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Rule 5123-4-02 | Service and support administration.

...ator, direct support professionals, providers, licensed or certified professionals, and any other persons chosen by the individual to help the individual consider possibilities and make decisions. (C) Decision-making responsibility (1) Each individual, including an individual who has been adjudicated incompetent pursuant to Chapter 2111. of the Revised Code, has the right to participate in d...

Rule 5123-4-02 | Service and support administration.

...istrator, direct support professionals, providers, licensed or certified professionals, and any other persons chosen by the individual to help the individual consider possibilities and make decisions. (C) Decision-making responsibility (1) Individuals, including individuals who have been adjudicated incompetent pursuant to Chapter 2111. of the Revised Code, have the right to participate in decis...

Rule 5123-4-02 | Service and support administration.

...ator, direct support professionals, providers, licensed or certified professionals, and any other persons chosen by the individual to help the individual consider possibilities and make decisions. (C) Decision-making responsibility (1) Each individual, including an individual who has been adjudicated incompetent pursuant to Chapter 2111. of the Revised Code, has the right to participate in d...

Rule 5123-4-04 | Resolution of complaints involving county boards of developmental disabilities and appeals of adverse action proposed or initiated by county boards of developmental disabilities.

...erms of the contract of the service provider, as required by section 5126.45 of the Revised Code, prior to beginning the process for resolution of complaints or appeals of adverse action established in this rule. (C) Definitions For the purposes of this rule, the following definitions shall apply: (1) "Adverse action" means any of the following: (a) Denial of a request for a non-medicaid ...

Rule 5123-6-01 | Definitions of terms used in Chapter 5123-6 of the Administrative Code.

...d home and community-based services provider" means a person or government entity certified pursuant to section 5123.045 of the Revised Code. (E) "Certified supported living provider" means a person or government entity certified pursuant to section 5123.161 of the Revised Code. (F) "Contact hour" has the same meaning as in Chapter 4723-14 of the Administrative Code. (G) "County board" means a ...

Rule 5123-6-02 | Self-administration or assistance with self-administration of prescribed medication.

...ion route, service setting, service provider, or health status. (2) Each individual service plan will indicate when the individual is able to safely self-administer prescribed medication or receive assistance with self-administration of prescribed medication including: (a) When the individual is able to safely self-administer medication independently; (b) When the individual is able to safely s...

Rule 5123-6-06 | Qualifications, training, and certification of developmental disabilities personnel who perform health-related activities and administer prescribed medication.

...ilities personnel holds independent provider certification issued by the department. (B) Training programs for developmental disabilities personnel (1) Health-related activities and prescribed medication administration training program (a) A health-related activities and prescribed medication administration training program provided pursuant to this rule, to prepare developmental disabiliti...

Rule 5123-6-06 | Qualifications, training, and certification of developmental disabilities personnel who perform health-related activities and administer prescribed medication.

...ilities personnel holds independent provider certification issued by the department. (C) Training programs for developmental disabilities personnel (1) Health-related activities and prescribed medication administration training program (a) A health-related activities and prescribed medication administration training program provided pursuant to this rule, to prepare developmental disabiliti...

Rule 5123-6-07 | General provisions and compliance for performance of health-related activities and administration of prescribed medication.

... disabilities personnel and independent providers shall ensure documentation, including the date, time, and signature or initials of certified developmental disabilities personnel who sign the medication/treatment administration record is completed in accordance with this rule. (C) Requirements for developmental disabilities personnel to report medication/treatment errors (1) Any medication/tre...

Rule 5123-6-07 | General provisions and compliance for performance of health-related activities and administration of prescribed medication.

... disabilities personnel and independent providers will ensure documentation, including the date, time, and signature or initials of certified developmental disabilities personnel who sign the medication/treatment administration record is completed in accordance with this rule. (D) Requirements for developmental disabilities personnel to report medication/treatment errors (1) Any medication/trea...

Rule 5123-7-01 | Intermediate care facilities for individuals with intellectual disabilities - definitions.

... for medicare and medicaid services provider reimbursement manual (publications 15-1 and 15-2, available at https://www.cms.gov/regulations-and-guidance/guidance/manuals/paper-based-manuals.html); and (3) Generally accepted accounting principles in accordance with standards prescribed by the "American Institute of Certified Public Accountants" (available at https://www.aicpa.org). (B) "D...

Rule 5123-7-01 | Intermediate care facilities for individuals with intellectual disabilities - definitions.

... for medicare and medicaid services provider reimbursement manual (publications 15-1 and 15-2, available at https://www.cms.gov/regulations-and-guidance/guidance/manuals/paper-based-manuals.html); and (3) Generally accepted accounting principles in accordance with standards prescribed by the "American Institute of Certified Public Accountants" (available at https://www.aicpa.org). (B) "D...

Rule 5123-7-02 | Intermediate care facilities for individuals with intellectual disabilities - provider agreement and other essential requirements.

...ility may provide. (c) Hold a medicaid provider agreement with the Ohio department of medicaid to operate the ICFIID. (2) An operator shall: (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 r...

Rule 5123-7-02 | Intermediate care facilities for individuals with intellectual disabilities - provider agreement and other essential requirements.

...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...

Rule 5123-7-04 | Intermediate care facilities for individuals with intellectual disabilities - payment during the Ohio department of medicaid administrative appeals process for termination of a provider agreement.

...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 ...

Rule 5123-7-04 | Intermediate care facilities for individuals with intellectual disabilities - payment during the Ohio department of medicaid administrative appeals process for termination of a provider agreement.

...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...

Rule 5123-7-05 | Intermediate care facilities for individuals with intellectual disabilities - payment during the Ohio department of health administrative appeals process for termination or non-renewal of medicaid certification.

...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...

Rule 5123-7-05 | Intermediate care facilities for individuals with intellectual disabilities - payment during the Ohio department of health administrative appeals process for termination or non-renewal of medicaid certification.

... 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...

Rule 5123-7-08 | Intermediate care facilities for individuals with intellectual disabilities - bed-hold days.

... 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 ...

Rule 5123-7-11 | Intermediate care facilities for individuals with intellectual disabilities - relationship of other covered medicaid services.

...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...

Rule 5123-7-12 | Intermediate care facilities for individuals with intellectual disabilities - cost report and chart of accounts.

...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...

Rule 5123-7-12 | Intermediate care facilities for individuals with intellectual disabilities - cost report and chart of accounts.

...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...

Rule 5123-7-12 | Intermediate care facilities for individuals with intellectual disabilities - cost report and chart of accounts.

...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...

Rule 5123-7-14 | Intermediate care facilities for individuals with intellectual disabilities - debt estimation, debt summary report, and successor liability agreements for change of operator, facility closure, involuntary termination, or voluntary termination.

...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...

Rule 5123-7-14 | Intermediate care facilities for individuals with intellectual disabilities - debt estimation, debt summary report, and successor liability agreements for change of operator, facility closure, involuntary termination, or voluntary termination.

...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...