Ohio Administrative Code Search

...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...

...or individuals with an intellectual disability (ICF-IID) or another licensed or certified facility, any facility covered by section 1616(e) of the Social Security Act (42 U.S.C. 1382(e) (January 1, 2025)), residential care facility, adult foster home, or another group living arrangement subject to state licensure or certification. (8) The individual's needs can be safely met through the Ohio ...

...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...

...o have an intellectual or 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 TCM...

...igion, gender, sexual orientation, age, disability, national origin, veteran's status, military status, genetic information, ancestry, ethnicity, mental ability, behavior, mental or physical disability, use of services, claims experience, appeals, medical history, evidence of insurability, geographic location within the service area, health status or need for health services. The plan will not use any discriminatory ...

... identity, sexual orientation, age, disability, national origin, veteran's status, military status, genetic information, ancestry, ethnicity, mental ability, behavior, mental or physical disability, use of services, claims experience, appeals, medical history, evidence of insurability, geographic location within the service area, health status or need for health services. The MCOP will not use any...

... identity, sexual orientation, age, disability, national origin, veteran's status, military status, genetic information, ancestry, ethnicity, mental ability, behavior, mental or physical disability, use of services, claims experience, appeals, medical history, evidence of insurability, geographic location within the service area, health status or need for health services. Plans may not use a p...

... identity, sexual orientation, age, disability, national origin, veteran's status, military status, genetic information, ancestry, ethnicity, mental ability, behavior, mental or physical disability, use of services, claims experience, appeals, medical history, evidence of insurability, geographic location within the service area, health status or need for health services. MCOPs may not use a p...

... identity, sexual orientation, age, disability, national origin, veteran's status, military status, genetic information, ancestry, ethnicity, mental ability, behavior, mental or physical disability, use of services, claims experience, appeals, medical history, evidence of insurability, geographic location within the service area, health status or need for health services. MCOPs may not use a polic...

...ty for individuals with an intellectual disability (ICF/IID) as defined in section 5124.01 of the Revised Code; (iii) An inpatient psychiatric hospital as defined in 42 CFR 440.160 (October 1, 2021); (iv) A residential facility as defined in rule 5122-30-03 of the Administrative Code; or (v) A qualified residential treatment program (QRTP) as described in rule 5101:2-9-42 of the Administrative Code. (b) Within t...

...ty for individuals with an intellectual disability (ICF/IID) as defined in section 5124.01 of the Revised Code; (iii) An inpatient psychiatric hospital as defined in 42 CFR 440.160 (October 1, 2023); (iv) A residential facility as defined in rule 5122-30-03 of the Administrative Code; or (v) A qualified residential treatment program (QRTP) as described in rule 5101:2-9-42 of the...

...de: (i) Coverage only for accident, or disability income insurance. (ii) Liability insurance, including general liability insurance and automobile liability insurance, or coverage issued as a supplement to liability insurance. (iii) Workers' compensation or similar insurance. (iv) Automobile medical payment insurance. (v) Credit-only insurance. (vi) Coverage for on-site medical clinics. (vii) Other similar ins...

...(i) Coverage only for accident or disability income insurance; or (ii) Liability insurance, including general liability insurance and automobile liability insurance, or coverage issued as a supplement to liability insurance; or (iii) Workers' compensation or similar insurance; or (iv) Automobile medical payment insurance; or (v) Credit insurance which pays off existing debts in...

...(i) Coverage only for accident or disability income insurance; or (ii) Liability insurance, including general liability insurance and automobile liability insurance, or coverage issued as a supplement to liability insurance; or (iii) Workers' compensation or similar insurance; or (iv) Automobile medical payment insurance; or (v) Credit insurance which pays off existing debts in...

...ion of health, or lessening of illness, disability, or pain. (C) As required by 42 C.F.R. 435.1009 (as in effect October 1, 2020), medicaid will not pay for services provided to: (1) An individual who is an inmate of a public institution; or (2) An individual who is a patient in an institution for mental diseases (IMD), as defined in rule 5160:1-1-01 of the Administrative Code, who is age twent...