Ohio Administrative Code Search

...is rule, means a contract with a burial provider for a burial space held for the individual or a member of the individual's immediate family. (2) "Burial space," means a burial plot, gravesite, crypt, mausoleum, casket, urn, niche, or other repository customarily and traditionally used for the deceased's bodily remains. The term also includes a contract for care and maintenance of the gravesite, sometimes referred t...

...institution, a hospital which has a provider agreement with the Ohio department of medicaid, or a Title XIX certified long-term care facility (LTCF). (5) "OhioMHAS" means the Ohio department of mental health and addiction services or the entity designated by OhioMHAS pursuant to division (A) of section 5119.41 of the Revised Code. (6) "RSS living arrangement" means an arrangement listed in p...

...institution, a hospital which has a provider agreement with the Ohio department of medicaid, or a Title XIX certified long-term care facility (LTCF). (5) "OhioMHAS" means the Ohio department of mental health and addiction services. (6) "RSS living arrangement" means an arrangement listed in paragraph (A) of rule 5122-36-02 of the Administrative Code. (7) "RSS" means the residential state s...

...institution, a hospital which has a provider agreement with the Ohio department of medicaid, or a Title XIX certified long-term care facility (LTCF). (5) "OhioMHAS" means the Ohio department of mental health and addiction services. (6) "RSS living arrangement" means an arrangement listed in paragraph (A) of rule 5122-36-02 of the Administrative Code. (7) "RSS" means the residential state s...

...reast and cervical cancer screening provider" means an entity which has entered into a written agreement with the ODH BCCP to provide specified breast and cervical cancer screening and diagnostic services for ODH BCCP enrollees. (b) "ODH BCCP designated local agency or subgrantee" means an entity which has received a grant from ODH to implement specified activities of the ODH BCCP. (c) "ODH BCCP...

...reast and cervical cancer screening provider" means an entity which has entered into a written agreement with the ODH BCCP to provide specified breast and cervical cancer screening and diagnostic services for ODH BCCP enrollees. (b) "ODH BCCP designated local agency or subgrantee" means an entity which has received a grant from ODH to implement specified activities of the ODH BCCP. (c) "ODH BCCP...

...ened for breast or cervical cancer by a provider who does not participate in, or was not paid for by ODH BCCP are still considered to be screened under NBCCEDP. (2) Be in need of treatment for breast or cervical cancer, precancerous conditions, or early stage cancer, as indicated by a treating health professional, based on the centers for disease control and prevention (CDC) NBCCEDP screening...

... ODM 07161 and ODM 7160 "Healthcare Provider's Treatment Plan" (rev. 9/2017) within five business days of receipt of the diagnostic information when: (i) The ODH BCCP enrollee has submited the ODM 07161; and (ii) The ODH BCCP screening provider notifies the designated ODH BCCP regional case manager that, as a result of the NBCCEDP funded screening, a treating health professional has ...

... ODM 07161 and ODM 7160 "Healthcare Provider's Treatment Plan" (rev. 9/2017) within five business days of receipt of the diagnostic information when: (i) The ODH BCCP enrollee has submitted the ODM 07161; and (ii) The ODH BCCP screening provider notifies the designated ODH BCCP regional case manager that, as a result of the screening, a treating health professional has determined the ...

...contracted refugee health screening providers and other medical services. There is no resource limit for an individual described in this rule. (B) Definitions. (1) "Countable income," for the purpose of this rule, has the same meaning as in rule 5160:1-3-03.2 of the Administrative Code. (2) "Current incurred medical expense" means a medical bill or a portion of a medical bill that: (a) Inc...

...contracted refugee health screening providers and other medical services. There is no resource limit for an individual described in this rule. (B) Definitions. (1) "Countable income," for the purpose of this rule, has the same meaning as in rule 5160:1-3-03.2 of the Administrative Code. (2) "Current incurred medical expense" means a medical bill or a portion of a medical bill that: (a) Inc...

...ability to the long-term care (LTC) provider as applicable. (G) When an individual's countable income is greater than the SIL, the individual may establish a qualified income trust (QIT) in accordance with rule 5160:1-6-03.2 of the Administrative Code to reduce his or her countable income to or below the SIL. (H) Determine whether an individual's income is at or below the SIL as follows: (1) T...

...ability to the long-term care (LTC) provider as applicable. (G) If an individual's countable income is greater than the SIL, the individual may establish a qualified income trust (QIT) in accordance with rule 5160:1-6-03.2 of the Administrative Code to reduce his or her countable income to or below the SIL. (H) Determine whether an individual's income is at or below the SIL as follows: (1) Tot...

...ability to the long-term care (LTC) provider as applicable. (G) When an individual's countable income is greater than the SIL, the individual may establish a qualified income trust (QIT) in accordance with rule 5160:1-6-03.2 of the Administrative Code to reduce his or her countable income to or below the SIL. (H) Determine whether an individual's income is at or below the SIL as follows: (1) T...

...s responsible for paying his or her LTC provider the PMRC amount in the first month of eligibility for LTC services. (D) When a court has entered an order against an institutionalized individual for the support of his or her spouse, an RMCP shall not apply to amounts of assets transferred pursuant to such order for the support of the spouse or a family member. (E) Any improper transfer by a spouse t...

...s responsible for paying his or her LTC provider the PMRC amount in the first month of eligibility for LTC services. (D) When a court has entered an order against an institutionalized individual for the support of his or her spouse, an RMCP shall not apply to amounts of assets transferred pursuant to such order for the support of the spouse or a family member. (E) Any improper transfer by a spouse t...

...nnot be initiated by a medical services provider or supplier, unless such provider or supplier is also the institutionalized individual's authorized representative. (7) Subtract the payment to a financial institution in an amount up to fifteen dollars per month, or the amount approved by the administrative agency, to administer a qualified income trust (QIT) account in accordance with rule 5160:1-6-03.2 of the Admin...

...e initiated by a medical services provider or supplier, unless such provider or supplier is also the institutionalized individual's authorized representative. (7) Subtract the payment in an amount up to fifteen dollars per month, or the amount approved by the administrative agency, to administer a qualified income trust (QIT) account in accordance with rule 5160:1-6-03.2 of the Administrative...

...e initiated by a medical services provider or supplier, unless such provider or supplier is also the institutionalized individual's authorized representative. (v) Unpaid medical expenses that were incurred in the past may be subtracted from the patient liability as long as the services meet the criteria described in paragraph (I)(6)(b) of this rule. (7) Subtract the payment in an a...

... its payment to the HCBS waiver or PACE providers identified in paragraph (C) of this rule for services provided to the individual by the amount of the individual's patient liability calculated in accordance with this rule. (C) The individual must pay the patient liability amount to his or her providers identified by the HCBS waiver or PACE administrative agency. (D) Patient liability must be recalculated when ther...

... its payment to the HCBS waiver or PACE providers for services provided to the individual by the amount of the individual's patient liability calculated in accordance with this rule. (C) The individual must pay the patient liability amount to his or her providers identified by the HCBS waiver or PACE administrative agency. (D) Providers are to collect the full patient liability amount or up to t...

... its payment to the HCBS waiver or PACE providers for services provided to the individual by the amount of the individual's patient liability calculated in accordance with this rule. (C) The individual must pay the patient liability amount to his or her providers identified by the HCBS waiver or PACE administrative agency. (D) Providers are to collect the full patient liability amount or up to t...

...ching the appropriate emergency service provider, relaying a message to the appropriate provider, or transferring the call to the appropriate provider. For purposes of this chapter, PSAP's are divided into two types, primary PSAP and secondary PSAP. (1) Primary PSAP: An abbreviation for a public safety answering point that operates on a twenty-four hour basis; and whose primary function is to rec...

...ching the appropriate emergency service provider, relaying a message to the appropriate provider, or transferring the call to the appropriate provider. For purposes of this chapter, PSAP's are divided into two types, primary PSAP and secondary PSAP. (1) Primary PSAP: An abbreviation for a public safety answering point that operates on a twenty-four hour basis; and whose primary function is to rec...

...tion, through a recognized training provider that meets the standards as set forth by the United States department of transportation, and includes certified emergency medical dispatchers; or (2) By establishing a local emergency medical dispatching protocol approved by the local medical authority, that provides pre-arrival instruction and includes specifically trained emergency medical dispat...