Ohio Administrative Code Search

...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...

... definitions apply: (1) "Agency provider" has the same meaning as in rule 5123-2-08 of the Administrative Code. (2) "County board" means a county board of developmental disabilities. (3) "Department" means the Ohio department of developmental disabilities. (4) "Home and community-based services" has the same meaning as in section 5123.01 of the Revised Code. (5) "Immediate family m...

... definitions apply: (1) "Agency provider" means an entity that directly employs at least one person in addition to a director of operations for the purpose of providing services for which the entity is certified in accordance with rule 5123-2-08 of the Administrative Code. (2) "County board" means a county board of developmental disabilities. (3) "Department" means the Ohio department of ...

...lated to overtime worked by independent providers, places a limit on the number of hours in a work week an independent provider may provide services under a home and community-based services medicaid waiver component administered by the Ohio department of developmental disabilities, and establishes a process and the circumstances under which the limit may be exceeded. (B) Definitions For the purposes of this rule, ...

...ministrative Code. (2) "Agency provider" has the same meaning as in rule 5123-2-08 of the Administrative Code. (3) "Career planning" has the same meaning as in rule 5123-9-13 of the Administrative Code. (4) "Department" means the Ohio department of developmental disabilities. (5) "Direct support professional" means: (a) An independent provider; (b) A person who is employed by an agen...

...finitions shall apply: (1) "Agency provider" has the same meaning as in rule 5123-2-08 of the Administrative Code. (2) "Cost projection and payment authorization" means the process followed and the form used by county boards (including the payment authorization for waiver services) to communicate the frequency, duration, scope, and amount of payment requested for each home and community-base...

...lan (e.g., negotiating payment rates to providers within the applicable range as specified in rules adopted by the department). (3) "Child" means an individual who is under twenty-two years old and eligible for educational services. (4) "Cost projection and payment authorization" means the process followed and the form used by county boards (including the payment authorization for waiver services) to communicate th...

...finitions shall apply: (1) "Agency provider" has the same meaning as in rule 5123-2-08 of the Administrative Code. (2) "Cost projection and payment authorization" means the process followed and the form used by county boards (including the payment authorization for waiver services) to communicate the frequency, duration, scope, and amount of payment requested for each home and community-base...

...finitions shall apply: (1) "Agency provider" means an entity that directly employs at least one person in addition to the chief executive officer for the purpose of providing services for which the entity must be certified in accordance with rule 5123:2-2-01 of the Administrative Code. (2) "Cost projection and payment authorization" means the process followed and the form used by county boar...

...(e.g., negotiating payment rates to providers within the applicable range as specified in rules adopted by the department). (3) "Child" means an individual who is under twenty-two years old and eligible for educational services. (4) "Cost projection and payment authorization" means the process followed and the form used by county boards (including the payment authorization for waiver service...

...ices from any qualified and willing provider in accordance with 42 C.F.R. 431.51 as in effect on the effective date of this rule and sections 5123.044 and 5126.046 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Adult day support" has the same meaning as in rule 5123-9-17 of the Administrative Code. (2) "Agency provider" means an ...

...ices from any qualified and willing provider in accordance with 42 C.F.R. 431.51 as in effect on the effective date of this rule and sections 5123.044 and 5126.046 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Adult day support" has the same meaning as in rule 5123-9-17 of the Administrative Code. (2) "Agency provider" means an ...

...assistive technology and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. (B) Definitions For the purposes of this rule, the following definitions shall apply: (1) "Accredited college or university" means a college or university accredited by a national or regional association recognized by the secretary ...