or the program of all-inclusive care for the elderly (PACE).

...(A) This rule describes the process for calculating an individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost when the individual is not living in a medical institution. This rule only applies to an individual who is both eligible for medical assistance under the special income level (SIL) as described in rule 5160:1-6-03.1 of the Administrative Code and r...

Rule 5160:1-6-07.1 | Medicaid: post-eligibility treatment of income for individuals receiving services through a home and community-based services (HCBS) waiver or the program of all-inclusive care for the elderly (PACE).

...(A) This rule describes the process for calculating an individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost, when the individual is not living in a medical institution. This rule only applies to an individual who is both eligible for medical assistance under the special income level (SIL) as described in rule 5160:1-6-03.1 of the Admi...

Rule 5160:1-6-07.1 | Medicaid: post-eligibility treatment of income for individuals receiving services through a home and community-based services (HCBS) waiver or the program of all-inclusive care for the elderly (PACE).

...(A) This rule describes the process for calculating an individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost, when the individual is not living in a medical institution. This rule only applies to an individual who is both eligible for medical assistance under the special income level (SIL) as described in rule 5160:1-6-03.1 of the Admi...

Rule 5180:1-3-03 | Boards of county commissioners appointing of regional prevention council members.

...(A) Pursuant to division (C)(1) of section 3109.172 of the Revised Code, each board of county commissioners within a region may appoint up to two county prevention specialists to the council representing the county. (B) If a regional prevention coordinator selects as its representative to serve as chairperson of the regional prevention council a county prevention specialist that was appointed to the council by a boa...

Rule 5180:1-7-01 | Employee access to confidential personal information.

...(A) Definitions. For the purposes of this rule 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, that is not a computer system currently in place ...

Rule 5180:2-5-09.1 | Background checks for college interns, subcontractors, volunteers, employees, board presidents, officers, administrators and foster caregivers.

...(A) Types of background checks: (1) Bureau of criminal investigation (BCI) records pursuant to section 2151.86 of the Revised Code. (2) Federal bureau of investigation (FBI) records pursuant to section 2151.86 of the Revised Code. This check is to be completed for all initial checks and optional thereafter. (3) National sex offender registry. The website is located at: https://www.nsopw.gov/. (4) Ohio statewide a...

Rule 5180:2-13-18 | Group size and ratios for a licensed family child care provider.

...(A) What are the requirements for staff/child ratios and maximum group size for a licensed family child care provider? (1) Each child care staff member shall care for no more than seven children at any one time. No more than three of those children may be under two years of age. (2) The maximum number of children per child care staff member and the maximum group size by age category of child...

Rule 5180:3-7-20 | PCSA requirements for providing on-going services in alternative response.

...(A) When does the PCSA need to complete and implement the "Family Case Plan" pursuant to section 2151.412 of the Revised Code and rule 5180:2-38-05 of the Administrative Code, to provide ongoing services in alternative response? No later than thirty calendar days from the completion of the "Family Assessment" as defined in rule 5180:2-1-01 of the Administrative Code. (B) What actions are the PCS...

Rule 5180:3-13-05 | Selection of a placement setting.

...(A) What is the first step when a child cannot remain in their home? The public children services agency (PCSA) or private child placing agency (PCPA) is to explore placement with maternal or paternal relatives, including a non-custodial parent, to determine their willingness and ability to assume custody or guardianship. If it is in the child's best interest, the non-custodial parent is to be considered before othe...

Rule 5180:3-13-65 | Caseworker visits and contacts with children in substitute care.

...(A) What are the responsibilities of the public children services agency (PCSA) or private child placing agency (PCPA) that holds custody of a child regarding caseworker visits and contacts with the child and substitute caregivers? The PCSA or PCPA that holds custody of a child is to conduct caseworker visits and maintain contact with both the child and the substitute caregivers to ensure the ch...

Rule 5180:3-13-65.2 | Visitation and placement review for children in residential facilities.

...(A) What are the responsibilities of the public children services agency (PCSA) or private child placing agency (PCPA) that holds custody of a child regarding caseworker visits and contacts with a child under the care and supervision of a residential facility? (1) The PCSA or PCPA holding custody of a child who is placed in a residential facility or substance use disorder (SUD) residential facility as defined in rul...