Ohio Administrative Code Search
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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 ... |
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 ... |
Rule 5160-44-02 | Nursing facility-based level of care home and community-based services programs: person-centered planning and documentation standards.
...planning participants. (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 will 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 ... |
Rule 5160-44-05 | Nursing facility-based level of care home, community-based services (HCBS) programs and specialized recovery services (SRS) program: incident management.
..., their designees, individuals, and providers of waiver services, and SRS. ODM and ODA may designate other entities to perform one or more of the incident management functions set forth in this rule. (C) Upon an individual's enrollment on a waiver, and at the time of each annual reassessment, the care management entity shall obtain written confirmation that the individual received information... |
Rule 5160-44-05 | Nursing facility-based level of care home, community-based services (HCBS) programs and specialized recovery services (SRS) program: incident management.
..., their designees, individuals, and providers of waiver services, and SRS. ODM and ODA may designate other entities to perform one or more of the incident management functions set forth in this rule. (C) Upon an individual's enrollment on a waiver, and at the time of each annual reassessment, the care management entity shall obtain written confirmation that the individual received information... |
Rule 5160-44-05 | Nursing facility-based level of care home and community-based services (HCBS) programs, medicaid managed care organizations, the OhioRISE program, and specialized recovery services (SRS) program: incident management.
... this rule. This rule also applies to providers of waiver services, providers of OhioRISE services, providers of services provided through a medicaid managed care organization (MCO), and providers of services under the specialized recovery services (SRS) program. ODA and ODM may designate other entities to perform one or more of the incident management functions set forth in this rule. (A) For the purpose ... |
Rule 5160-44-05 | Nursing facility-based level of care home and community-based services programs, medicaid managed care organizations, the OhioRISE program, and specialized recovery services program: incident management.
... prescribed medication issues: (i) Provider error; (ii) Prescribed medication issue resulting in emergency medical services (EMS) response, emergency room visit, or hospitalization. (2) Reportable incidents (a) Natural deaths that are not due to events such as accidents, injuries, homicide, suicide, and overdoses. (b) Individual or family member behavior, action, or inaction res... |
Rule 5160-44-11 | Nursing facility-based level of care home and community-based services programs: home delivered meals.
...an is located licenses dietitians. (a) Providers shall furnish each individual with home delivered meals that, as much as possible, accommodate the individual's religious, cultural, ethnic, and dietary preferences, including kosher meals. (b) Providers shall publish their current menu and ingredient information on their websites and offer written menus and ingredient information to individuals. (4... |
Rule 5160-44-11 | Nursing facility-based level of care home and community-based services programs: home delivered meals.
...hat state licenses dietitians. (a) Providers will furnish each individual with home delivered meals that accommodate the individual's religious, cultural, ethnic, and dietary preferences. (b) Providers shall publish their current menu and ingredient information on their websites and offer written menus and ingredient information to individuals. (2) An individual's person-centered services... |
Rule 5160-44-12 | Nursing facility-based level of care home and community-based services programs: home maintenance and chore services.
... Home maintenance and chore service providers shall submit a fixed cost proposal for the services submitted under the referral which shall be good for the term of the proposal. (a) At a minimum, the proposal shall include all of the following: (i) A breakdown of all the needed materials; (ii) A breakdown of the costs of all the needed materials; (iii) A breakdown of the labor cos... |
Rule 5160-44-12 | Nursing facility-based level of care home and community-based services programs: home maintenance and chore.
...ds. (3) Home maintenance and chore providers will submit a fixed cost proposal for the services described under the referral which will be good for the term of the proposal. (a) At a minimum, the proposal will include all of the following: (i) A breakdown of all the needed materials; (ii) A breakdown of the costs of all the needed materials; (iii) A breakdown of the labor costs;... |
Rule 5160-44-13 | Nursing facility-based level of care home and community-based services programs: home modification services.
...ssibility needs. (4) Home modification providers shall submit a fixed cost proposal for the services submitted under the home modification referral which shall be good for the term of the work agreement. (a) At a minimum, the proposal shall include all of the following: (i) A drawing or diagram of the home modification, as appropriate; (ii) A breakdown of all of the needed materials; ... |
Rule 5160-44-13 | Nursing facility-based level of care home and community-based services programs: home modification.
...ssibility needs. (2) Home modification providers will submit a fixed cost proposal for the services submitted under the home modification referral which will be good for the term of the work agreement. (a) At a minimum, the proposal will include all of the following: (i) A drawing or diagram of the home modification, as appropriate; (ii) A breakdown of all of the needed materials; (ii... |
Rule 5160-44-14 | Nursing facility-based level of care home and community-based services programs: community integration services.
... (D) Community integration service provider requirements. (1) Community integration services shall be furnished by Ohio department of medicaid (ODM) -approved agencies or Ohio department of aging (ODA) -certified agencies. (2) The provider shall comply with the requirements set forth in rule 5160-44-31 of the Administrative Code for an ODM-administered waiver program, or Chapter 173-39 of the ... |
Rule 5160-44-14 | Nursing facility-based level of care home and community-based services programs: community integration.
...tion skills. (D) Community integration provider requirements. (1) Community integration will be furnished by Ohio department of medicaid (ODM) -approved agencies or Ohio department of aging (ODA) -certified agencies. (2) The provider will comply with the requirements set forth in rule 5160-44-31 of the Administrative Code for an ODM-administered waiver program, or Chapter 173-39 of the Admi... |
Rule 5160-44-16 | Nursing facility-based level of care home and community-based services programs: personal emergency response systems.
... emergency service personnel. (D) PERS provider requirements. The provider shall: (1) Ensure and maintain a record of the successful completion of training on how to respond to alarm signals by each staff member whose job duties include responding to alarm signals at the station. (2) Ensure each individual is able to choose the PERS device that meets his or her assessed needs and preferences as... |
Rule 5160-44-16 | Nursing facility-based level of care home and community-based services programs: personal emergency response systems.
... emergency service personnel. (D) PERS provider requirements. The provider will: (1) Ensure and maintain a record of the successful completion of training on how to respond to alarm signals by each staff member whose job duties include responding to alarm signals at the station. (2) Ensure each individual is able to choose the PERS device that meets his or her assessed needs and preferences as ... |
Rule 5160-44-17 | Nursing facility-based level of care home and community-based services programs: out-of-home respite services.
...t stay. (1) An out-of-home respite provider shall make available the following: (a) Waiver nursing services as set forth in rule 5160-44-22 of the Administrative Code; (b) Personal care services as set forth in rule 5160-46-04 of the Administrative Code if the individual is enrolled on an Ohio department of medicaid (ODM) -administered waiver, or rule 173-39-02.11 of the Administrative Code if ... |