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Rule 5101:4-9-05 | SNAP E&T progress monitoring.

...de; and (4) Reports from SNAP E&T providers to accurately gauge a participant's level of engagement and progress in the SNAP E&T program. (B) What is satisfactory progress? Satisfactory progress in the SNAP E&T program means a SNAP E&T enrolled participant is: (1) Actively achieving goals and milestones detailed in their employability plan; (2) Engaged in the SNAP E&T program; and (3) I...

Rule 5101:4-9-06 | SNAP E&T disenrollment.

... be assigned due to: (a) The lack of a provider of a suitable E&T component or activity (this includes reaching provider capacity); (b) Funding limitations by the county agency; (c) Institutionalization or incarceration of the E&T enrolled participant; (d) The enrolled participant is not suitable for assignment to a SNAP E&T component; (e) The E&T enrolled participant is deceased; (f) The E&T en...

Rule 5101:4-9-07.5 | SNAP E&T job retention.

...r (3) Outlining specific steps the provider or the SNAP E&T enrolled participant will take over the next thirty days to maintain a job. (D) Who is best suited for participation in job retention? In addition to reviewing the suitability criteria described in rule 5101:4-9-02 of the Administrative Code and prior to making an assignment, a SNAP E&T case manager is to verify the current or formerly...

Rule 5101:4-9-07.6 | SNAP E&T work experience.

...e time for any employer or SNAP E&T provider in the private for-profit sector. (2) A SNAP E&T case manager may assign an enrolled participant to a work experience for a reasonable amount of time; however, the assignment is not to exceed six continuous months. However, if an individual is participating in a registered apprenticeship program and the program is to last longer than six months, the ...

Rule 5101:6-2-31 | State hearings: notice of denial of prior authorization for medical or dental services.

...ion. Copies shall also be sent to the provider and to the local agency. (A) The notice shall contain: (1) A clear and understandable statement of the action taken and the reasons for it. (2) Citations of the applicable regulations. (3) An explanation of the assistance group's right to and the method of obtaining a state hearing. (4) A telephone number to call about free legal servic...

Rule 5101:6-2-31 | State hearings: notice of denial of prior authorization for medical or dental services.

...sion. Copies will also be sent to the provider and to the local agency. (A) The notice will contain: (1) A clear and understandable statement of the action taken and the reasons for it. (2) Citations of the applicable regulations. (3) An explanation of the assistance group's right to and the method of obtaining a state hearing. (4) A telephone number to call about free legal services. ...

Rule 5101:6-2-40 | State hearings: coordinated services program state hearing and notice requirements.

...ministrative Code. (4) "Designated provider" has the same meaning as described in rule 5160-20-01 of the Administrative Code. (5) "Individual," for the purpose of this rule, means a recipient who is currently receiving medicaid services, either through fee-for-service or through an MCP. (C) Proposed enrollment into the CSP. (1) ODM or the MCP shall provide written notice, or its electronic...

Rule 5101:6-2-40 | State hearings: coordinated services program state hearing and notice requirements.

...ministrative Code. (4) "Designated provider" has the same meaning as described in rule 5160-20-01 of the Administrative Code. (5) "Individual," for the purpose of this rule, means a recipient who is currently receiving medicaid services, either through fee-for-service or through an MCP. (C) Proposed enrollment into the CSP. (1) ODM or the MCP will provide written notice, not less than fift...

Rule 5101:6-3-01 | State hearings: grounds for requesting a state hearing.

...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...

Rule 5101:6-3-01 | State hearings: grounds for requesting a state hearing.

...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...

Rule 5101:6-3-01 | State hearings: grounds for requesting a state hearing.

...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...

Rule 5101:6-3-02 | State hearings: state hearing requests.

...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 ...

Rule 5101:6-3-02 | State hearings: state hearing requests.

...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 ...

Rule 5101:6-4-01 | State hearings: continuation of benefits when a state hearing is requested.

...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...

Rule 5101:6-4-01 | State hearings: continuation of benefits when a state hearing is requested.

...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...

Rule 5101:6-4-01 | State hearings: continuation of benefits when a state hearing is requested.

...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...

Rule 5101:6-6-01 | State hearings: scheduling and attendance.

... 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...

Rule 5101:6-6-01 | State hearings: scheduling and attendance.

... 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...

Rule 5101:6-7-03 | State hearings: implementation of the hearing decision.

...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...

Rule 5101:6-7-03 | State hearings: implementation of the hearing decision.

...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...

Rule 5101:6-50-01 | Chapter 119. hearings: definitions and scope of applicability.

...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...

Rule 5101:6-50-01 | Chapter 119. hearings: definitions and scope of applicability.

...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...

Rule 5101:9-2-03 | Workforce Innovation and Opportunity Act (WIOA): programmatic complaints.

...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...

Rule 5101:9-2-03 | Workforce Innovation and Opportunity Act (WIOA): programmatic complaints.

...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...

Rule 5101:9-4-07.1 | Procurement methods.

...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...