Ohio Administrative Code Search

...not correct. (7) The individual or provider of long-term care believes that the level of care assigned, or the effective date of the level of care assigned, to the individual is not correct. (8) The individual disagrees with a preadmission screening or resident review determination made by the Ohio department of mental health and addiction services or the Ohio department of developmental dis...

...hout written authorization. (c) That a provider of long-term care may request a hearing, without obtaining written authorization, to contest the level of care assigned to the individual. (4) Written authorization is nontransferable. Unless paragraph (A)(3)(a) or (A)(3)(b) of this rule apply, documentary evidence must be in the appellant's hearing record that the appellant, the appellant's legal ...

...hout written authorization. (c) That a provider of long-term care may request a hearing, without obtaining written authorization, to contest the level of care assigned to the individual. (4) Written authorization is nontransferable. Unless paragraph (A)(3)(a) or (A)(3)(b) of this rule apply, documentary evidence must be in the appellant's hearing record that the appellant, the appellant's legal ...

...ervices previously requested by the provider and authorized by the MCP or MCOP before the hearing decision is rendered. Further entitlement to medical services cannot be established without a provider requesting additional services and the MCP or MCOP making a medical necessity determination. (10) If, upon the expiration of a period of authorized service, the enrollee requests further service...

...ervices previously requested by the provider and authorized by the MCP or MCOP before the hearing decision is rendered. Further entitlement to medical services cannot be established without a provider requesting additional services and the MCP or MCOP making a medical necessity determination. (10) If, upon the expiration of a period of authorized service, the enrollee requests further service...

...ervices previously requested by the provider and authorized by the MCP or MCOP before the hearing decision is rendered. Further entitlement to medical services cannot be established without a provider requesting additional services and the MCP or MCOP making a medical necessity determination. (10) If, upon the expiration of a period of authorized service, the enrollee requests further service...

... denial of a requested designated provider change, and denial of payment for services by a nondesignated provider. (vii) Home and community-based services (HCBS) waiver determinations. (viii) County board of developmental disabilities actions. (b) The medical determination unit shall participate in the hearing, either in person or by telephone. (c) If the medical determination unit is...

... denial of a requested designated provider change, and denial of payment for services by a nondesignated provider. (vii) Home and community-based services (HCBS) waiver determinations. (viii) County board of developmental disabilities actions. (b) The medical determination unit shall participate in the hearing, either in person or by telephone. (c) If the medical determination unit is...

...e approval notification sent to the provider shall be accompanied by a copy of the hearing decision. (2) When a hearing decision reverses a denial of prior authorization for additional therapeutic leave days for a medicaid recipient with a developmental disabilities (DD) level of care in a long-term care facility, the bureau of state hearings shall send a copy of the decision to the long-term...

...e approval notification sent to the provider shall be accompanied by a copy of the hearing decision. (2) When a hearing decision reverses a denial of prior authorization for additional therapeutic leave days for a medicaid recipient with a developmental disabilities (DD) level of care in a long-term care facility, the bureau of state hearings shall send a copy of the decision to the long-term...

...an adjudication by ODJFS, including providers and licensees. (2) "Appellant" means an affected party who has requested an adjudication hearing pursuant to Chapter 119. of the Revised Code. (3) "Contract" means any agreement through which ODJFS purchases goods or services from a vendor. (4) "Department" means the Ohio department of job and family services. (5) "Depository agent" means t...

...an adjudication by ODJFS, including providers and licensees. (2) "Appellant" means an affected party who has requested an adjudication hearing pursuant to Chapter 119. of the Revised Code. (3) "Contract" means any agreement through which ODJFS purchases goods or services from a vendor. (4) "Department" means the Ohio department of job and family services. (5) "Depository agent" means t...

...nts, recipients, subrecipients, service providers, labor unions, joint labor management committees, and community-based organizations for services, assistance, and other benefits administered by local workforce development areas. (2) "Service provider" refers to entities and individuals providing services directly to WIOA participants, such as approved educational institutions and those provi...

...nts, recipients, subrecipients, service providers, labor unions, joint labor management committees, and community-based organizations for services, assistance, and other benefits administered by local workforce development areas. (2) "Service provider" refers to entities and individuals providing services directly to WIOA participants, such as approved educational institutions and those provi...

...c advertisements; (ii) A list of providers contacted; (iii) Copies of all letters received from prospective bidders or respondents, including those indicating a bidder's lack of interest in competing for the contract; (iv) Any other materials which would justify the agency's use of noncompetitive procurement methods; and (v) Cost analysis, the projections of the dat...

...c advertisements; (ii) A list of providers contacted; (iii) Copies of all letters received from prospective bidders or respondents, including those indicating a bidder's lack of interest in competing for the contract; (iv) Any other materials which would justify the agency's use of noncompetitive procurement methods; and (D) Special circumstances (1) State purchasing ...

...nment of the amount paid to the vendor, provider, or PCSA sub-grantee by the applicable Title IV-E eligibility ratio prior to the computation of the actual federal share. (C) A PCSA shall report Title IV-E contract costs for reimbursement as described in rule 5101:9-7-29 of the Administrative Code. ODJFS will reimburse the PCSA based on the quarterly FFP.

...nment of the amount paid to the vendor, provider, or PCSA sub-grantee by the applicable Title IV-E eligibility ratio prior to the computation of the actual federal share. (C) A PCSA shall report Title IV-E contract costs for reimbursement as described in rule 5101:9-7-29 of the Administrative Code. ODJFS reimburses the PCSA based on the quarterly FFP.

... board, procuring the CCMEP WIOA youth providers on the board's behalf. (E) CCMEP funding. (1) ODJFS awards all CCMEP WIOA youth funds to the WIOA fiscal agent for each county. (2) When the lead agency is a WDA, ODJFS issues the CCMEP TANF regular and CCMEP TANF administration funds to the WIOA fiscal agent. (F) Procurement. (1) WIOA youth procurement shall be a collaborative effort with the...

...t board, procuring the CCMEP WIOA youth providers on the board's behalf. (E) CCMEP funding. (1) ODJFS awards all CCMEP WIOA youth funds to the WIOA fiscal agent for each county. (2) When the lead agency is a WDA, ODJFS issues the CCMEP TANF regular and CCMEP TANF administration funds to the WIOA fiscal agent. (F) Procurement. (1) WIOA youth procurement shall be a collaborative effort with the...

... if the CFSA or WIOA local area and provider agency enter into a written agreement. This written agreement is known as a memorandum of understanding (MOU). The MOU shall contain the following terms: (1) In lieu of transfer of funds, the provider agency will identify the specific amount of funds that the CFSA or WIOA local area may use as the nonfederal share of program expenditures; (2) The ...

... if the CFSA or WIOA local area and provider agency enter into a written agreement. This written agreement is known as a memorandum of understanding (MOU). The MOU contains the following terms: (1) In lieu of transfer of funds, the provider agency will identify the specific amount of funds that the CFSA or WIOA local area may use as the nonfederal share of program expenditures; (2) The funds...

...orts, information security, and service provider alignment. A county agency shall elect a service level as part of the MSA program. All ODJFS commitments are subject to the availability of state and federal funds. (C) The technology and service support policy (TSSP) also details the delineation of responsibilities, including financial responsibilities as shown in rule 5101:9-9-17 of the Administr...

...c office, vendor, sub-recipient, or provider of goods or services to ODJFS has complied or is in compliance with the federal statute or regulation, state statute or administrative rule, ordinances, or orders pertaining to the collection, receipt, accounting for, use, claim or expenditure of state or federal funds from or through ODJFS. (3) Any examination or review of any person, public offic...

... OhioMeansJobs center operator, the provider of career services, and the provider of youth services identified in section 107(d)(10) of WIOA. (4) The fiscal agent as established in section 107(d)(12)(B)(i)(II) of WIOA. (B) Local workforce development boards, chief elected officials, OhioMeansJobs center operators, and providers of career services and youth services referenced in paragraph (A) of...