Ohio Administrative Code Search

...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...

...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. (i) The summary should include documentation regarding pr...

... 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...

...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...

... 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 will 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...

...care and/or the hospice benefit. (A) Discharge refers to the end the hospice benefit or the designated hospice's care: (1) Discharge from the designated hospice's care should occur when the individual: (a) Dies; (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) Moves out of t...

... the benefit period as a result of a discharge pursuant to rule 5160-56-03 of the Administrative Code. (C) The information specified in paragraph (B) of this rule shall be submitted to ODM only through the system in accordance with the requirements of the MITS system.

... the benefit period as a result of a discharge pursuant to rule 5160-56-03 of the Administrative Code. (C) The information specified in paragraph (B) of this rule should be submitted to ODM only through the system in accordance with the requirements of the ODM provider web portal.

...s of an individual's life, when the discharge from hospice care is due to death. The service intensity add-on (SIA) payment shall be billed using code G0299 for the direct care provided in an in-person visit completed by an RN. The SIA payment shall be billed using code G0155 for the direct care provided during an in-person visit completed by a social worker. The reimbursement rate for the SIA p...

...s of an individual's life, when the discharge from hospice care is due to death. The service intensity add-on (SIA) payment will be billed using code G0299 for the direct care provided in an in-person visit completed by an RN. The SIA payment will be billed using code G0155 for the direct care provided during an in-person visit completed by a social worker. The reimbursement rate for the SIA pay...

... member is stabilized and can be safely discharged or transferred. (8) The MCOP must adhere to the judgment of the attending provider when the attending provider requests a member's transfer to another facility or discharge. The plan may establish arrangements with hospitals whereby the plan may designate one of its contracting providers to assume the attending provider's responsibilities to stab...

...ber is stabilized and can be safely discharged or transferred. (h) The MCOP must adhere to the judgment of the attending provider when the attending provider requests a member's transfer to another facility or discharge. The MCOP may establish arrangements with hospitals whereby the MCOP may designate one of its contracting providers to assume the attending provider's responsibilities to stabiliz...

... member is stabilized and can be safely discharged or transferred. (8) The OhioRISE plan has to adhere to the judgment of the attending provider when the attending provider requests a member's transfer to another facility or discharge. The OhioRISE plan may establish arrangements with hospitals whereby the OhioRISE plan may designate one of its contracting providers to assume the attending p...

... continuum of care; (ix) Facilitating discharge planning activities for youth admitted to a psychiatric residential treatment facility or an inpatient behavioral health facility; and (x) Facilitating transition planning and activities for youth exiting the OhioRISE program or the OhioRISE 1915(c) waiver. For youth receiving ICC who are enrolled in the OhioRISE 1915(c) waiver, transition planning must identify supp...

...nuum of care; (ix) Facilitating discharge planning activities for youth admitted to a facility for behavioral health treatment or inpatient behavioral health treatment; and (x) Facilitating transition planning and activities for youth exiting the OhioRISE program or the OhioRISE 1915(c) waiver. For youth receiving ICC who are enrolled in the OhioRISE 1915(c) waiver, transition plannin...

... bed hold day status is not considered discharged from the PRTF. (2) "Direct care costs" are costs for services delivered to a resident of a PRTF through a PRTF employee or contractual arrangement with a PRTF. Direct care costs include wages, taxes, supervision, staff development, contracting, and consulting services. (3) "Family visit" means an authorized overnight absence from the PRTF that a...

...uth enrolling on the waiver following a discharge from one of the following settings: (i) A psychiatric residential treatment facility (PRTF) as described in 42 C.F.R. 441.150 (October 1, 2021) through 42 C.F.R 441.184 (October 1, 2021); (ii) An intermediate care facility for individuals with an intellectual disability (ICF/IID) as defined in section 5124.01 of the Revised Code; (iii) An inpatient psychiatric hosp...

...enrolling on the waiver following a discharge from one of the following settings: (i) A psychiatric residential treatment facility (PRTF) as described in 42 C.F.R. 441.150 (October 1, 2023) through 42 C.F.R 441.184 (October 1, 2023); (ii) An intermediate care facility for individuals with an intellectual disability (ICF/IID) as defined in section 5124.01 of the Revised Code; (iii) An in...

...ned to not reasonably be expected to be discharged from the medical institution to return home; (a) No lien may be imposed under paragraph (C)(2) of this rule on such individual's home when the following individuals lawfully reside in the home: (i) The individual's spouse; or (ii) The individual's child who is under the age of twenty-one, or is blind or disabled in accordance with sec...