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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

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Rule 5160-43-04 | Specialized recovery services program covered services and provider requirements.

...es (HCBS) settings; (iv) "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on October 1, 2020); (v) 42 C.F.R. part 2 (as in effect on October 1, 2020), confidentiality of alcohol and drug abuse patient records; and (vi) Incident management as described in rule 5160-44-05 of the Administrative ...

Rule 5160-43-04 | Specialized recovery services program covered services and provider requirements.

...es (HCBS) settings; (iv) "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (October 1, 2023); (v) 42 C.F.R. part 2 (October 1, 2023), confidentiality of alcohol and drug abuse patient records; and (vi) Incident management as described in rule 5160-44-05 of the Administrative Code. (f) Be supervised by clinical s...

Rule 5160-43-05 | Specialized recovery services program provider conditions of participation.

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on February 1, 2016), confidentiality of alcohol and drug abuse patient records set forth in 42 C.F.R part 2 (as in effect on February 1, 2016), and the medicaid safeguarding information requirements set forth in 42 C.F.R. parts 431.30...

Rule 5160-43-05 | Specialized recovery services program provider conditions of participation.

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on October 1, 2020), confidentiality of alcohol and drug abuse patient records set forth in 42 C.F.R part 2 (as in effect on October 1, 2020), and the medicaid safeguarding information requirements set forth in 42 C.F.R. parts 431.300 ...

Rule 5160-43-05 | Specialized recovery services program provider conditions of participation.

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (October 1, 2023), confidentiality of alcohol and drug abuse patient records set forth in 42 C.F.R part 2 (October 1, 2023), and the medicaid safeguarding information requirements set forth in 42 C.F.R. parts 431.300 to 431.307 (October 1, 2023), ...

Rule 5160-44-02 | Nursing facility-based level of care home and community-based services programs: person-centered planning and documentation standards.

...d supports provided through private insurance, medicare, medicaid state plan, and waiver services. (g) Address any risk factors and measures in place to minimize them, when needed. (h) Include back-up plans that meet the needs of the individual. (i) Reflect that the setting chosen by the individual is integrated in, and supports the full access of individuals receiving medicaid HCBS to the...

Rule 5160-44-12 | Nursing facility-based level of care home and community-based services programs: home maintenance and chore services.

... request, furnish proof of licensure, insurance, and bonding for services from applicable jurisdictions. (8) Maintain, and upon request, furnish a list of the chemicals and substances used for each proposal. (9) Furnish to the individual, ODM, ODA, or their designee a warranty that covers the workmanship and materials involved in performing the service, as applicable. (10) Provide documen...

Rule 5160-44-12 | Nursing facility-based level of care home and community-based services programs: home maintenance and chore.

...bing work. (8) Proof of licensure, insurance, and bonding for services from applicable jurisdictions. (9) Proof of all necessary post-inspections and post-inspection reports required by law, a HOA, or both to verify whether each episode of service meets federal, state, and local laws or HOA requirements. Proof will be obtained prior to billing, (10) All of the documents required in paragra...

Rule 5160-44-13 | Nursing facility-based level of care home and community-based services programs: home modification services.

...aintain and furnish proof of licensure, insurance and bonding for general contracting services of applicable jurisdictions to ODM, ODA or their designee upon request. (g) Obtain final written approval from the individual and ODM, ODA or their designee after completion of the home modification service. (2) The provider shall obtain and maintain evidence of compliance with: (a) The written conse...

Rule 5160-44-13 | Nursing facility-based level of care home and community-based services programs: home modification.

...designee upon request. (h) Licensure, insurance, and bonding for general contracting services of applicable jurisdictions to ODM, ODA or their designee upon request. (i) All permits and pre-job inspections required by law, home owners' association, or both. (j) All necessary post-inspections and post-inspection reports required by law, a HOA, or both to verify whether each episode of service ...

Rule 5160-44-17 | Nursing facility-based level of care home and community-based services programs: out-of-home respite services.

...ignificant phone numbers and health insurance identification numbers of the individual. (b) Information regarding medical diagnosis (es), treatment(s) and preferences. (c) The individual's medication profile and medication administration record, as applicable. (d) The individual's treatment administration record, as applicable. (e) The name and contact information for the individual's primary ...

Rule 5160-44-17 | Nursing facility-based level of care home and community-based services programs: out-of-home respite.

...ignificant phone numbers and health insurance identification numbers of the individual. (b) Information regarding medical diagnosis (es), treatment(s) and preferences. (c) The individual's medication profile and medication administration record, as applicable. (d) The individual's treatment administration record, as applicable. (e) The name and contact information for the individual's primary ...

Rule 5160-44-22 | Nursing facility-based level of care home and community-based services programs: waiver nursing services.

...ignificant phone numbers and health insurance identification numbers of the individual. (b) Information regarding medical diagnoses, treatment and preferences. (c) The individual's medication profile and medication administration record, as applicable. (d) The individual's treatment administration record, as applicable. (e) The name of and contact information for the individual's primary c...

Rule 5160-44-22 | Nursing facility-based level of care home and community-based services programs: waiver nursing services.

...ity, race, phone numbers and health insurance identification numbers of the individual. (b) Information regarding medical diagnoses, treatment and preferences. (c) The individual's medication profile and medication administration record, as applicable. (d) The individual's treatment administration record, as applicable. (e) The name of and contact information for the individual's primary care ...

Rule 5160-44-31 | Ohio department of medicaid (ODM)-administered waiver programs: provider conditions of participation.

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on October 1, 2020), and the medicaid safeguarding information requirements set forth in 42 C.F.R. 431.300 to 431.306 (as in effect on October 1, 2020), along with sections 5160.45 to 5160.481 of the Revised Code. (13) Ensure that th...

Rule 5160-44-31 | Ohio department of medicaid (ODM)-administered waiver programs: provider conditions of participation.

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on October 1, 2020), and the medicaid safeguarding information requirements set forth in 42 C.F.R. 431.300 to 431.306 (as in effect on October 1, 2020), along with sections 5160.45 to 5160.481 of the Revised Code. (13) Ensure that th...

Rule 5160-44-31 | Ohio department of medicaid (ODM)-administered waiver programs: provider conditions of participation.

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on October 1, 2023), and the medicaid safeguarding information requirements set forth in 42 C.F.R. 431.300 to 431.306 (as in effect on October 1, 2023), along with sections 5160.45 to 5160.481 of the Revised Code. (13) Ensure that th...

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

... and in compliance with the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (October 1, 2020) and the medicaid safeguarding information requirements set forth in 42 C.F.R. 431.000 to 431.306 (October 1, 2020) along with sections 5160.45 to 5160.481 of the Revised Code. (k) Provide accurate and complete information includin...

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

...ers, and in compliance with the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (October 1, 2021) and the medicaid safeguarding information requirements set forth in 42 C.F.R. 431.000 to 431.306 (October 1, 2021) along with sections 5160.45 to 5160.481 of the Revised Code. (k) Provide accurate and complete information includin...

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

...ers, and in compliance with the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (October 1, 2023) and the medicaid safeguarding information requirements set forth in 42 C.F.R. 431.000 to 431.306 (October 1, 2023) along with sections 5160.45 to 5160.481 of the Revised Code. (k) Provide accurate and complete information includin...

Rule 5160-45-11 | ODM-administered waiver programs: exclusionary periods for disqualifying offenses; certificates; and pardons.

... (i) 2911.12 (burglary); (j) 2913.47 (insurance fraud); (k) 2917.01 (inciting to violence); (l) 2917.03 (riot); (m) 2917.31 (inducing panic); (n) 2919.22 (endangering children): (o) 2919.25 (domestic violence); (p) 2921.03 (intimidation); (q) 2921.11 (perjury); (r) 2921.13 (falsification, falsification in a theft offense, falsification to purchase a firearm, or falsification to obtain a concealed ha...

Rule 5160-45-11 | ODM-administered waiver programs: exclusionary periods for disqualifying offenses; certificates; and pardons.

... (i) 2911.12 (burglary); (j) 2913.47 (insurance fraud); (k) 2917.01 (inciting to violence); (l) 2917.03 (riot); (m) 2917.31 (inducing panic); (n) 2919.22 (endangering children): (o) 2919.25 (domestic violence); (p) 2921.03 (intimidation); (q) 2921.11 (perjury); (r) 2921.13 (falsification, falsification in a theft offense, falsification to purchase a firearm, or falsification to obtain a concealed ha...

Rule 5160-46-04 | Ohio home care waiver: definitions of the covered services and provider requirements and specifications.

...ignificant phone numbers and health insurance identification numbers of the individual. (b) The medical history of the individual. (c) The name of individual's treating physician. (d) A copy of the initial and all subsequent person-centered services plans. (e) Documentation of all drug and food interactions, allergies and dietary restrictions. (f) A copy of any advance directives including, b...

Rule 5160-46-04 | Ohio home care waiver: definitions of the covered services and provider requirements and specifications.

...ignificant phone numbers and health insurance identification numbers of the individual. (b) The medical history of the individual. (c) The name of individual's treating physician. (d) A copy of the initial and all subsequent person-centered services plans. (e) Documentation of all drug and food interactions, allergies and dietary restrictions. (f) A copy of any advance directives including, b...

Rule 5160-46-04 | Ohio home care waiver: definitions of the covered services and provider requirements and specifications.

...ignificant phone numbers and health insurance identification numbers of the individual. (b) The medical history of the individual. (c) The name of individual's treating physician. (d) A copy of the initial and all subsequent PCSP. (e) Documentation of all drug and food interactions, allergies and dietary restrictions. (f) A copy of any advance directives including, but not limited to, do not ...