Ohio Administrative Code Search

...formation, sexual orientation, age, disability, national origin, military status, ancestry, health status, or need for health services. (9) An agreement by the provider to not hold liable ODM or members in the event that the MCE cannot or will not pay for services performed by the provider pursuant to the contract with the exception that: (a) Federally qualified health centers (FQHCs) and rural ...

...ace, color, national origin, age or disability in the receipt of health services. (21) Appeal to or file directly with the ODM office of civil rights any complaints of discrimination on the basis of race, color, religion, gender, gender identity, sexual orientation, age, disability, national origin, military status, genetic information, ancestry, health status or need for health services in t...

...ntal security income or social security disability insurance determination or has a score of two or greater on at least one of the items in the "mental health needs" or "risk behaviors" sections or a score of three on at least one of the items in the "life domain function" section of the adult needs and strengths assessment (ANSA) administered by an individual with a bachelor's degree or higher an...

... for individuals with an intellectual disability (ICF-IID) or another licensed/certified facility, any facility covered by section 1616(e) of the Social Security Act (42 U.S.C. 1382e(e) (January 1, 2021) residential care facility, adult foster home or another group living arrangement subject to state licensure or certification. (10) The individual is age sixty or older at the time of enrollment...

... for individuals with an intellectual disability (ICF-IID) or another licensed/certified facility, any facility covered by section 1616(e) of the Social Security Act (42 U.S.C. 1382e(e) (January 1, 2024) residential care facility, adult foster home or another group living arrangement subject to state licensure or certification. (10) The individual is age sixty or older at the time of enrollment...

...ose of correcting, or alleviating a disability. The physical therapy service will be recommended by a licensed physical therapist acting within the scope of his or her practice under Ohio law who holds a current, valid license to practice physical therapy issued under Chapter 4755. of the Revised Code. (b) Qualified practitioners who can deliver the services: (i) Licensed physical therapist who ...

...been determined to have a developmental disability according to section 5123.01 of the Revised Code. (iv) Providing services to an eligible child who is on a waiver program receiving targeted case management from county boards of development disabilities (CBDD). (v) Conducting quality assurance systems reviews. (vi) Conducting activities related to the development, monitoring or implementat...

...means a person with a developmental disability who is eligible to receive HCBS as an alternative to placement in an intermediate care facility for individuals with intellectual disabilities (ICF/IID) under the applicable HCBS waiver. A guardian or authorized representative may give, refuse to give or withdraw consent for services or may receive notice on behalf of an individual to the extent p...

...means a person with a developmental disability who is eligible to receive HCBS as an alternative to placement in an intermediate care facility for individuals with intellectual disabilities (ICF/IID) under the applicable HCBS waiver. A guardian or authorized representative may give, refuse to give or withdraw consent for services and may receive notice on behalf of an individual to the extent ...

...means a person with a developmental disability who is eligible to receive HCBS as an alternative to placement in an intermediate care facility for individuals with intellectual disabilities (ICF/IID) under the applicable HCBS waiver. A guardian or authorized representative may give, refuse to give, or withdraw consent for services or may receive notice on behalf of an individual to the extent ...

...means a person with a developmental disability who is eligible to receive HCBS as an alternative to placement in an intermediate care facility for individuals with intellectual disabilities (ICF/IID) under the applicable HCBS waiver. A guardian or authorized representative may give, refuse to give, or withdraw consent for services and may receive notice on behalf of an individual to the extent...

...means a person with a developmental disability who is eligible to receive HCBS as an alternative to placement in an intermediate care facility for individuals with intellectual disabilities (ICF/IID) under the applicable HCBS waiver. A guardian or authorized representative may give, refuse to give, or withdraw consent for services or may receive notice on behalf of an individual to the extent ...

...means a person with a developmental disability who is eligible to receive HCBS as an alternative to placement in an intermediate care facility for individuals with intellectual disabilities (ICF/IID) under the applicable HCBS waiver. A guardian or authorized representative may give, refuse to give, or withdraw consent for services and may receive notice on behalf of an individual to the extent...

...om among setting options, including non-disability specific settings and an option for a private unit in a residential setting. (a) The setting options are identified and documented in the person-centered services plan and are based on the individual's needs, preferences, and for residential settings, resources available for room and board. (b) For the purposes of this rule, non-disability speci...

...om among setting options, including non-disability specific settings and an option for a private unit in a residential setting. (a) The setting options are identified and documented in the person-centered services plan and are based on the individual's needs, preferences, and for residential settings, resources available for room and board. (b) For the purposes of this rule, non-disability speci...

...om among setting options, including non-disability specific settings and an option for a private unit in a residential setting. (a) The setting options are identified and documented in the person-centered services plan and are based on the individual's needs, preferences, and for residential settings, resources available for room and board. (b) For the purposes of this rule, non-disability speci...

...or individuals with an intellectual disability (ICF-IID) that has an active medicaid provider agreement in accordance with sections 5124.06 and 5124.07 of the Revised Code; or (b) A nursing facility (NF) certified in accordance with rule 5160-3-02.3 of the Administrative Code; or (c) Another licensed setting approved by ODM or certified by ODA. (C) All providers of out-of-home respite shall...

...or individuals with an intellectual disability (ICF-IID) that has an active medicaid provider agreement in accordance with sections 5124.06 and 5124.07 of the Revised Code; or (b) A nursing facility (NF) certified in accordance with rule 5160-3-02.3 of the Administrative Code; or (c) Another licensed setting approved by ODM or certified by ODA. (C) All providers of out-of-home respite will:...

... on behalf of an individual without a disability or chronic illness of the same age, or on behalf of a spouse without a disability or chronic illness. (6) "Financial Management Service (FMS)" refers to the entity contracted with ODA, Ohio department of medicaid (ODM), DODD, or their designee to process payment of participant-directed waiver services. (7) "Home and community-based services ...

...23.13 (having weapons while under a disability); (u) 2923.161 (improperly discharging a firearm at or into a habitation or school); (v) 2923.162 (discharge of firearm on or near prohibited premises); (w) 2923.21 (improperly furnishing firearms to minor); (x) 2923.32 (engaging in a pattern of corrupt activity); (y) 2923.42 (participating in a criminal gang); (z) 2925.02 (corrupting anothe...

...23.13 (having weapons while under a disability); (u) 2923.161 (improperly discharging a firearm at or into a habitation or school); (v) 2923.162 (discharge of firearm on or near prohibited premises); (w) 2923.21 (improperly furnishing firearms to minor); (x) 2923.32 (engaging in a pattern of corrupt activity); (y) 2923.42 (participating in a criminal gang); (z) 2925.02 (corrupting another wi...

...or individuals with an intellectual disability (ICF-IID) or another licensed/certified facility, any facility covered by section 1616(e) of the Social Security Act (42 U.S.C. 1382(e) (January 1, 2021)), residential care facility, adult foster home or another group living arrangement subject to state licensure or certification. (8) Sign an agreement prior to waiver enrollment confirming that t...

...or individuals with an intellectual disability (ICF-IID) or another licensed/certified facility, any facility covered by section 1616(e) of the Social Security Act (42 U.S.C. 1382(e) (January 1, 2024)), residential care facility, adult foster home or another group living arrangement subject to state licensure or certification. (8) Sign an agreement prior to waiver enrollment confirming that t...

...ntal retardation or other developmental disability according to section 5126.01 of the Revised Code. (D) Reimbursable activities. (1) Medicaid services listed in paragraph (D) of this rule are reimbursable only if provided to or on behalf of a medicaid eligible individual as defined in paragraph (C) of this rule and by qualified providers as defined in paragraph (E) of this rule. Payment for targeted case managemen...

... are determined to have a developmental disability according to section 5126.01 of the Revised Code. (D) Reimbursable activities. (1) Medicaid services listed in paragraph (D) of this rule are reimbursable only if provided to or on behalf of a medicaid eligible individual as defined in paragraph (C) of this rule and by qualified providers as defined in paragraph (E) of this rule. Payment for tar...