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Rules
Rule
Rule 5160-41-17 | Medicaid home and community-based services program - self-empowered life funding waiver.

...0 of the Administrative Code. (6) "Provider" means a person or agency certified or licensed by DODD that has met the provider qualification requirements to provide the specific self-empowered life funding waiver service as specified in paragraph (J)(1) of this rule and holds a valid medicaid provider agreement in accordance with paragraph (J)(2) of this rule. (7) "SSA" means a service and ...
Rule 5160-41-17 | Medicaid home and community-based services program - self-empowered life funding waiver.

...ost inclusive community setting. (12) "Provider" means a person or agency who is eligible per Chapter 5123-2 and rule 5160-1-17.2 of the Administrative Code to provide the specific SELF waiver service as specified in this rule. (13) "SSA" means a service and support administrator who is eligible to perform the functions of service and support administration per rules 5123-4-02 and 5123-5-02 of t...
Rule 5160-42-01 | Medicaid home and community-based services program - level one waiver.

...h paragraph (H) of this rule. (5) "Provider" means a person or agency certified or licensed by DODD that has met the provider qualification requirements to provide specific waiver services, as specified in paragraph (J)(1) of this rule, with a valid medicaid provider agreement as specified in paragraph (J)(2) of this rule. (6) "SSA" means a service and support administrator who is certified ...
Rule 5160-42-01 | Medicaid home and community-based services program - level one waiver.

...most inclusive community setting. (7) "Provider" means a person or agency who is eligible per Chapter 5123-2 of the Administrative Code and rule 5160-1-17.2 of the Administrative Code to provide L1 waiver services as specified in this rule. (8) "SSA" means a service and support administrator who is eligible to perform the functions of service and support administration per rules 5123-4-02 and 5...
Rule 5160-43-01 | Specialized recovery services program definitions.

...on that must be maintained by a service provider. (6) "Home and community-based services (HCBS) setting" has the same meaning as set forth in rule 5160-44-01 of the Administrative Code. (7) "Incident" means an alleged, suspected or actual event that is not consistent with the routine care of and/or service delivery to an individual as set forth in rule 5160-43-06 of the Administrative Code. Incidents include, but a...
Rule 5160-43-01 | Specialized recovery services program definitions.

...hat must be maintained by a service provider. (4) "Health and safety action plan" means the document created between the Ohio department of medicaid (ODM) or its designee and an individual enrolled in the program that identifies the interventions recommended by the recovery manager to remedy risks to the health and welfare of the individual. (5) "Home and community-based services (HCBS) sett...
Rule 5160-43-01 | Specialized recovery services program definitions.

...hat must be maintained by a service provider. (4) "Health and safety action plan" means the document created between the Ohio department of medicaid (ODM) or its designee and an individual enrolled in the program that identifies the interventions recommended by the recovery manager to remedy risks to the health and welfare of the individual. (5) "Home and community-based services (HCBS) sett...
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 5160-43-03 | 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 recruitment ...
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 5160-43-04 | 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 5160-43-05 | 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 5160-43-09 | 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 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-time...
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 5160-44-01 | 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; (e) A psychiatric residential treatment facility; or ...
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 ...