Ohio Administrative Code Search

...Code. Postpartum care rendered prior to discharge from the facility is considered incidental to the delivery. (d) Family planning services. Policies governing payment for these services are set forth in rules 5160-21-02 and 5160-21-02.2 of the Administrative Code. (3) Payment may be made for one report of a pregnancy that is diagnosed in conjunction with an E&M service not associated with a norm...

...Code. Postpartum care rendered prior to discharge from the facility is considered incidental to the delivery. (d) Family planning services. Policies governing payment for these services are set forth in rules 5160-21-02 and 5160-21-02.2 of the Administrative Code. (3) Payment may be made for one report of a pregnancy that is diagnosed in conjunction with an E&M service not associated with a norm...

... acute care facility; (c) The member's discharge plan documents that nursing facility discharge is not expected in the foreseeable future and the member has a need for long-term nursing facility care; (d) For the entire period in paragraph (B)(4)(a) of this rule, the member is not using hospice services; and (e) The MCO has requested disenrollment, and ODM has approved the request. (f) The member ...

...ber is stabilized and can be safely discharged or transferred. (h) The MCO must adhere to the judgment of the attending provider when requesting a member's transfer to another facility or discharge. The MCO may establish arrangements with hospitals whereby the MCO may designate one of its contracting providers to assume the attending provider's responsibilities to stabilize, treat, and transfer t...

... inpatient hospital or facilitating discharge to the community following inpatient treatment for an acute episode of care. (d) Medicaid reimbursement of CPST services is described in rule 5160-27-03 of the Administrative Code. (5) Psychiatric diagnostic evaluation and psychiatric diagnostic evaluation with medical services are each limited to one encounter per recipient, per billing provider, ...

... inpatient hospital or facilitating discharge from an inpatient hospital. (d) Medicaid reimbursement of CPST services is described in rule 5160-27-03 of the Administrative Code. (4) Psychiatric diagnostic evaluation and psychiatric diagnostic evaluation with medical services are each limited to one encounter per recipient, per billing provider, per calendar year. (C) The following services deli...

...n and ACT team members agree to the discharge from ACT; or (b) The recipient moves outside the geographic area of the ACT team's responsibility. In such cases, the ACT team shall arrange to transfer mental health and substance use disorder service responsibility to another ACT program or other provider wherever the recipient is moving. The ACT team shall maintain contact with the recipient until ...

...nditions for admission, continued stay, discharge, or referral to each level of care (LOC). (B) Medicaid will reimburse for the services provided under the following ASAM levels of care: (1) LOC 1: outpatient services. LOC 1 services are designed to treat the recipient's level of clinical severity and function. These services may be delivered in a variety of settings. Addiction, mental health, o...

...ent psychiatric hospital; or (b) A discharge from a correctional facility with a history of inpatient or outpatient behavioral health treatment while residing in that correctional facility; or (c) Two or more emergency department visits with a psychiatric diagnosis; or (d) A history of treatment in an intensive outpatient rehabilitation program for greater than ninety days; or (e) One or more ...

...ent psychiatric hospital; or (b) A discharge from a correctional facility with a history of inpatient or outpatient behavioral health treatment while residing in that correctional facility; or (c) Two or more emergency department visits with a psychiatric diagnosis or diagnosed chronic condition; or (d) A history of treatment in an intensive outpatient rehabilitation program for greater than ni...

...te, institutional and managed care plan discharge planning and other community transition programs. This service may be provided up to one hundred eighty days in advance of anticipated movement to the community. (d) Informing the individual about SRSP services, person centered planning, resources for recovery, and individual rights and responsibilities; (e) Supporting the review and approval of the ...

...ional, mycare and managed care plan discharge planning, and other community resources. (d) Informing the individual about SRSP services, person centered planning, resources for recovery, and individual rights and responsibilities; (e) Supporting the review and approval of the individual's person-centered service plan in accordance with rule 5160-44-02 of the Administrative Code; (f) Monitoring ...

...ment shall be considered just cause for discharge for the purposes of division (D)(2) of section 4141.29 of the Revised Code if the employee makes any attempt to deceive the agency about his or her criminal record. (8) An agency shall pay to BCII the fee prescribed pursuant to division (C)(3) of section 109.572 of the Revised Code for any criminal records check required by this rule. However, ...

...ment shall be considered just cause for discharge for the purposes of division (D)(2) of section 4141.29 of the Revised Code if the employee makes any attempt to deceive the agency about his or her criminal record. (8) An agency shall pay to BCII the fee prescribed pursuant to division (C)(3) of section 109.572 of the Revised Code for any criminal records check required by this rule. However, ...

... waiver eligibility and/or developing a discharge plan. Case managers must interact (i.e., converse, make visual contact and otherwise engage the individual at his or her functional ability) during every case manager visit. The face-to-face encounter between an individual and a case manager may be conducted by telephone or electronically, unless the individual's needs require a face-to-face visit....

...ment shall be considered just cause for discharge for the purposes of division (D)(2) of section 4141.29 of the Revised Code if the individual makes any attempt to deceive the waiver agency about his or her criminal record. (8) A waiver agency shall pay to BCI the fee prescribed pursuant to division (C)(3) of section 109.572 of the Revised Code for any criminal records check required by this rule...

...loyee or independent provider was fully discharged from all imprisonment, probation or parole, if the applicant, employee or independent provider has been convicted of or pleaded guilty to, an offense in any of the following sections of the Revised Code: (a) 2903.04 (involuntary manslaughter); (b) 2903.041 (reckless homicide); (c) 2905.04 (child stealing, as that offense existed prior to July 1, 19...

...loyee or independent provider was fully discharged from all imprisonment, probation or parole, if the applicant, employee or independent provider has been convicted of or pleaded guilty to, an offense in any of the following sections of the Revised Code: (a) 2903.04 (involuntary manslaughter); (b) 2903.041 (reckless homicide); (c) 2905.04 (child stealing, as that offense existed prior to July 1, 19...

...ral condition of the individual. (i) A discharge summary, signed and dated by the departing non-agency personal care aide or the RN supervisor of an agency personal care aide, at the point the personal care aide is no longer going to provide services to the individual, or when the individual no longer needs personal care aide services. The summary should include documentation regarding progress m...

...ral condition of the individual. (i) A discharge summary, signed and dated by the departing non-agency personal care aide or the RN supervisor of an agency personal care aide, at the point the personal care aide is no longer going to provide services to the individual, or when the individual no longer needs personal care aide services. The summary should include documentation regarding progress m...

... to develop a safe transition plan, and discharge in accordance with that plan. (9) Not be a foster child, as defined in Chapter 5101:2-1 of the Administrative Code; and (10) Not be eligible for both: (a) Targeted case management, as defined in rule 5160-48-01 of the Administrative Code, and (b) Community transition services, as defined in rule 5123-9-48 of the Administrative Code. (D) An ind...

... to develop a safe transition plan, and discharge in accordance with that plan. (9) Not be a foster child, as defined in Chapter 5101:2-1 of the Administrative Code; and (10) Not be eligible for both: (a) Targeted case management, as defined in rule 5160-48-01 of the Administrative Code, and (b) Community transition services, as defined in rule 5123-9-48 of the Administrative Code. (D) An ind...

...cation of the medicaid hospice benefit, discharge from the hospice benefit, change by the individual of the designated hospice, or death of the individual in accordance with Chapter 5160-56 of the Administrative Code. (S) "Episode of Care" or "Hospice Episode of Care" is a hospice election period or series of election periods separated by no more than a sixty day gap. Each episode is initiated by...

... end on the ninetieth day, unless a discharge pursuant to rule 5160-56-03 of the Administrative Code disrupts hospice care. (2) If at the end of the initial ninety day period, the individual is recertified as terminally ill, the designated hospice shall ensure the individual is enrolled in the second subsequent ninety-day benefit period, continuing hospice services uninterrupted until the end...

...care and/or the hospice benefit. (A) Discharge refers to the end the hospice benefit and/or the designated hospice's care: (1) Discharge from the designated hospice's care shall occur when the individual: (a) Dies/expires; (b) No longer meets the hospice enrollment or eligibility criteria; (c) No longer is terminally ill, e.g., physician discharges or does not recertify the individual; (d) Mov...