Ohio Administrative Code Search

...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...

...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...

... 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...

...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...

...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...

... (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...

... (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...

...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 ...

...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...

...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...

...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 ...

...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...

...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...

...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...

...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...

...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...

...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...

...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...

...rage of hospice services under hospital insurance" under hospital insurance, www.cms.gov (revised May 08, 2015). (a) Transports to an individual's home which occur on the effective date of the hospice election, the date of admission, prior to the initial assessment or prior to establishing the plan of care are not covered under the hospice benefit. (b) If the hospice determines that the individual's...

...rage of hospice services under hospital insurance" under hospital insurance (https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/bp102c09.pdf). (a) Transports to an individual's home which occur on the effective date of the hospice election, the date of admission, prior to the initial assessment or prior to establishing the plan of care are not covered under the hospice benefi...

...-party resources, including private insurance, and taking into account patient liability for room and board, ODM may be billed for the balance owed to the designated hospice, except for services covered by individuals receiving hospice through managed care. For each day the medicaid eligible individual is enrolled in hospice, the total reimbursement for hospice services cannot exceed the medicaid ...

...-party resources, including private insurance, and taking into account patient liability for room and board, ODM may be billed for the balance owed to the designated hospice, except for services covered by individuals receiving hospice through managed care. For each day the medicaid eligible individual is enrolled in hospice, the total reimbursement for hospice services cannot exceed the medicaid ...

...services plan. (2) "Creditable insurance" or "creditable coverage" means health insurance coverage as defined in 42 U.S.C. 300gg-3(c) (October 1, 2020). (3) "Dual benefits member" or "opt-in member" means a member for whom a MyCare Ohio plan is responsible for the coordination and payment of both medicare and medicaid benefits. (4) "Financial management service (FMS)" means a support th...

...services plan. (2) "Creditable insurance" or "creditable coverage" means health insurance coverage as defined in 42 U.S.C. 300gg-3(c) (October 1,2021). (3) "Dual benefits member" or "opt-in member" means a member for whom a MyCare Ohio plan is responsible for the coordination and payment of both medicare and medicaid benefits. (4) "Financial management service (FMS)" means a support tha...

...services plan. (2) "Creditable insurance" or "creditable coverage" means health insurance coverage as defined in 42 U.S.C. 300gg-3(c) (October 1,2021). (3) "Dual benefits member" or "opt-in member" means a member for whom a MyCare Ohio plan is responsible for the coordination and payment of both medicare and medicaid benefits. (4) "Financial management service (FMS)" means a support tha...