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

...aff, personal preferences about the way duties, tasks and procedures are to be performed. (4) Works collaboratively 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) Does not direct the provider to act in a manner that is contrary to...

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 5160-58-08.4 | Grievances, appeals, and state fair hearings for MyCare Ohio.

...r state hearing was pending. (I) Other duties of an MCOP regarding appeals and grievances. (1) An MCOP gives 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 outlined in this rule; and (c)...

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...

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. (72) "Public institution" means an institution, as defined in 42 C.F.R. 435.1010 (as in effect October 1, 2022), that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control, such as a stat...

Rule 5160:1-2-06 | Medicaid: outstationing workers at disproportionate share hospitals and federally qualified health centers.

...nly performing initial processing duties, the outstationed worker must forward the application to the administrative agency in accordance with Chapter 5160:1-1 and Chapter 5160:1-2 of the Administrative Code. (ii) Accept and refer applications for other public assistance programs to the administrative agency for processing.

Rule 5160:1-2-06 | Medicaid: outstationing workers at disproportionate share hospitals and federally qualified health centers.

...nly performing initial processing duties, the outstationed worker must forward the application to the administrative agency in accordance with Chapters 5160:1-1 and 5160:1-2 of the Administrative Code. (ii) Accept and refer applications for other public assistance programs to the administrative agency or appropriate program office for processing. Assist individuals with connecting to ap...

Rule 5160:1-3-05.19 | Medicaid: real or personal property essential to self-support.

...general description of the individual's duties; and (d) Whether the items are currently being used. (4) Provide a signed statement if the individual alleges owning property used to produce goods or services essential to basic daily living needs. The statement is to include: (a) A description of the property; and (b) How the property is used; and (c) An estimate of the property's fair market value...

Rule 5180:1-3-01 | Regional prevention councils operation and regional prevention council member duties.

...ion whatsoever. (B) Officers and their duties. (1) The chairperson serves as a nonvoting member of the council. The chairperson is to preside at all council meetings or may call upon the vice chairperson to preside during a meeting. (2) A vice chairperson is to be selected by the council from among the members of the council in the first quarter of each state fiscal year. (a) The vice chairperson is to preside in...