Ohio Administrative Code Search
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Rule 5123-10-01 | Early intervention program - procedural safeguards.
...ddler with a developmental delay or disability and the child's family to receive the services and rights, including procedural safeguards, required under part C. (7) "Early intervention service provider" means an entity that, or an individual who, provides early intervention services under part C, and may include, where appropriate, the department and a public agency responsible for providing ear... |
Rule 5123-10-02 | Early intervention program - eligibility and services.
... of having a developmental delay or disability. (6) "Duration" means projecting when a given service will no longer be provided (such as when a child is expected to achieve the outcomes in his or her individualized family service plan or until a child turns three years of age). (7) "Early intervention program" means Ohio's statewide system that provides coordinated services to parents of inf... |
Rule 5123-10-03 | Early intervention program - system of payments.
...r toddler with a developmental delay or disability. The term does not include a medical device that is surgically implanted, including a cochlear implant, or the optimization (e.g., mapping), maintenance, or replacement of that device. (2) "County board" means a county board of developmental disabilities. (3) "Department" means the Ohio department of developmental disabilities. (4) "Early i... |
Rule 5123-10-04 | Early intervention program - credentials for early intervention service coordinators and early intervention service coordination supervisors.
...r toddler with a developmental delay or disability and the child's family to receive the services and rights, including procedural safeguards, required under part C. (10) "Early intervention services" means developmental services described in appendix A to rule 5123-10-02 of the Administrative Code, selected in collaboration with a parent of a child birth through age two who is eligible for servi... |
Rule 5123-11-01 | Access to confidential personal information maintained by the Ohio department of developmental disabilities.
...hts of persons with a developmental disability). (4) Section 5123.89 of the Revised Code (developmental center records). (5) Section 5126.044 of the Revised Code (general confidentiality). (6) 5 U.S.C. 552a as in effect on the effective date of this rule (social security numbers). (7) 20 U.S.C. 1232g as in effect on the effective date of this rule (Family Educational Rights and Privacy... |
Rule 5123-12-01 | Conducting meetings of the Ohio developmental disabilities council via interactive video conference or teleconference.
...eed a reasonable accommodation due to a disability or reside more than thirty miles from the primary meeting location may participate in the meeting via interactive video conference or teleconference. (2) A minimum of three members of council shall be physically present at the primary meeting location for each council meeting. (3) Chairpersons or vice-chairpersons of the council and standing com... |
Rule 5123-13-01 | Trusts for supplemental services.
...ities or his or her designee. (5) "Disability" has the same meaning as in section 5815.28 of the Revised Code. (6) "Supplemental services" mean services specified in paragraph (C) of this rule that are provided to an individual with a disability in addition to services the individual is eligible to receive under programs authorized by federal or state law. (7) "Supplemental services fund" m... |
Rule 5123-14-01 | Preadmission screening and resident review for nursing facility applicants and nursing facility residents with developmental disabilities.
...ist; (xi) Qualified intellectual disability professional; or (xii) Service and support administrator. (b) Authorized personnel from the department and/or the Ohio department of mental health and addiction services, other than the personnel identified in paragraph (C)(1)(a) of this rule who conducted the assessment, have reviewed the assessment and made the final determination regarding the ... |
Rule 5123-15-01 | Protective services system for guardianship, trusteeship, protectorship, or conservatorship.
..., the contract agency shall contact disability rights Ohio or request the court to appoint a guardian ad litem to protect the interests of the individual in such matters. (D) The department shall monitor protective services provided under this rule. (E) The contract agency shall obtain an annual audit of its financial statements and shall submit the audit report to the department within thir... |
Rule 5123-17-02 | Addressing major unusual incidents and unusual incidents to ensure health, welfare, and continuous quality improvement.
... an individual with a developmental disability; or (e) An independent provider. (9) "Incident report" means documentation that contains details about a major unusual incident or an unusual incident and shall include, but is not limited to: (a) Individual's name; (b) Individual's address; (c) Date of incident; (d) Location of incident; (e) Description of incident; (f) Type and location of injur... |
Rule 5123-17-03 | Abuser registry.
...means a person with a developmental disability. (5) "Registry" means the registry established under section 5123.52 of the Revised Code of DD employees found to have committed abuse, neglect, misappropriation, a failure to report, or engaged in prohibited sexual relations. (6) "Registry offense" means the acts set forth in division (C)(3)(a) of section 5123.51 of the Revised Code. (7) "Spec... |
Rule 5123-100-05 | Placement and discharge of individuals from developmental centers into nursing facilities.
...means a person with a developmental disability or for purposes of giving, refusing to give, or withdrawing consent for services, his or her guardian in accordance with section 5126.043 of the Revised Code or other person authorized to give consent. (4) "Individual plan" means a written plan of interventions and specific objectives necessary to meet an individual's needs, developed by an inter... |
Rule 5139-37-05 | Personnel.
...2923.13 (having weapons while under disability), 2923.161 (improperly discharging firearm at or into a habitation, in a school safety zone, or with intent to cause harm or panic to persons in a school building or at a school function), 2925.02 (corrupting another with drugs), 2925.03 (trafficking, aggravated trafficking in drugs), 2925.04 (illegal manufacture of drugs - illegal cultivation of ... |
Rule 5139-68-02 | Disposition investigation report and transfer of physical custody.
...uth's mental retardation, developmental disability and/or mental health issues, youth's medical information, youth's alcohol & drug history, personal/social data, youth's social security number, youth's self-assessment of strengths and weaknesses, youth's assessment of family strengths and weaknesses, summary or impressions, and recommendations for disposition; (2) Periodically, the Ohio departme... |
Rule 5160-1-01 | Medicaid medical necessity: definitions and principles.
... cognitive impairment, or developmental disability. (B) Medical necessity for individuals not covered by EPSDT is defined as procedures, items, or services that prevent, diagnose, evaluate, or treat an adverse health condition such as an illness, injury, disease or its symptoms, emotional or behavioral dysfunction, intellectual deficit, cognitive impairment, or developmental disability and without which the person c... |
Rule 5160-1-01 | Medicaid medical necessity: definitions and principles.
... cognitive impairment, or developmental disability. (B) Medical necessity for individuals not covered by EPSDT is criteria of coverage for procedures, items, or services that prevent, diagnose, evaluate, or treat an adverse health condition such as an illness, injury, disease or its symptoms, emotional or behavioral dysfunction, intellectual deficit, cognitive impairment, or developmental disability and without whi... |
Rule 5160-1-17.2 | Provider agreement for providers.
...al origin, source(s) of payment, or disability; submit claims only for services actually performed; and, bill ODM for no more than the usual and customary fee charged other patients for the same service. (B) To ascertain and recoup any third-party resource(s) available to the consumer prior to billing ODM. ODM will then pay any unpaid balance up to the lesser of the provider's billed charge o... |
Rule 5160-1-17.8 | Provider screening and application fee.
....13 (having weapons while under a disability); (xxi) 2923.161 (improperly discharging a firearm at or into a habitation or school); (xxii) 2923.162 (discharge of firearm on or near prohibited premises); (xxiii) 2923.21 (improperly furnishing firearms to minor); (xxiv) 2923.32 (engaging in a pattern of corrupt activity); (xxv) 2923.42 (participating in a criminal gang);... |
Rule 5160-1-18 | Telehealth.
...ty for individuals with an intellectual disability. |
Rule 5160-1-32 | Medicaid: safeguarding and releasing information.
...iagnosis and past history of disease or disability; and (7) Any information received in connection with the identification of third party coverage; and (8) Any information received for verifying income eligibility and amount of medical assistance payments. Income information received from the social security administration (SSA) or the internal revenue service (IRS) must be safeguarded according to the requirements... |
Rule 5160-1-39 | Verification of home care service provision to home care dependent adults.
... sixty years of age, and has a physical disability or mental impairment. (b) "Home care service provider" is: (i) A medicare certified home health agency or other accredited agency in accordance with Chapter 5160-12 of the Administrative Code that provides service in the home to the home care dependent adult; or (ii) A medicare certified hospice provider in accordance with Chapter 5160-56 of the Administrative Cod... |
Rule 5160-3-15 | Preadmission screening and resident review (PASRR) definitions.
...ntal illness (SMI) and/or developmental disability (DD) as defined in paragraphs (B)(6) and (B)(28) of this rule when the individual's circumstances fall within one of the following two categories: (a) The individual requires an 'emergency nursing facility stay', as defined in paragraph (B)(7) of this rule; (b) The individual is seeking admission to a nursing facility for a 'respite nursing facili... |
Rule 5160-3-15.1 | Preadmission screening requirements for individuals seeking admission to nursing facilities.
...al illness (SMI) and/or a developmental disability (DD) as defined in rules 5122-21-03 and 5123-14-01 of the Administrative Code are identified and not admitted to a NF unless a thorough evaluation indicates that such placement is appropriate and adequate services will be provided regardless of payor source. (B) A level I screening as defined in rule 5160-3-15 of the Administrative Code is requir... |
Rule 5160-3-15.2 | Resident review requirements for individuals residing in nursing facilities.
...eir mental illness or developmental disability status. (B) Resident review requirements. (1) No individual with SMI or DD can be retained as a resident in a nursing facility (NF), regardless of payment source, unless it has been determined in accordance with rules 5122-21-03 and 5123:14-01 of the Administrative Code, that: (a) The individual needs the level of services provided by a NF; or ... |
Rule 5160-10-09 | DMEPOS: apnea monitors.
... retardation or other developmental disability; (d) Terminal illness; (e) Congenital heart defect, with or without associated arrhythmia; (f) History of apnea in immediate siblings; (g) History of monitor use with immediate siblings; (h) History of apnea or SIDS in family members other than immediate siblings; (i) Parental anxiety or family request for a monitor; and (j) Need to monitor blo... |