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Rule 173-14-16 | Complaint-handling protocol.

...An ombudsman shall identify, investigate, and resolve complaints made by, or on behalf of, clients and relate to the action, inaction, or decisions of providers or representatives of providers of long-term care services, public agencies, or health and social services agencies that may adversely affect the health, safety, welfare, or rights of clients (including the welfare and rights of clients with respect to the ap...

Rule 173-14-16 | Complaint-handling protocol.

...Representatives shall identify, investigate, and resolve complaints made by, or on behalf of, consumers and relate to the action, inaction, or decisions of providers or representatives of providers of long-term care services, public agencies, or health and social services agencies that may adversely affect the health, safety, welfare, or rights of consumers (including the welfare and rights of consumers wit...

Rule 173-14-20 | Systems advocacy.

...(A) Systems advocacy includes, but it not limited to, evaluating and making known concerns and issues regarding long-term care by doing all of the following: (1) Prepare an annual report, according to 42 U.S.C. 3058g(h)(1), 45 C.F.R. 1324.13(g) and 1324.15(l)(1), and division (A)(8)(a) of section 173.17 of the Revised Code, that includes the information and findings regarding the types of problems experienced by con...

Rule 173-14-21 | Designated long-term care ombudsman regions.

...(A) The regional long-term care ombudsman programs shall serve the following regions of the state: (1) Region 1: Butler, Warren, Clinton, Hamilton, and Clermont counties. (2) Region 2: Montgomery, Darke, Shelby, Logan, Miami, Preble, Clark, Greene, and Champaign counties. (3) Region 3: Van Wert, Putnam, Hancock, Mercer, Auglaize, Hardin, and Allen counties. (4) Region 4: Williams, Fulton, ...

Rule 173-14-21 | Designated long-term care ombudsman regions.

...(A) Designated regional long-term care ombudsman programs serve the following regions of the state: (1) Region 1: Butler, Clermont, Clinton, Hamilton, and Warren counties. (2) Region 2: Champaign, Clark, Darke, Greene, Logan, Miami, Montgomery, Preble, and Shelby counties. (3) Region 3: Allen, Auglaize, Hancock, Hardin, Mercer, Putnam, and Van Wert counties. (4) Region 4: Defiance, Erie, F...

Rule 173-38-03 | Assisted living program (medicaid-funded component): enrollment and reassessment of individuals.

...(A) Initial contact: To determine if an individual who applies for the medicaid-funded component of the assisted living program meets all eligibility requirements for the program under rule 5160-33-03 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 determin...

Rule 173-38-03 | Assisted living program (medicaid-funded component): enrollment and reassessment of individuals.

...(A) Initial contact: To determine if an individual who applies for the medicaid-funded component of the assisted living program meets all eligibility requirements for the program under rule 5160-33-03 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 determin...

Rule 173-38-03 | Assisted living program (medicaid-funded component): enrollment and reassessment of individuals.

...(A) Initial contact: An individual may initially contact either ODM's administrative agency or ODA's designee to apply for the medicaid-funded component of the assisted living program. The two agencies coordinate processing applications for enrollment as follows: (1) If the individual makes initial contact with ODM's administrative agency, then ODM's administrative agency shall help the indiv...

Rule 173-39-01 | ODA provider certification: introduction and definitions.

...(A) Introduction: (1) This chapter establishes the requirements for providers to become, and to remain, certified by ODA, compliance reviews of ODA-certified providers, and disciplinary actions that may be imposed upon ODA-certified providers. (2) Rule 5160-58-04 of the Administrative Code requires providers to comply with many of the requirements for providing services in this chapter when the ...

Rule 173-39-01 | ODA provider certification: introduction and definitions.

...(A) Introduction: (1) This chapter establishes the certification requirements for providers who provide services to individuals through an ODA-administered medicaid waiver program or the state-funded components of the assisted living or PASSPORT programs; the requirements for providing services through those programs; and disciplinary actions that may be imposed. (2) Rule 5160-58-04 of the A...

Rule 173-39-01 | ODA provider certification: introduction and definitions.

...(A) Introduction: (1) This chapter establishes the requirements for providers to become, and to remain, certified by ODA, compliance reviews of ODA-certified providers, and disciplinary actions that may be imposed upon ODA-certified providers. (2) Rule 5160-58-04 of the Administrative Code establishes requirements for providers of services to individuals in the mycare Ohio program to comply with...

Rule 173-39-02 | ODA provider certification: requirements for providers to become, and to remain, certified.

...Introduction: This rule presents requirements for every type of provider to become, and to remain, certified. For agency and assisted living providers, the requirements in this rule include requirements for each provider's employees. (A) Requirements for every type of provider to become certified: (1) Qualifications: The provider shall meet all of the following: (a) Any qualification (e.g., licensure...

Rule 173-39-02 | ODA provider certification: requirements for providers to become, and to remain, certified.

...Introduction: This rule presents requirements for every type of provider to become, and to remain, certified. For agency and assisted living providers, the requirements in this rule include requirements for each provider's employees. (A) Requirements for every type of provider to become certified: (1) Qualifications: The provider shall meet all of the following: (a) Any qualification (e.g., licensure...

Rule 173-39-02 | ODA provider certification: requirements for providers to become, and to remain, certified.

...Introduction: This rule presents requirements for every type of provider to become, and to remain, certified. For agency and assisted living providers, the requirements in this rule include requirements for each provider's employees. (A) Requirements for every type of provider to become certified: (1) Qualifications: The provider shall meet all of the following: (a) Any qualification (e.g., licensure...

Rule 173-39-02 | ODA provider certification: requirements for providers to become, and to remain, certified.

...Introduction: This rule presents requirements for every type of provider to become, and to remain, certified. For agency and assisted living providers, the requirements in this rule include requirements for each provider's employees. (A) Requirements for every type of provider to become certified: (1) Qualifications: The provider shall meet all of the following: (a) Any qualification (e.g., licensure...

Rule 173-39-02.1 | ODA provider certification: adult day service.

...(A) "Adult day service" ("ADS") means a regularly-scheduled service delivered at an adult day center (center) in a non-institutional, community-based setting. ADS includes recreational and educational programming to support an individual's health and independence goals; at least one meal, but no more than two meals per day; and, sometimes, health status monitoring, skilled therapy services, and transportation to and ...

Rule 173-39-02.1 | ODA provider certification: adult day service.

...(A) "Adult day service" ("ADS") means a regularly-scheduled service provided at an adult day center (center) in a non-institutional, community-based setting and consisting of the activities authorized in an individual's person-centered services plan. ADS includes recreational and educational programming to support an individual's health and independence goals; at least one, but no more than two, meals per day; and, s...

Rule 173-39-02.7 | ODA provider certification: home medical equipment and supplies.

...(A) "Home medical equipment and supplies" (HME) means a service providing rented or purchased home medical equipment and supplies to individuals to enable those individuals to function safely in their homes with greater independence, thereby eliminating the need for placement in a nursing facility. HME is limited to equipment and supplies allowed under Chapter 5160-10 of the Administrative Code, ...

Rule 173-39-02.8 | ODA provider certification: homemaker.

...(A) Definitions for this rule: (1) "Homemaker" means a service enabling individuals to achieve and maintain clean, safe and healthy environments, assisting individuals to manage their personal appointments and day-to-day household activities, and ensuring individuals maintain their current living arrangements. The service consists of general household activities, such as meal preparation and ...

Rule 173-39-02.8 | ODA provider certification: homemaker.

...(A) Definitions for this rule: (1) "Homemaker" means a service enabling individuals to achieve and maintain clean, safe and healthy environments, assisting individuals to manage their personal appointments and day-to-day household activities, and ensuring individuals maintain their current living arrangements. Homemaker activities include the following when authorized in the person-centered s...

Rule 173-39-02.11 | ODA provider certification: personal care.

...(A) "Personal care" means hands-on assistance with ADLs and IADLs (when incidental to providing ADLs) in the individual's home and community. Personal care activities include the following when authorized in a person-centered services plan: (1) Assisting the individual with managing the home, handling personal affairs, and providing assistance with self-administration of medications, as defined i...

Rule 173-39-02.11 | ODA provider certification: personal care.

...(A) Definitions for this rule: (1) "Personal care" means hands-on assistance with ADLs and IADLs (when incidental to providing ADLs) in the individual's home and community. Personal care activities include the following, when authorized in a person-centered services plan: (a) Assisting the individual with managing the home, handling personal affairs, and providing assistance with self-admini...

Rule 173-39-02.11 | ODA provider certification: personal care.

...(A) "Personal care" means hands-on assistance with ADLs and IADLs (when incidental to providing ADLs) in the individual's home and community. Personal care activities include the following, when authorized in a person-centered services plan: (1) Assisting the individual with managing the home, handling personal affairs, and providing assistance with self-administration of medications, as defined ...

Rule 173-39-02.11 | ODA provider certification: personal care.

...(A) "Personal care" means hands-on assistance with ADLs and IADLs (when incidental to providing ADLs) in the individual's home and community. (1) Personal care activities include the following when authorized in a person-centered services plan: (a) Assisting the individual with managing the home, handling personal affairs, and providing assistance with self-administration of medications, as ...

Rule 173-39-02.16 | ODA provider certification: assisted living service.

...(A) Definitions for this rule: (1) "Assisted living service" means either a basic service or memory care that promotes aging in an RCF by supporting the individual's independence, choice, and privacy. (2) "Basic service" means all of the following: (a) A service that includes the following: (i) Personal care under rule 3701-16-09 of the Administrative Code, which includes hands-on assist...