Ohio Administrative Code Search

...rformed within forty-eight hours before discharge is used. (ii) Otherwise, the most recent blood gas study performed within the preceding twelve months may be used. (4) A renewing CMN is used to extend certification. (a) If the need for oxygen was established through a respiratory study in which a positive airway pressure device was shown to be effective only when supplemental oxygen ...

...sixty consecutive days from the date of discharge from an inpatient hospital stay if all of the following are met as certified by the qualifying treating clinician using the ODM 07137: (1) The individual is discharged from a covered inpatient hospital stay of three or more days, with the discharge date recorded on form ODM 07137. It is considered one inpatient hospital stay when an individual is...

...y consecutive days from the date of discharge from an inpatient hospital stay of three or more covered days in accordance with rule 5160-2-03 of the Administrative Code. For purposes of this rule, a covered inpatient hospital stay is considered one hospital stay when an individual is transferred from one hospital to another hospital, either within the same building or to another location. (a) The...

...nd any resulting activities; and (w) A discharge summary signed and dated by the directing RN, at the point the RN is no longer going to provide assessment and consultation services to the individual or when the individual no longer needs services from the supervising RN. The summary should include information regarding the progress made toward goal achievement and indicate any recommended follow-ups...

...nd any resulting activities; and (w) A discharge summary signed and dated by the directing RN, at the point the RN is no longer going to provide assessment and consultation services to the individual or when the individual no longer needs services from the supervising RN. The summary should include information regarding the progress made toward goal achievement and indicate any recommended follow-ups...

...ned by hospital or other facility discharge; and (iii) The infant's parent or caregiver would benefit from additional education and support services regarding care for the patient. (c) The PRC develops and implements a program for parents and caregivers of the infant, either individually or in a group setting to address: (i) Activities to encourage caregiver-infant bonding. (ii) Ad...

...plete the "follow-up after hospital discharge" activities in which the CPC entity will have established relationships with all emergency departments and hospitals from which it frequently receives referrals and has an established process to ensure a reliable flow of information. (7) Complete the "tests and specialist referrals" activities in which the CPC entity will have established bi-direc...

...plete the "follow-up after hospital discharge" activities in which the CPC entity will have established relationships with all emergency departments and hospitals from which it frequently receives referrals and has an established process to ensure a reliable flow of information. (7) Complete the "tests and specialist referrals" activities in which the CPC entity will have established bi-direc...

... Complete the "follow-up after hospital discharge" activities in which the CPC entity will have established relationships with all emergency departments and hospitals from which it frequently receives referrals and has an established process to ensure a reliable flow of information. (7) Complete the "tests and specialist referrals" activities in which the CPC entity will have established bi-directional communication...

... ODM. (7) Follow-up after hospital discharge. It is the responsibility of the CMC entity to: (a) Establish relationships with emergency departments (EDs) and hospitals from which it frequently sends and receives referrals and has an established process to ensure a reliable flow of information; (b) Proactively and consistently obtain patient discharge summaries from hospitals and other facilitie...

... ODM. (7) Follow-up after hospital discharge. It is the responsibility of the CMC entity to: (a) Establish relationships with emergency departments (EDs) and hospitals from which it frequently sends and receives referrals and has an established process to ensure a reliable flow of information; (b) Proactively and consistently obtain patient discharge summaries from hospitals and other facilities, a...

...ment box. (7) Follow-up after hospital discharge. It is the responsibility of the CMC entity to: (a) Establish relationships with emergency departments (EDs) and hospitals from which it frequently sends and receives referrals and has an established process to ensure a reliable flow of information; (b) Proactively and consistently obtain patient discharge summaries from hospitals and other facilities, and connect i...

...ndividual's assigned pharmacy following discharge from an inpatient treatment program for addiction, upon request.

...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...

...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...

... necessary to support admission to or discharge from the facility. (c) Assertive community treatment as described in rule 5160-27-04 of the Administrative Code. (d) Inpatient or outpatient hospital services as described in Chapter 5160-2 of the Administrative Code, except for MRSS necessary to support admission to or discharge from the hospital. (e) Psychiatric residential treatment facility services...

...cessary to support admission to and discharge from the substance use disorder residential treatment. Payment for the services provided during a substance use disorder residential treatment stay is made in accordance with rule 5160-27-09 of the Administrative Code. (e) Receiving inpatient hospital psychiatric services as described in Chapter 5160-2 of the Administrative Code, except when the peer ...

...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 ...