Skip to main content
Back To Top Top Back To Top
This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Ohio Administrative Code Search

Busy
 
Keywords
:
duties
{"removedFilters":"","searchUpdateUrl":"\/ohio-administrative-code\/search\/update-search","keywords":"duties","start":2226,"pageSize":25,"sort":"BestMatch"}
Rules
Rule
Rule 5160-1-42 | Provider credentialing.

...e frames and content for reporting, duties assigned, necessary processes and procedures, and collaborating of a yearly audit; (4) The delegate has to have their own credentialing committee, with decision making capabilities, and delegation contract monitoring; (5) The delegate has to report any additions, changes, and terminations in a timely manner including both credentialed and non-creden...

Rule 5160-3-20 | Nursing facilities (NFs) : medicaid cost report filing, disclosure requirements, and records retention.

...luding related parties, who perform duties directly related to functions performed in more than one cost center that would be expended under separate cost centers if performed by separate staff may be expended to separate cost centers based upon documented hours worked, provided the facility maintains adequate documentation of hours worked in each cost center. For example, the salary of an aide wh...

Rule 5160-9-04 | Pharmacy services: drug utilization review.

...nner as the original appointments. (3) Duties (a) The DUR board shall review and recommend criteria used in DUR. (b) The DUR board shall recommend multiple levels of interventions for physicians and pharmacists targeted toward therapy problems or individuals identified in the course of retrospective drug use reviews. Intervention programs shall include, in appropriate instances, at least: (i) Written, oral, or el...

Rule 5160-9-04 | Pharmacy services: drug utilization review.

...nner as the original appointments. (3) Duties (a) The DUR board reviews and recommends criteria used in DUR. (b) The DUR board recommends multiple levels of interventions for physicians and pharmacists targeted toward therapy problems or recipients identified during retrospective drug use reviews. Intervention programs include, in appropriate instances, at least: (i) Written, oral, or electr...

Rule 5160-26-06 | Managed care: program integrity - fraud, waste and abuse, audits, reporting, and record retention.

... as requested by ODM, as related to its duties and obligations and where needed to ensure operation in accordance with all state and federal regulations or requirements. (E) If the MCE fails to submit any ODM-requested materials, as specified in paragraph (D) of this rule, without cause as determined by ODM, on or before the due date, ODM may impose any or all of the sanctions listed in rule 5160...

Rule 5160-26-10 | Managed care: sanctions and provider agreement actions.

...e. (B) If the MCO fails to fulfill its duties and obligations under 42 C.F.R. Part 438 (October 1, 2021), 42 U.S.C. 1396b(m) (as in effect July 1, 2022), 42 U.S.C. 1396u-2 (as in effect July 1, 2022), agency 5160 of the Administrative Code, or the MCO provider agreement, ODM will provide timely written notification to the MCO identifying the violations or deficiencies, and may impose corrective a...

Rule 5160-40-01 | Medicaid home and community-based services program - individual options waiver.

...e individual's designee perform the duties associated with participant direction. (2) All services will be provided to an individual enrolled in the IO waiver program pursuant to a written person-centered ISP. (a) The ISP will be developed by qualified persons with input from the individual in accordance with rule 5123-4-02 of the Administrative Code; (b) The ISP will be developed to include o...

Rule 5160-41-17 | Medicaid home and community-based services program - self-empowered life funding waiver.

...e individual's designee perform the duties associated with participant direction including budget authority and employer authority in accordance with rule 5123-9-40 of the Administrative Code. (2) All services will be provided to an individual enrolled in the SELF waiver program pursuant to a written person-centered Individual Service Plan (ISP). (a) The ISP will be developed by qualified perso...

Rule 5160-42-01 | Medicaid home and community-based services program - level one waiver.

...e individual's designee perform the duties associated with participant direction. (2) All services will be provided to an individual enrolled on the L1 waiver program pursuant to a written person-centered Individual Service Plan (ISP). (a) The ISP will be developed by qualified persons with input from the individual in accordance with rule 5123-4-02 of the Administrative Code. (b) The ISP will...

Rule 5160-44-11 | Nursing facility-based level of care home and community-based services programs: home delivered meals.

...topics relevant to the person's job duties before they perform those duties. (b) The provider shall ensure anyone who participates in meal preparation, handling or delivery completes continuing education annually on topics relevant to the person's job duties. (E) Delivery requirements. (1) Delivery shall be based on a routine delivery date and range of time. (2) Written or electronic deliver...

Rule 5160-44-11 | Nursing facility-based level of care home and community-based services programs: home delivered meals.

...topics relevant to the person's job duties before they perform those duties. (b) The provider will ensure anyone who participates in meal preparation, handling or delivery completes continuing education annually on topics relevant to the person's job duties. (E) Delivery requirements. (1) Delivery will be based on a routine delivery date and range of time. (2) The provider will notify the in...

Rule 5160-44-14 | Nursing facility-based level of care home and community-based services programs: community integration services.

...topics relevant to the person's job duties before they perform those duties. (b) The provider shall ensure anyone who furnishes community integration services completes a minimum of twelve hours of continuing education annually on topics relevant to the person's job duties. (4) Community integration service staff shall have: (a) A high school diploma, general education diploma (GED), or a m...

Rule 5160-44-14 | Nursing facility-based level of care home and community-based services programs: community integration.

...topics relevant to the person's job duties before they perform those duties. (b) The provider will ensure anyone who furnishes community integration completes a minimum of twelve hours of continuing education annually on topics relevant to the person's job duties. (4) Community integration staff will have: (a) A high school diploma, general education diploma (GED), or a minimum of one year of r...

Rule 5160-44-16 | Nursing facility-based level of care home and community-based services programs: personal emergency response systems.

... signals by each staff member whose job duties include responding to alarm signals at the station. (2) Ensure each individual is able to choose the PERS device that meets his or her assessed needs and preferences as authorized by the individual's person-centered services plan. (3) Install and activate the individual's PERS equipment no later than seven days after the date PERS has been autho...

Rule 5160-44-16 | Nursing facility-based level of care home and community-based services programs: personal emergency response systems.

... signals by each staff member whose job duties include responding to alarm signals at the station. (2) Ensure each individual is able to choose the PERS device that meets his or her assessed needs and preferences as authorized by the individual's person-centered services plan. (3) Install and activate the individual's PERS equipment no later than seven days after the date PERS has been autho...

Rule 5160-45-03 | Ohio department of medicaid (ODM) -administered waiver program: individual rights and responsibilities.

...ider personal preferences about the duties, tasks and procedures to be performed, and when appropriate, about provider performance concerns. (n) Report to the case manager any service delivery issues including, but not limited to, service disruption, complaints and concerns about the provider, and/or health and safety issues. (o) Keep scheduled appointments and notify the provider and case manag...

Rule 5160-45-03 | Ohio department of medicaid (ODM) -administered waiver program: individual rights and responsibilities.

...ider personal preferences about the duties, tasks and procedures to be performed, and when appropriate, about provider performance concerns. (n) Report to the case manager any service delivery issues including, but not limited to, service disruption, complaints and concerns about the provider, and/or health and safety issues. (o) Keep scheduled appointments and notify the provider and case manag...

Rule 5160-45-03 | Ohio department of medicaid (ODM) -administered waiver program: individual rights and responsibilities.

...ider personal preferences about the duties, tasks and procedures to be performed, and when appropriate, about provider performance concerns. (n) Report to the case manager any service delivery issues including, but not limited to, service disruption, complaints and concerns about the provider, and/or health and safety issues. (o) Keep scheduled appointments and notify the provider and case manag...

Rule 5160-58-03.2 | MyCare Ohio waiver: member choice, control, responsibilities and participant direction.

...l preferences about the manner in which duties, tasks and procedures are to be performed. (4) Work with the waiver service coordinator and the provider to identify and secure additional service provider orientation, training and/or continuing education within the provider's scope of practice in order to meet the member's specific needs. (5) Not direct the provider to act in a manner that is ...

Rule 5160-58-03.2 | MyCare Ohio waiver: member choice, control, responsibilities and participant direction.

... personal preferences about the way duties, tasks and procedures are to be performed. (4) Work with the waiver service coordinator and the provider to identify and secure additional service provider orientation, training and/or continuing education within the provider's scope of practice to meet the member's specific needs. (5) Not direct the provider to act in a manner that is contrary ...

Rule 5160-58-08.4 | Appeals and grievances for "MyCare Ohio".

...ate hearing was pending. (I) Other duties of an MCOP regarding appeals and grievances. (1) An MCOP shall give members all reasonable assistance filing a grievance, an appeal, or a state hearing request including but not limited to: (a) Explaining the MCOP's process to be followed in resolving the member's appeal or grievance; (b) Completing forms and taking other procedural steps as outlin...

Rule 5160-58-08.4 | Appeals and grievances for "MyCare Ohio".

...ate hearing was pending. (H) Other duties of an MCOP regarding appeals and grievances. (1) An MCOP shall give members all reasonable assistance filing a grievance, an appeal, or a state hearing request including but not limited to: (a) Explaining the MCOP's process to be followed in resolving the member's appeal or grievance; (b) Completing forms and taking other procedural steps as outlin...

Rule 5160-58-08.4 | Appeals and grievances for "MyCare Ohio".

...ate hearing was pending. (H) Other duties of an MCOP regarding appeals and grievances. (1) An MCOP shall give members all reasonable assistance filing a grievance, an appeal, or a state hearing request including but not limited to: (a) Explaining the MCOP's process to be followed in resolving the member's appeal or grievance; (b) Completing forms and taking other procedural steps as outlin...

Rule 5160:1-1-01 | Medicaid: definitions.

... entity that has assumed the powers and duties of the children services function for a county, as defined in rule 5101:2-1-01 of the Administrative Code. (64) "Public institution" means an institution which is the responsibility of a governmental unit or over which a governmental unit exercises administrative control as defined in 42 C.F.R. 435.1010 (as in effect October 1, 2016). (65) "Qualified entity" means the ...

Rule 5160:1-1-01 | Medicaid: definitions.

... entity that has assumed the powers and duties of the children services function for a county, as defined in rule 5101:2-1-01 of the Administrative Code. (71) "Public institution" means an institution, as defined in 42 C.F.R. 435.1010 (as in effect October 1, 2021), that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control, such as a stat...