Ohio Administrative Code Search
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Rule 5123-7-02 | Intermediate care facilities for individuals with intellectual disabilities - provider agreement and other essential requirements.
...e same as a third-party payor (i.e., an insurance company), and this provision does not preclude the operator from obtaining information about medicare and medicaid eligibility or the availability of private insurance. The prohibition against third-party guarantees applies to all residents and prospective residents of an ICFIID regardless of payment source. This provision does not prohibit a third... |
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Rule 5123-7-02 | Intermediate care facilities for individuals with intellectual disabilities - provider agreement and other essential requirements.
...me as a third-party payor (i.e., an insurance company), and this provision does not preclude the operator from obtaining information about medicare and medicaid eligibility or the availability of private insurance. The prohibition against third-party guarantees applies to all residents and prospective residents of an ICFIID regardless of payment source. This provision does not prohibit a third par... |
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Rule 5123-7-09 | Intermediate care facilities for individuals with intellectual disabilities - personal needs allowance accounts.
... needs allowance funds to purchase life insurance, grave space, a burial account, or other item that may be considered a countable resource, the ICFIID shall refer the resident or the resident's representative, as applicable, to the county department of job and family services for an explanation of the effect the purchase may have on the resident's medicaid eligibility. (F) Limitations on charges... |
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Rule 5123-7-09 | Intermediate care facilities for individuals with intellectual disabilities - personal needs allowance accounts.
... needs allowance funds to purchase life insurance, grave space, a burial account, or other item that may be considered a countable resource, the ICFIID shall refer the resident or the resident's representative, as applicable, to the county department of job and family services for an explanation of the effect the purchase may have on the resident's medicaid eligibility. (F) Limitations on charges... |
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Rule 5123-7-09 | Intermediate care facilities for individuals with intellectual disabilities - personal needs allowance accounts.
... needs allowance funds to purchase life insurance, grave space, a burial account, or other item that may be considered a countable resource, the ICFIID will refer the resident or the resident's representative, as applicable, to the county department of job and family services for an explanation of the effect the purchase may have on the resident's medicaid eligibility. (F) Limitations on charges ... |
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Rule 5123-9-01 | Home and community-based services waivers - enrollment, denial of enrollment, disenrollment, and reenrollment.
...state plan services, private health insurance plan benefits, non-waiver services, and/or natural supports. (E) Responsibilities for enrollment (1) A county board shall enroll individuals in home and community-based services waivers in accordance with rule 5123-9-04 of the Administrative Code. (2) When a county board intends to enroll an individual in a home and community-based services waiv... |
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Rule 5123-9-01 | Home and community-based services waivers - enrollment, denial of enrollment, disenrollment, and reenrollment.
...state plan services, private health insurance plan benefits, non-waiver services, and/or natural supports. (E) Responsibilities for enrollment (1) A county board will enroll individuals in home and community-based services waivers in accordance with rule 5123-9-04 of the Administrative Code. (2) When a county board intends to enroll an individual in a home and community-based services waive... |
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Rule 5123-9-02 | Home and community-based services waivers - ensuring the suitability of services and service settings.
...aid supports; (ii) Private insurance; (iii) Community resources; (iv) Special education or related services as defined in section 602 of the Individuals with Disabilities Education Improvement Act of 2004, 20 U.S.C. 1401, as in effect on the effective date of this rule; (v) Vocational rehabilitation services funded under section 110 of the Rehabilitation Act of 1973... |
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Rule 5123-9-02 | Home and community-based services waivers - ensuring the suitability of services and service settings.
...aid supports; (ii) Private insurance; (iii) Community resources; (iv) Special education or related services as defined in section 602 of the Individuals with Disabilities Education Improvement Act of 2004, 20 U.S.C. 1401, as in effect on the effective date of this rule; (v) Vocational rehabilitation services funded under section 110 of the Rehabilitation Act of 1973... |
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Rule 5123-9-12 | Home and community-based services waivers - assistive technology under the individual options, level one, and self-empowered life funding waivers.
... taxes; duty; protective in-transit insurance; and freight charges. (3) "Actual price" means the actual price that a provider of assistive technology equipment is charged to purchase an item of equipment by the seller and that fully and accurately reflects any discount or rebate the provider receives. The provider shall maintain documentation of the actual price in the form of an invoice from the... |
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Rule 5123-9-12 | Home and community-based services waivers - assistive technology under the individual options, level one, and self-empowered life funding waivers.
... taxes; duty; protective in-transit insurance; and freight charges. (3) "Actual price" means the actual price that a provider of assistive technology equipment is charged to purchase an item of equipment by the seller and that fully and accurately reflects any discount or rebate the provider receives. The provider shall maintain documentation of the actual price in the form of an invoice from the... |
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Rule 5123-9-12 | Home and community-based services waivers - assistive technology under the individual options, level one, and self-empowered life funding waivers.
... taxes; duty; protective in-transit insurance; and freight charges. (3) "Actual price" means the actual price that a provider of assistive technology - equipment is charged to purchase an item of equipment by the seller and that fully and accurately reflects any discount or rebate the provider receives. The provider will maintain documentation of the actual price in the form of an invoice from th... |
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Rule 5123-9-12 | Home and community-based services waivers - assistive technology under the individual options, level one, and self-empowered life funding waivers.
... taxes; duty; protective in-transit insurance; and freight charges. (3) "Actual price" means the actual price that a provider of assistive technology - equipment is charged to purchase an item of equipment by the seller and that fully and accurately reflects any discount or rebate the provider receives. The provider will maintain documentation of the actual price in the form of an invoice from th... |
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Rule 5123-9-12 | Home and community-based services waivers - assistive technology under the individual options, level one, and self-empowered life funding waivers.
...ble; taxes; duty; protective in-transit insurance; and freight charges. (3) "Actual price" means the actual price that a provider of assistive technology - equipment is charged to purchase an item of equipment by the seller and that fully and accurately reflects any discount or rebate the provider receives. The provider will maintain documentation of the actual price in the form of an invoice from the seller that gi... |
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Rule 5123-9-13 | Home and community-based services waivers - career planning under the individual options, level one, and self-empowered life funding waivers.
...rity income, social security disability insurance, medicaid buy-in for workers with disabilities, medicare continuation benefits, veteran's benefits, supplemental nutrition assistance program, and housing assistance. A maximum of four benefits education and analyses may be funded through the individual's waiver in a waiver eligibility span. (b) Career discovery. Career discovery is an individuali... |
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Rule 5123-9-13 | Home and community-based services waivers - career planning under the individual options, level one, and self-empowered life funding waivers.
...rity income, social security disability insurance, medicaid buy-in for workers with disabilities, medicare continuation benefits, veteran's benefits, supplemental nutrition assistance program, and housing assistance. A maximum of four benefits education and analyses may be funded through the individual's waiver in a waiver eligibility span. (b) Career discovery. Career discovery is an individualized,... |
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Rule 5123-9-13 | Home and community-based services waivers - career planning under the individual options, level one, and self-empowered life funding waivers.
...rity income, social security disability insurance, medicaid buy-in for workers with disabilities, medicare continuation benefits, veteran's benefits, supplemental nutrition assistance program, and housing assistance. A maximum of four benefits education and analyses may be funded through the individual's waiver in a waiver eligibility span. (b) Career discovery. Career discovery is an individualized,... |
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Rule 5123-9-18 | Home and community-based services waivers - non-medical transportation under the individual options, level one, and self-empowered life funding waivers.
...Ohio law. (b) Have valid liability insurance as specified by Ohio law. (c) Immediately notify the department, in writing, if he or she accumulates six or more points on his or her driving record or if his or her driver's license is suspended or revoked. (d) Complete testing for controlled substances by a laboratory certified for such testing within thirty-two hours and complete testing for ... |
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Rule 5123-9-18 | Home and community-based services waivers - non-medical transportation under the individual options, level one, and self-empowered life funding waivers.
...Ohio law. (b) Have valid liability insurance as specified by Ohio law. (c) Immediately notify the department, in writing, if he or she accumulates six or more points on his or her driving record or if his or her driver's license is suspended or revoked. (d) Complete testing for controlled substances by a laboratory certified for such testing within thirty-two hours and complete testing for ... |
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Rule 5123-9-18 | Home and community-based services waivers - non-medical transportation under the individual options, level one, and self-empowered life funding waivers.
... by Ohio law. (b) Have valid liability insurance as specified by Ohio law. (c) Immediately notify the department, in writing, if the independent provider accumulates six or more points on the independent provider's driving record or has a driver's license suspended or revoked. (d) Complete testing for controlled substances by a laboratory certified for such testing within thirty-two hours and complete testing ... |
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Rule 5123-9-18 | Home and community-based services waivers - non-medical transportation under the individual options, level one, and self-empowered life funding waivers.
...Ohio law. (b) Have valid liability insurance as specified by Ohio law. (c) Immediately notify the department, in writing, if the independent provider accumulates six or more points on the independent provider's driving record or has a driver's license suspended or revoked. (d) Complete testing for controlled substances by a laboratory certified for such testing within thirty-two hours and c... |
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Rule 5123-9-18 | Home and community-based services waivers - non-medical transportation under the individual options, level one, and self-empowered life funding waivers.
...Ohio law. (b) Have valid liability insurance as specified by Ohio law. (c) Immediately notify the department, in writing, if the independent provider accumulates six or more points on the independent provider's driving record or has a driver's license suspended or revoked. (d) Complete testing for controlled substances by a laboratory certified for such testing within thirty-two hours and c... |
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Rule 5123-9-20 | Home and community-based services waivers - money management under the individual options and level one waivers.
...ack of financial records and health insurance documentation, to assisting with bill-paying and maintaining bank accounts. Money management does not take the place of services provided by professionals in the accounting, investment, or social services fields. Money management complements the work of other professionals by facilitating the completion of the day-to-day tasks rather than determining o... |
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Rule 5123-9-20 | Home and community-based services waivers - money management under the individual options and level one waivers.
...g track of financial records and health insurance documentation, to assisting with bill-paying and maintaining bank accounts. Money management does not take the place of services provided by professionals in the accounting, investment, or social services fields. Money management complements the work of other professionals by facilitating the completion of the day-to-day tasks rather than determining or executing long... |
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Rule 5123-9-20 | Home and community-based services waivers - money management under the individual options and level one waivers.
...ack of financial records and health insurance documentation, to assisting with bill-paying and maintaining bank accounts. Money management does not take the place of services provided by professionals in the accounting, investment, or social services fields. Money management complements the work of other professionals by facilitating the completion of the day-to-day tasks rather than determini... |