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

...11.12 (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 ...

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 ...

Rule 5160-46-04 | Ohio home care waiver: personal care aide service.

...te of birth, phone number(s) and health insurance identification numbers. (2) The medical history of the individual. (3) The name of individual's treating physician. (4) A copy of the initial and all subsequent PCSP. (5) Documentation of all drug and food interactions, allergies, and dietary restrictions. (6) A copy of any advance directives including, but not limited to, a do not resusci...

Rule 5160-46-09 | Ohio home care waiver: vehicle modification service.

...ations to leased vehicles. (6) Vehicle insurance costs. (7) Services performed which exceed what is specified on the individual's person-centered services plan. (8) Removal of a modification except set forth in paragraph (B)(8) of this rule. (9) Repairs needed to a vehicle before a modification can be installed. (D) Limitations: (1) Service authorization is limited to ten thousand dollar...

Rule 5160-46-10 | Ohio home care waiver: supplemental transportation service.

...4) Maintain collision and liability insurance for each vehicle and driver used to provide supplemental transportation services. (5) Obtain and exhibit evidence of a valid motor vehicle inspection from the Ohio highway patrol for each vehicle used in the provision of supplemental transportation services. (6) Obtain and maintain a certificate of completion of a course in first aid for each dri...

Rule 5160-46-11 | Ohio home care waiver: supplemental assistive and adaptive device service.

...e of birth, phone number(s), and health insurance identification numbers. (2) The name of the individual's treating physician. (3) A copy of the initial and all subsequent PCSP. (4) Documentation verifying the date the supplemental adaptive and assistive device service was provided. (D) The authorization of supplemental adaptive and assistive device services may be combined with other wai...

Rule 5160-46-12 | Ohio home care waiver: adult day health center service.

...million dollars in commercial liability insurance, which includes coverage for individual's losses due to theft or property damage and a written procedure identifying the steps an individual takes to file a liability claim. (3) Maintain evidence of non-licensed direct care staff's completion of twelve hours of in-service training every twelve months. (4) Ensure that any waiver nursing servi...

Rule 5160-56-03.3 | Hospice services: reporting requirements.

...duals who may be covered by third-party insurance, such as medicare, for which the hospice seeks reimbursement. (A) The designated hospice shall report the required enrollment information to the Ohio department of medicaid using the medicaid information technology system (MITS) for the following: (1) Individuals in fee-for-service (FFS) medicaid hospice under the designated hospice's care on t...

Rule 5160-56-03.3 | Hospice services: reporting requirements.

...duals who may be covered by third-party insurance, such as medicare, for which the hospice seeks reimbursement. (A) The designated hospice should report the necessary enrollment information to the Ohio department of medicaid using the ODM provider web portal for the following: (1) Individuals in fee-for-service (FFS) medicaid hospice under the designated hospice's care on the effective date of thi...