Ohio Administrative Code Search
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Rule 3701-16-11 | Resident life enrichment; finances; pets; laundry.
...r to the facility money, valuables, insurance benefits, property, or anything of value other than payment for services rendered by the facility. A residential care facility shall not manage a resident's financial affairs unless authorized by the resident or a sponsor with power of attorney. Such authorization shall be in writing and shall be attested to by a witness who is not connected in any... |
Rule 3701-16-11 | Resident life enrichment; finances; pets; laundry.
... over to the facility money, valuables, insurance benefits, property, or anything of value other than payment for services rendered by the facility. A residential care facility is not allowed to manage a resident's financial affairs unless authorized by the resident or a sponsor with power of attorney. Such authorization is obligated to be in writing and attested to by a witness who is not connect... |
Rule 3701-21-02.2 | Cost analysis and calculation.
...s, rent, supplies, equipment, liability insurance, and training; (b) Use of an indirect cost rate of thirty per cent of the wages or salaries and fringe benefits of inspecting sanitarians attributable to the component; or (c) Application of a negotiated indirect cost rate and calculation method approved by an agency of the federal government for the licensor to the component; (8) The sampling and laboratory costs ... |
Rule 3701-21-02.2 | Cost analysis and calculation.
...s, rent, supplies, equipment, liability insurance, and training; or (b) Use of an indirect cost rate of thirty per cent of the wages or salaries and fringe benefits of inspecting environmental health specialists attributable to the component. (8) The sampling and laboratory costs for the component other than those costs specified in paragraph (C)(2) of rule 3701-21-02.1 of the Administrative Co... |
Rule 3701-28-01 | Definitions.
...mergency management agency on flood insurance rate maps, flood insurance studies, flood boundary and floodway maps and flood hazard boundary maps as zones A, AE, AH, AO, A1-30, and A99. Special flood hazard areas may also refer to areas that are flood prone and designated from other federal state or local sources of data including but not limited to historical flood information reflecting high wat... |
Rule 3701-28-18 | Registration and bonding of private water systems contractors.
...from the bonding and business liability insurance requirements established in paragraph (B) of this rule, and may only perform work on residences they own. (4) Owners of property rentals in which they do not reside, or owners drilling a well for construction or alteration purposes shall obtain a registration to perform work, but are exempt from the business liability insurance requirements establ... |
Rule 3701-29-01 | Definitions.
...al emergency management agency on flood insurance rate maps, flood insurance studies, flood boundary and floodway maps and flood hazard boundary maps as zones A, AE, AH, AO, A1-30, and A99. Special flood hazard areas may also refer to areas that are flood prone and designated from other federal, state, or local sources of data including but not limited to historical flood information reflecting high water marks, prev... |
Rule 3701-29-03 | Registration of installers, service providers, and septage haulers.
...dred thousand dollars general liability insurance coverage. In the case of dual or multiple registrations as an installer, septage hauler, and/or service provider, the required general liability insurance shall apply to multiple registration categories. (5) Beginning with the registration year starting on January 1, 2016, proof of completion of at least six continuing education hours during the previous calendar yea... |
Rule 3701-30-12 | Lead poisoning prevention fund.
... who are not covered by private medical insurance or are under insured, are not eligible for the medicaid program or any other government health program, and do not have access to another source of funds to cover the costs of lead tests and any indicated treatments; (2) Costs associated with having lead hazard control performed or having the preventive treatments specified in section 3742.41 of t... |
Rule 3701-30-12 | Lead poisoning prevention fund.
... who are not covered by private medical insurance or are under insured, are not eligible for the medicaid program or any other government health program, and do not have access to another source of funds to cover the costs of lead tests and any indicated treatments; (2) Costs associated with having lead hazard control performed or having the preventive treatments specified in section 3742.41 of t... |
Rule 3701-36-14 | Cost methodology.
...s, rent, supplies, equipment, liability insurance, training and other costs as allowable in circular A-87 as published by the United States office of management and budget. Actual support costs of each program are calculated by multiplying the amount determined under paragraph (B)(8)(a)(i) of this rule by the amount determined under paragraph (B)(8)(a)(ii) of this rule. (i) The portion of total departmental support... |
Rule 3701-40-07 | Reimbursement for hearing screening.
...le for medicaid; and (c) Does not have insurance coverage for the screening. (3) The provider is not reimbursed by a third-party payer. (B) The provider seeking reimbursement from the director for a hearing screening shall submit an invoice for reimbursement to the director no later than twelve months after the completion of the screening. The invoice shall contain at least the following information: (1) The name... |
Rule 3701-43-01 | Definitions.
...ental entities or pursuant to a plan of insurance. (W) "Third-party payor" means any insurer or other third party payor licensed by the Ohio superintendent of insurance, any payor under any individual or group contract, and any other governmental payor. (X) "Treatment services or goods" means medical, surgical or ancillary health care services or related goods that correct a medically eligible condition, improve fu... |
Rule 3701-43-15 | Application and review procedures for eligibility for payment for treatment.
...s, phone number, medical care provider, insurance coverage, medicaid status, or change in any other available third party coverage within thirty days of such change. Failure to notify the director of a change may result in denial of coverage. (J) Applications for renewal of eligibility shall be submitted and reviewed in the same manner as initial applications for eligibility under this rule. In the event that diffe... |
Rule 3701-43-16 | Financial eligibility requirements for payment for treatment for children with medical handicaps.
... payroll deductions, for health-related insurance coverage and the sum of the following amounts: (a) Ten per cent of the first fifteen thousand dollars by which the family income exceeds the applicable income guideline, as defined in paragraph (A)(1) of this rule; (b) Twenty-five per cent of the next twenty-five thousand dollars by which the family income exceeds the applicable income guideline, as defined in parag... |
Rule 3701-43-16.1 | Adult hemophilia insurance premium payment program.
...stimated annual expenditures for health insurance not reimbursed by a third party, and service level are subtracted from family income. (2) "Assistance" means reimbursement to the eligible participant or legal representative for premiums paid by the eligible participant or legal representative for health insurance coverage for the eligible participant. Assistance may include payments for premiums for an eligible pa... |
Rule 3701-43-16.2 | Financial eligibility requirements for payment for treatment for adults with cystic fibrosis.
... payroll deductions, for health-related insurance coverage and the sum of the following amounts: (a) Ten per cent of the first fifteen thousand dollars by which the family income exceeds the applicable income guidelines, as defined in paragraph (A)(1) of this rule; (b) Twenty-five per cent of the next twenty-five thousand dollars by which the family income exceeds the applicable income guideline, as defined in para... |
Rule 3701-43-20 | Providing assistance with health insurance premiums.
...eets the conditions for eligibility for insurance premium payment assistance set forth in paragraph (B) of this rule. (2) "Cost-effective" means that the total cost to the program for uncovered services provided to an eligible participant plus the cost for health insurance premiums paid by the program on behalf of the eligible participant plus the associated administrative costs to the program is less than the total... |
Rule 3701-43-21 | Providing assistance with medicaid spenddown payments.
... the eligible participant had no health insurance coverage. (6) "Primary source of payment" mean the payment source with primary responsibility for payment. (B) The director may authorize assistance for a recipient who has a spenddown liability for medicaid and meets the following conditions: (1) Recipient has been approved for medical assistance disability (MA-D) with a spenddown liability for medicaid as defined... |
Rule 3701-60-06 | Criminal records check: disqualifying offenses.
... WIC program benefits); (uuu) 2913.47 (insurance fraud); (vvv) 2913.48 (workers' compensation fraud); (www) 2913.49 (identify fraud); (xxx) 2913.51 (receiving stolen property); (yyy) 2917.01 (inciting to violence); (zzz) 2917.02 (aggravated riot); (aaaa) 2917.03 (riot); (bbbb) 2917.31 (inducing panic); (cccc) 2919.12 (unlawful abortion); (dddd) 2919.121 (unlawful abortion upon minor); (eeee) 2919.123 (unla... |
Rule 3701-60-07 | Disqualifying offense exclusionary periods; certificates; pardons.
... (ix) 2911.12 (burglary); (x) 2913.47 (insurance fraud); (xi) 2917.01 (inciting to violence); (xii) 2917.03 (riot); (xiii) 2917.31 (inducing panic); (xiv) 2919.22 (endangering children); (xv) 2919.25 (domestic violence); (xvi) 2921.03 (intimidation); (xvii) 2921.11 (perjury); (xviii) 2921.13 (falsification, falsification in a theft offense, falsification to purchase a firearm, or falsification to obtain a co... |
Rule 3701-60-08 | Criminal records check: disqualifying offenses.
... program benefits); (www) 2913.47 (insurance fraud); (xxx) 2913.48 (workers' compensation fraud); (yyy) 2913.49 (identify fraud); (zzz) 2913.51 (receiving stolen property); (aaaa) 2917.01 (inciting to violence); (bbbb) 2917.02 (aggravated riot); (cccc) 2917.03 (riot); (dddd) 2917.31 (inducing panic); (eeee) 2919.12 (unlawful abortion); (ffff) 2919.121 (unlawful abortion upon minor); (gggg) 2919.123... |
Rule 3701-60-09 | Disqualifying offenses exclusionary periods; certificates; pardons.
...ely to be present); (x) 2913.47 (insurance fraud); (xi) 2917.01 (inciting to violence); (xii) 2917.03 (riot); (xiii) 2917.31 (inducing panic); (xiv) 2919.22 (endangering children); (xv) 2919.25 (domestic violence); (xvi) 2921.03 (intimidation); (xvii) 2921.11 (perjury); (xviii) 2921.13 (falsification, falsification in a theft offense, falsification... |
Rule 3701-62-12 | Effect of DNR identification or order on insurance.
...ssuance, or renewal of a policy of life insurance or annuity, notwithstanding any term of a policy or annuity to the contrary; (2) Be deemed to modify in any manner or invalidate the terms of any policy of life insurance or annuity that is in effect on or after July 9, 1998. (B) Notwithstanding any term of a policy of life insurance or annuity to the contrary, the withholding or withdrawal of ... |
Rule 3701-75-04 | Confidentiality statutes.
...ns of the agency related to the "Health Insurance Portability and Accountability Act of 1996" ("HIPAA"): 42 U.S.C. 1302(a), 42 U.S.C. 1320d through 1320d-8, 45 C.F.R. parts 160 and 164. (U) Applicant, participant, and vendor information related to the "Women, Infants, and Children ("WIC")" and "Farmer's Market" programs: 42 U.S.C. 1786, et seq., 7 C.F.R. 246.26. (V) Records and documents relatin... |