Ohio Administrative Code Search

...t stay. (1) An out-of-home respite provider will 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 t...

...ursing; (b) Possess an active medicaid provider agreement or be employed by an entity that has an active medicaid provider agreement; and (c) Provide services within the nurse's scope of practice as set forth in Chapter 4723. of the Revised Code and agency 4723 of the Administrative Code rules adopted thereunder. (2) Nursing tasks and activities that shall only be performed by an RN include, but ar...

...ng; and (b) Possess an active medicaid provider agreement or be employed by an entity that has an active medicaid provider agreement; and (c) Provide services within the nurse's scope of practice as set forth in Chapter 4723. of the Revised Code and agency 4723 of the Administrative Code rules adopted thereunder. (2) Nursing tasks and activities that will only be performed by an RN include, but are...

...rring set-up expenses; and (h) The provider's administrative cost associated with providing community transition services under this rule. Such fees shall be included in the authorization described in paragraph (A)(2)(b) of this rule. (2) Are payable only to the extent: (a) They are determined reasonable and necessary through the person-centered services planning process described in rule ...

...s needed to transition safely. (b) The provider's administrative cost associated with providing community transition under this rule. Such fees will be included in the authorization described in paragraph (A)(2)(b) of this rule. (2) Is payable only to the extent: (a) They are determined reasonable and necessary through the person-centered services planning process described in rule 5160-44-02 of t...

... in which a home care attendant service provider furnishes home care attendant services in accordance with this rule and as authorized by the Ohio department of medicaid (ODM), or certified by the Ohio department of aging (ODA), to two or three individuals who reside at the same address. (7) "Guardian" has the same meaning as in section 2111.01 of the Revised Code. (8) "Health care professio...

... in which a home care attendant service provider furnishes home care attendant services in accordance with this rule and as authorized by the Ohio department of medicaid (ODM), or certified by the Ohio department of aging (ODA), to two or three individuals who reside at the same address. (7) "Guardian" has the same meaning as in section 2111.01 of the Revised Code. (8) "Health care professio...

... An ODM-administered waiver service provider shall maintain a professional relationship with the individuals to whom they provide services. Providers shall furnish services in a manner that is in accordance with the individual's approved person-centered services plan, is attentive to the individual's needs, and maximizes the individual's independence. A provider shall refrain from any behavior tha...

... An ODM-administered waiver service provider shall maintain a professional relationship with the individuals to whom they provide services. Providers shall furnish services in a manner that is in accordance with the individual's approved person-centered services plan, is attentive to the individual's needs, and maximizes the individual's independence. A provider shall refrain from any behavior tha...

... An ODM-administered waiver service provider will maintain a professional relationship with the individuals to whom they provide services. Providers will furnish services in a manner that is in accordance with the individual's approved person-centered services plan, is attentive to the individual's needs, and maximizes the individual's independence. A provider will refrain from any behavior that ...

...he following: (a) A home health agency provider of Ohio home care waiver services, as described in Chapter 5160-46 of the Administrative Code; (b) An Ohio department of aging (ODA) agency provider certified under section 173.391 of the Revised Code; and (c) A department of developmental disabilities (DODD) agency provider certified under section 5123.045 of the Revised Code. (2) "Appendix K" ...

...o receive SFC. (B) The waiver service provider will: (1) Be an agency provider as defined in rule 5160-45-01 of the Administrative Code meeting the following criteria: (a) For the Ohio home care waiver program, providers will be a medicare-certified home health agency or otherwise-accredited agency and operate in accordance with Chapter 5160-45 of the Administrative Code. (b) For the PA...

...o receive SFC. (B) The waiver service provider will: (1) Be an agency provider as defined in rule 5160-45-01 of the Administrative Code meeting the following criteria: (a) For the Ohio home care waiver program, providers will be a medicare-certified home health agency, otherwise-accredited agency, or hold an accreditation from an organization recognized by the centers for medicare and med...

...f the Administrative Code. (D) "Agency provider" is an entity that is eligible to furnish services in the medicaid program upon execution of a medicaid provider agreement in accordance with rule 5160-1-17.2 of the Administrative Code. (E) "Applicant" is a person who is requesting a determination of eligibility for enrollment in an ODM-administered waiver. (F) "Authorized representative" is a pe...

...f the Administrative Code. (D) "Agency provider" is an entity that is eligible to furnish services in the medicaid program upon execution of a medicaid provider agreement in accordance with rule 5160-1-17.2 of the Administrative Code. (E) "Applicant" is a person who is requesting a determination of eligibility for enrollment in an ODM-administered waiver. (F) "Authorized representative" is a pe...

... direction of approved waiver service providers. (A) Individual rights. An individual enrolled in an ODM-administered waiver has the right to: (1) Be treated with dignity and respect. (2) Be protected from abuse, neglect, exploitation and other threats to personal health, safety and well-being. (3) Appoint an authorized representative to act on their behalf in accordance with 5160-1-33 of t...

... direction of approved waiver service providers. (A) Individual rights. An individual enrolled in an ODM-administered waiver has the right to: (1) Be treated with dignity and respect. (2) Be protected from abuse, neglect, exploitation and other threats to personal health, safety and well-being. (3) Appoint an authorized representative to act on their behalf in accordance with 5160-1-33 of t...

... direction of approved waiver service providers. (A) Individual rights. An individual enrolled in an ODM-administered waiver has the right to: (1) Be treated with dignity and respect. (2) Be protected from abuse, neglect, exploitation and other threats to personal health, safety and well-being. (3) Appoint an authorized representative to act on their behalf in accordance with 5160-1-33 of t...

... as a non-agency personal care aide provider. (b) Home care attendant services: (i) Completion of training identified in paragraph (A)(9) of rule 5160-44-27 of the Administrative Code; or (ii) Enrollment with ODM as a home care attendant provider and having completed training for the individual served. (c) Waiver nursing services: (i) Maintain an active, unrestricted Ohio nursin...

...management services (FMS) entity is the provider of self-directed goods and services. The FMS completes the purchase and reimbursement of self-directed goods and services approved in the person-centered services plan. (D) Coverage. (1) Self-directed goods and services are covered through self-direction budget authority, as described in rule 5160-45-03.2 of the Administrative Code. (2) Self-directed...

...medicaid (ODM) -administered waiver provider applicants must successfully complete the provider enrollment process set forth in this rule and receive approval from ODM before furnishing services to an individual enrolled on an ODM-administered waiver. Services furnished before ODM approves and enrolls the provider applicant are not reimbursable. (B) The provider applicant must complete and su...

... of medicaid (ODM) -administered waiver provider applicants must successfully complete the provider enrollment process set forth in this rule and receive approval from ODM before furnishing services to an individual enrolled on an ODM-administered waiver. Services furnished before ODM approves and enrolls the provider applicant and before the provider is added to the approved person-centered services plan are not rei...

...nitor every ODM-administered waiver provider. Monitoring activities shall include, but not be limited to: (1) A structural review of compliance with all ODM-administered waiver provider requirements in accordance with paragraph (B) of this rule. (2) Investigation of provider occurrences in accordance with paragraph (C) of this rule. (B) Structural reviews. (1) Medicare-certified and ot...

...nitor every ODM-administered waiver provider. Monitoring activities shall include, but not be limited to: (1) A structural review of compliance with all ODM-administered waiver provider requirements in accordance with paragraph (B) of this rule. (2) Investigation of provider occurrences in accordance with paragraph (C) of this rule. (B) Structural reviews. (1) Medicare-certified and ot...

...so a community-based long term care provider who are subject to database reviews and criminal records checks in accordance with section 173.38 of the Revised Code and rules adopted thereunder. (B) For the purposes of this rule, (1) "Applicant" means a person who is under final consideration for employment with a waiver agency in a full-time, part-time or temporary position that involves prov...