Ohio Administrative Code Search

...ility may provide. (c) Hold a medicaid provider agreement with the Ohio department of medicaid to operate the ICFIID. (2) An operator will: (a) Execute the provider agreement in the format provided by the Ohio department of medicaid. (b) Apply for and maintain a valid license issued by the department. (c) Comply with the provider agreement and all applicable federal, state, and local laws and ru...

...nd upon termination of the ICFIID's provider agreement by the Ohio department of medicaid. (B) Payment during the appeals process When the Ohio department of medicaid is required to provide an adjudicatory hearing pursuant to Chapter 119. of the Revised Code, payment shall continue for medicaid-covered services provided to eligible residents during the appeal of and the proposed termination ...

...nd upon termination of the ICFIID's provider agreement by the Ohio department of medicaid. (B) Payment during the appeals process When the Ohio department of medicaid is required to provide an adjudicatory hearing pursuant to Chapter 119. of the Revised Code, payment will continue for medicaid-covered services provided to eligible residents during the appeal of and the proposed termination o...

...ive date of termination of the ICFIID's provider agreement. (2) Payment may be provided up to an additional thirty calendar days following either the cessation of payment on the one hundred twentieth calendar day post termination or non-renewal; or after the issuance of an adjudication order that upholds the termination or non-renewal action. Payment will be available if both of the following...

... date of termination of the ICFIID's provider agreement. (2) Payment may be provided up to an additional thirty calendar days following either the cessation of payment on the one hundred twentieth calendar day post termination or non-renewal, or after the issuance of an adjudication order that upholds the termination or non-renewal action. Payment will be available if both of the following con...

... termination of an ICFIID's medicaid provider agreement except when the ICFIID becomes a downsized ICFIID as defined in section 5124.01 of the Revised Code or converts beds from ICFIID services to home and community-based services in accordance with section 5124.60 or 5124.61 of the Revised Code. No span of bed-hold days shall be approved that ends on an ICFIID's date of closure or termination ...

...dentists are reimbursed directly to the provider of the dental services in accordance with Chapter 5160-5 of the Administrative Code. Personal hygiene services provided by staff or contracted personnel of the ICFIID are reimbursed through the ICFIID cost report mechanism. (C) Laboratory and x-ray services Costs incurred for the purchase and administration of tuberculin tests, and for drawing spe...

...8 of the Administrative Code. The provider is not to change the accumulated depreciation that has been previously reported. This accumulated depreciation will be carried forward as previously reported and audited. The current depreciation will then be added to accumulated depreciation as recognized. (b) Except as otherwise required by paragraph (C)(4)(e) of this rule, depreciation expen...

...8 of the Administrative Code. The provider is not to change the accumulated depreciation that has been previously reported. This accumulated depreciation will be carried forward as previously reported and audited. The current depreciation will then be added to accumulated depreciation as recognized. (b) Except as otherwise required by paragraph (C)(4)(e) of this rule, depreciation expen...

...8 of the Administrative Code. The provider is not to change the accumulated depreciation that has been previously reported. This accumulated depreciation will be carried forward as previously reported and audited. The current depreciation will then be added to accumulated depreciation as recognized. (b) Except as otherwise required by paragraph (C)(4)(e) of this rule, depreciation expen...

...olation of cost reporting provisions or provider agreement obligations. (d) Interest monies owed to the department pursuant to section 5124.41 of the Revised Code and to the centers for medicare and medicaid services pursuant to 42 C.F.R. 488.442, as in effect on the effective date of this rule. (e) Monies owed to the department and the centers for medicare and medicaid services pursuant to sect...

...olation of cost reporting provisions or provider agreement obligations. (d) Interest monies owed to the department pursuant to section 5124.41 of the Revised Code and to the centers for medicare and medicaid services pursuant to 42 C.F.R. 488.442. (e) Monies owed to the department and the centers for medicare and medicaid services pursuant to sections 5124.52 and 5124.525 of the Revised Code, in...

...Administrative Code. (c) Be a medicaid provider in an active enrollment status for all dates within the claim span. (2) A single claim will include days of service provided, including qualifying leave days, for a single resident within a single calendar month and will not cross calendar months. If an ICFIID determines that a claim that has been paid should have included additional per diem service days, the ICFIID ...

... medicaid services publication 15-1, "Provider Reimbursement Manual" (revised January 2005), available at http://www.cms.hhs.gov/manuals. At no time shall a capital asset be depreciated more than its adjusted basis. (d) An ICFIID shall maintain, and provide to the department upon request, detailed depreciation schedules to verify each individual capital asset placed in service. (E) Salvage value ...

...edicaid services publication 15-1, "The Provider Reimbursement Manual - Part 1," available at https://www.cms.gov/regulations-and-guidance/guidance/manuals/paper-based-manuals-items/cms021929. At no time will a capital asset be depreciated more than its adjusted basis. (d) An ICFIID will maintain, and provide to the department upon request, detailed depreciation schedules to verify each individua...

...nd medicaid services publication 15-1, "Provider Reimbursement Manual" (revised January 2005), available at http://www.cms.hhs.gov/manuals, shall be considered sufficient documentation of the allocation of time. If the department finds that the ICFIID has not sufficiently documented the allocation of time, the cost associated with the undocumented time will be reclassified back to the indirect cos...

...aid services publication 15-1, "The Provider Reimbursement Manual - Part 1," available at https://www.cms.gov/regulations-and-guidance/guidance/manuals/paper-based-manuals-items/cms021929, will be considered sufficient documentation of the allocation of time. If the department finds that the ICFIID has not sufficiently documented the allocation of time, the cost associated with the undocumented ti...

...or to commencement of construction, the provider must submit a request in writing to the department. The request shall include: (i) The projected completion date for the new ICFIID. (ii) A projected budget for the new ICFIID that includes a projected three-month cost report that contains all cost centers and inpatient days so that an overall rate can be calculated. For beds relocated...

...or to commencement of construction, the provider must submit a request in writing to the department that includes: (i) The projected completion date for the new ICFIID. (ii) A projected budget for the new ICFIID that includes a projected three-month cost report that contains all cost centers and inpatient days so that an overall rate can be calculated. For beds relocated from an existing...

...e Code for nonextensive renovation. The provider is not to change the accumulated depreciation that has been previously reported. This accumulated depreciation will be carried forward as previously reported and audited. The current depreciation will then be added to accumulated depreciation as recognized. (ii) Depreciation expense for major components of property and fixed equipment equ...

... Code for nonextensive renovation. The provider is not to change the accumulated depreciation that has been previously reported. This accumulated depreciation will be carried forward as previously reported and audited. The current depreciation will then be added to accumulated depreciation as recognized. (ii) Depreciation expense for major components of property and fixed equipment equ...

...ated outlier coordinator works with providers of outlier services, individuals requesting and receiving outlier services, other persons whom individuals have identified, other service agencies, and other department staff. The designated outlier coordinator's duties include, but are not limited to: (a) Assisting with the initial approval and ongoing monitoring of an ICFIID providing outlier servic...

... amount, frequency, duration, and provider type of services to be delivered. (3) The ICFIID has developed and implemented a written policy to ensure that each resident has opportunities to experience community integration on a person-centered basis. (4) The ICFIID has developed and implemented a written policy to ensure all direct care staff successfully complete, on an annual basis,...

...county board and delivered by other providers; (c) Services provided and funded outside the developmental disabilities service system; and (d) Services provided at the state level. (2) "County board" means a county board of developmental disabilities or a person or government entity, including a council of governments, with which a county board has contracted for assistance with its medicaid lo...

...county board and delivered by other providers; (c) Services provided and funded outside the developmental disabilities service system; and (d) Services provided at the state level. (2) "County board" means a county board of developmental disabilities or a person or government entity, including a council of governments, with which a county board has contracted for assistance with its medicaid lo...