Ohio Administrative Code Search

...ised Code prohibits ODA from paying a provider for services provided to individuals enrolled in the PASSPORT or assisted living programs unless the provider is an ODA-certified provider. ODA-certification is assigned to a provider's federal taxpayer identification number (TIN) and is not transferable. This rule applies in all instances where there is a change of ownership interest involving an ODA-certifi...

...tion: After ODA initially certifies a provider in a region, the provider may apply to become certified to provide an additional service in that region, including an ODA-certified provider of enhanced ADS applying for certification to provide intensive ADS and an ODA-certified provider of the basic assisted living service applying for certification to provide memory care. (A) Application: A certified provid...

... to the following scenarios: (a) A provider certified to provide a service in a region wants to be certified to provide the same service in another region. (b) A provider certified to provide a service in a region wants to be certified to provide the same service from an additional business site in the same region. (c) A certified assisted living provider wants confirmation that more design...

...mit with their applications for ODA provider certification proof that they are a service member or veteran, as section 5903.01 of the Revised Code defines those terms, or the spouse or surviving spouse of a service member or veteran, shall receive priority processing of their applications. (1) If an applicant answers affirmatively that he or she is a service member, veteran, or the spouse or ...

...Introduction: Each ODA-certified provider is subject to a regular structural compliance review (review) to ascertain if it complies with this chapter. (A) Deadline for ODA's designee to conduct the first review: The one-year anniversary of the provider's certification date. (B) Deadlines for ODA's designee to conduct subsequent reviews: (1) The one-year anniversary of the previous review if the...

...Introduction: Each ODA-certified provider is subject to a regular structural compliance review (review) to ascertain if it complies with this chapter. (A) First review: No later than three hundred sixty-five days after the date of ODA's initial certification, ODA's designee shall conduct the first review of each provider. (B) Subsequent reviews: (1) ODA's designee shall conduct subsequent reviews of providers of p...

...Introduction: Each ODA-certified provider is subject to a regular structural compliance review (review) to ascertain if it complies with this chapter. (A) Deadline for ODA's designee to conduct the first review: The one-year anniversary of the provider's certification date. (B) Deadlines for ODA's designee to conduct subsequent reviews: (1) The one-year anniversary of the previous review if the...

...plinary action against an ODA-certified provider (provider) for good cause, including misfeasance, malfeasance, nonfeasance, confirmed abuse or neglect, financial irresponsibility, or other conduct ODA determines is injurious, or poses a threat, to the health or safety of individuals being served. (B) Disciplinary actions by ODA's designee: (1) Disciplinary actions imposed by ODA's designee may include any one or m...

...ary action against an ODA-certified provider (provider) for good cause, including misfeasance, malfeasance, nonfeasance, confirmed abuse or neglect, financial irresponsibility, or other conduct ODA determines is injurious, or poses a threat, to the health or safety of individuals being served. (B) Disciplinary actions by ODA's designee: (1) Disciplinary actions imposed by ODA's designee may ...

...plinary action against an ODA-certified provider (provider) for good cause, including misfeasance, malfeasance, nonfeasance, confirmed abuse or neglect, financial irresponsibility, or other conduct ODA determines is injurious, or poses a threat, to the health or safety of individuals being served. (B) Disciplinary actions by ODA's designee: (1) Disciplinary actions imposed by ODA's designee may include any one or m...

...rvices that a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code.

...of services a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code. "Unique identifier" means an item belonging to a specific individual or caregiver which identifies only the individual or caregiver and which the individual or caregiver offers as ...

...of services a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code.

...y that seeks to become an ODA-certified provider for the state-funded component of the PASSPORT program shall apply to become so under rule 173-39-03 of the Administrative Code.

...ent of the PASSPORT program may pay a provider for providing a service covered under rule 173-40-05 of the Administrative Code only if the provider is certified to provide the service under Chapter 173-39 of the Administrative Code and section 173.39 of the Revised Code.

...t of the PASSPORT program. (B) While a provider may provide an individual enrolled in the state-funded component of the PASSPORT program with a service not authorized in the individual's service plan, ODA or its designee shall not pay a provider for any service not explicitly authorized in the individual's service plan.

...the PASSPORT program does not pay a provider for any service not explicitly authorized in the individual's person-centered services plan.

...rvices that a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code.

...rvices that a case manager authorizes a provider to provide to an individual, regardless of the funding source for those services. It includes the person-centered planning in rule 5160-44-02 of the Administrative Code.

...ive while receiving services. (ii) The providers from which the individual chooses to receive services. (iii) The individual's personal preferences on how services are to be provided to the individual. (iv) Any additional information required by rule 5160-44-02 of the Administrative Code. (d) After the plan is developed, ODA's designee shall give electronic or paper copies of the...

...ive while receiving services. (ii) The providers from which the individual chooses to receive services. (iii) The individual's personal preferences on how services are to be provided to the individual. (iv) Any additional information required by rule 5160-44-02 of the Administrative Code. (d) After the plan is developed, ODA's designee shall give electronic or paper copies of the...

...ecting, and dismissing the individual's providers. 42 C.F.R. 431.51 allows an individual to choose the providers from whom the individual wants to receive services, so long as each provider the individual chooses is qualified and willing to provide the services the individual needs. (iii) Developing and maintaining back-up plans that meet the individual's needs. (c) After the plan is develop...

... (6) A nursing facility that has a provider agreement with the department of medicaid may admit an individual as a resident only if the nursing facility has evidence of all of the following: (a) The nursing facility complied with this rule. (b) The nursing facility complied with rule 173-43-03 of the Administrative Code. (c) The program administrator provided a consultation to the individu...

... (3) A nursing facility that has a provider agreement with the department of job and family services may only admit an individual as a resident upon receipt of evidence that the nursing facility has complied with rules 173-43-02 and 173-43-03 of the Administrative Code and that the program administrator has provided a long-term care consultation to the individual, unless rule 173-43-03 of the ...

... (3) A nursing facility that has a provider agreement with the department of medicaid may only admit an individual as a resident upon receipt of evidence that the nursing facility has complied with this rule and rule 173-43-03 of the Administrative Code and that the program administrator has provided a long-term care consultation to the individual, unless rule 173-43-03 of the Administrative Code...