Ohio Administrative Code Search
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Rule 5160-43-03 | Specialized recovery services program individual rights and responsibilities.
...gers from among qualified and available providers; and (a) Have the recovery manager explain the program, how it will assist the individual, and his or her rights and responsibilities; (b) Participate with the recovery manager and the care team in the person-centered care plan development process, and when possible, lead the process; (c) Request assistance from the recovery manager with rec... |
Rule 5160-43-03 | Specialized recovery services program individual rights and responsibilities.
... from among qualified and available providers; and (a) Have the recovery manager explain the program, how it will assist the individual, and his or her rights and responsibilities; (b) Participate with the recovery manager and the care team in the person-centered service plan development process, and when possible, lead the process; (c) Request assistance from the recovery manager with recr... |
Rule 5160-43-04 | Specialized recovery services program covered services and provider requirements.
...program (SRSP) and the requirements for providers of those services. (B) Individualized placement and support - supported employment (IPS-SE) is the implementation of evidence-based practices allowing individuals to obtain and maintain meaningful employment by providing training, ongoing individualized support, and skill development to promote recovery. IPS-SE is an evidence based practice which ... |
Rule 5160-43-04 | Specialized recovery services program covered services and provider requirements.
...program (SRSP) and the requirements for providers of those services. (B) Individualized placement and support - supported employment (IPS-SE) is the implementation of evidence-based practices allowing individuals to obtain and maintain meaningful employment by providing training, ongoing individualized support, and skill development to promote recovery. IPS-SE is an evidence based practice which ... |
Rule 5160-43-05 | Specialized recovery services program provider conditions of participation.
...pecialized recovery service program providers shall maintain professional relationships with the individuals they serve. Providers shall furnish services in a person-centered manner that is in accordance with the individual's approved person-centered care plan, is attentive to the individual's needs and maximizes the individual's independence. Providers shall refrain from any behavior that may det... |
Rule 5160-43-05 | Specialized recovery services program provider conditions of participation.
...pecialized recovery service program providers shall maintain professional relationships with the individuals they serve. Providers shall furnish services in a person-centered manner that is in accordance with the individual's approved person-centered service plan, is attentive to the individual's needs and maximizes the individual's independence. Providers shall refrain from any behavior that may ... |
Rule 5160-43-07 | Specialized recovery services program compliance: provider monitoring, oversight, structural reviews and investigations.
...ongoing monitoring and oversight of all providers of specialized recovery services (hereafter referred to as providers) and contractors to ensure compliance with program requirements. (B) Monitoring and oversight of specialized recovery services program providers and recovery management contractors: (1) ODM and/or its designee (hereafter referred to as ODM) shall conduct ongoing monitoring and overs... |
Rule 5160-43-07 | Specialized recovery services program compliance: provider monitoring, oversight, and investigations.
...ongoing monitoring and oversight of all providers of specialized recovery services (hereafter referred to as providers) and contractors to ensure compliance with program requirements. (B) Monitoring and oversight of specialized recovery services program providers and recovery management contractors: (1) ODM and/or its designee (hereafter referred to as ODM) shall conduct ongoing monitoring and ... |
Rule 5160-43-09 | Specialized recovery services program criminal records checks for providers.
...ents for the criminal records checks of providers of home and community-based services (HCBS) to individuals enrolled in the specialized recovery services program. HCBS include peer recovery support and individualized placement and support-supported employment (IPS-SE). This rule only applies to all persons under final consideration for employment with an agency and existing employees in a full-ti... |
Rule 5160-43-09 | Specialized recovery services program criminal records checks for providers.
...ents for the criminal records checks of providers of home and community-based services (HCBS) to individuals enrolled in the specialized recovery services program. HCBS include recovery management, peer recovery support and individualized placement and support-supported employment (IPS-SE). This rule only applies to all persons under final consideration for employment with an agency and existing e... |
Rule 5160-44-01 | Nursing facility-based level of care home and community-based services programs: home and community-based settings.
...ule. For the purposes of this rule, provider owned or controlled settings are not private residences. (2) Home and community-based settings do not include any of the following: (a) A nursing facility; (b) An insititution for mental diseases; (c) An intermediate care facility for individuals with intellectual disabilities; (d) A hospital; or (e) Any other locations as determined by the ODM or its... |
Rule 5160-44-01 | Nursing facility-based level of care home and community-based services programs: home and community-based settings.
...ule. For the purposes of this rule, provider owned or controlled settings are not private residences. (2) Home and community-based settings do not include any of the following: (a) A nursing facility; (b) An institution for mental diseases; (c) An intermediate care facility for individuals with intellectual disabilities; (d) A hospital; or (e) Any other locations as determined by the ODM or its ... |
Rule 5160-44-02 | Nursing facility-based level of care home and community-based services programs: person-centered planning.
...nt within the process. (6) Ensure that providers of HCBS for the individual, or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management, provider oversight, or develop the person-centered services plan. (7) Offer informed choices to the individual regarding the services and supports he or she receives and from whom. (8) Include a ... |
Rule 5160-44-02 | Nursing facility-based level of care home and community-based services programs: person-centered planning.
...nt within the process. (6) Ensure that providers of HCBS for the individual, or those who have an interest in or are employed by a provider of HCBS for the individual must not provide case management, provider oversight, or develop the person-centered services plan. (7) Offer informed choices to the individual regarding the services and supports he or she receives and from whom. (8) Include a ... |
Rule 5160-44-05 | Nursing facility-based level of care home, community-based services (HCBS) programs and specialized recovery services (SRS) program: incident management.
..., their designees, individuals, and providers of waiver services, and SRS. ODM and ODA may designate other entities to perform one or more of the incident management functions set forth in this rule. (C) Upon an individual's enrollment on a waiver, and at the time of each annual reassessment, the care management entity shall obtain written confirmation that the individual received information... |
Rule 5160-44-05 | Nursing facility-based level of care home, community-based services (HCBS) programs and specialized recovery services (SRS) program: incident management.
..., their designees, individuals, and providers of waiver services, and SRS. ODM and ODA may designate other entities to perform one or more of the incident management functions set forth in this rule. (C) Upon an individual's enrollment on a waiver, and at the time of each annual reassessment, the care management entity shall obtain written confirmation that the individual received information... |
Rule 5160-44-05 | Nursing facility-based level of care home and community-based services (HCBS) programs, medicaid managed care organizations, the OhioRISE program, and specialized recovery services (SRS) program: incident management.
... this rule. This rule also applies to providers of waiver services, providers of OhioRISE services, providers of services provided through a medicaid managed care organization (MCO), and providers of services under the specialized recovery services (SRS) program. ODA and ODM may designate other entities to perform one or more of the incident management functions set forth in this rule. (A) For the purpose ... |
Rule 5160-44-11 | Nursing facility-based level of care home and community-based services programs: home delivered meals.
...an is located licenses dietitians. (a) Providers shall furnish each individual with home delivered meals that, as much as possible, accommodate the individual's religious, cultural, ethnic, and dietary preferences, including kosher meals. (b) Providers shall publish their current menu and ingredient information on their websites and offer written menus and ingredient information to individuals. (4... |
Rule 5160-44-12 | Nursing facility-based level of care home and community-based services programs: home maintenance and chore services.
... Home maintenance and chore service providers shall submit a fixed cost proposal for the services submitted under the referral which shall be good for the term of the proposal. (a) At a minimum, the proposal shall include all of the following: (i) A breakdown of all the needed materials; (ii) A breakdown of the costs of all the needed materials; (iii) A breakdown of the labor cos... |
Rule 5160-44-13 | Nursing facility-based level of care home and community-based services programs: home modification services.
...ssibility needs. (4) Home modification providers shall submit a fixed cost proposal for the services submitted under the home modification referral which shall be good for the term of the work agreement. (a) At a minimum, the proposal shall include all of the following: (i) A drawing or diagram of the home modification, as appropriate; (ii) A breakdown of all of the needed materials; ... |
Rule 5160-44-14 | Nursing facility-based level of care home and community-based services programs: community integration services.
... (D) Community integration service provider requirements. (1) Community integration services shall be furnished by Ohio department of medicaid (ODM) -approved agencies or Ohio department of aging (ODA) -certified agencies. (2) The provider shall comply with the requirements set forth in rule 5160-44-31 of the Administrative Code for an ODM-administered waiver program, or Chapter 173-39 of the ... |
Rule 5160-44-16 | Nursing facility-based level of care home and community-based services programs: personal emergency response systems.
... emergency service personnel. (D) PERS provider requirements. The provider shall: (1) Ensure and maintain a record of the successful completion of training on how to respond to alarm signals by each staff member whose job duties include responding to alarm signals at the station. (2) Ensure each individual is able to choose the PERS device that meets his or her assessed needs and preferences as... |
Rule 5160-44-17 | Nursing facility-based level of care home and community-based services programs: out-of-home respite services.
...t stay. (1) An out-of-home respite provider shall make available the following: (a) Waiver nursing services as set forth in rule 5160-44-22 of the Administrative Code; (b) Personal care services as set forth in rule 5160-46-04 of the Administrative Code if the individual is enrolled on an Ohio department of medicaid (ODM) -administered waiver, or rule 173-39-02.11 of the Administrative Code if ... |
Rule 5160-44-22 | Nursing facility-based level of care home and community-based services programs: waiver nursing services.
...ursing; (b) Possess an active medicaid provider agreement or be employed by an entity that has an active medicaid provider agreement; and (c) Provide services within the nurse's scope of practice as set forth in Chapter 4723. of the Revised Code and agency 4723 of the Administrative Code rules adopted thereunder. (2) Nursing tasks and activities that shall only be performed by an RN include, but ar... |
Rule 5160-44-26 | Nursing facility-based level of care home and community-based services programs: community transition services.
...rring set-up expenses; and (h) The provider's administrative cost associated with providing community transition services under this rule. Such fees shall be included in the authorization described in paragraph (A)(2)(b) of this rule. (2) Are payable only to the extent: (a) They are determined reasonable and necessary through the person-centered services planning process described in rule ... |