Ohio Administrative Code Search

...(A) The department will monitor providers for compliance with the rules in this chapter; the terms of an agreement, or contract entered into by provider; quality assurance standards set forth by the model being implemented, and other applicable program-related federal and state laws. (B) When the director determines that a home visiting provider is not in compliance with the rules in this chapter...

...(A) Providers shall designate at least one individual as a data system administrator who is responsible for the provider's data quality assurance plan. The data quality assurance plan shall be reviewed and updated annually, and must be produced to the department upon request. Data system administrators shall oversee and ensure: (1) Data entry, as required, into the statewide data system within te...

...(A) Providers shall oversee and ensure: (1) Data entry, as required, into the statewide data system within ten business days of the activity, except when otherwise specified; (2) Home visiting supervisors must process progress notes within fifteen business days of submission by the home visitor; (3) Information entered into the statewide data system is consistent with the information in the...

...; (8) To file a complaint with the provider and with the department about program services in accordance with paragraph (B) of this rule. (B) Providers shall provide printed materials and verbal communication informing every program participant how to file a complaint about the home visiting program, in accordance with this chapter. (C) When a home visiting program participant files a compl...

...; (8) To file a complaint with the provider and with the department about program services in accordance with paragraph (B) of this rule. (B) Providers shall provide printed materials and verbal communication informing every program participant how to file a complaint about the home visiting program, in accordance with this chapter. (C) When a home visiting program participant files a compl...

...per the terms and rate set forth in the provider agreement. Minutes of service provided to an eligible individual will be aggregated by covered services in accordance with paragraph (B) of this rule, within each day. The number of units of covered services is the total minutes divided by fifteen plus one additional unit if the remaining number of minutes is at least eight minutes, for each covered...

...per the terms and rate set forth in the provider agreement. Minutes of service provided to an eligible individual will be aggregated by covered services in accordance with paragraph (B) of this rule, within each day. The number of units of covered services is the total minutes divided by fifteen plus one additional unit if the remaining number of minutes is at least eight minutes, for each covered...

...rrals received from a home visiting provider must be completed utilizing a form approved by the director of health and indicate the following: (a) One successful contact with the caregiver in accordance with this rule; (b) Completion of initial risk screen; and (c) Demonstrate caregiver choice in accordance with this rule. (2) Once a system referral is obtained in accordance with this rule, th...

...y to collaborate with home visiting providers, early childhood, prenatal and health care organizations and professionals; (e) Develop and maintain a county-based directory of resources for caregivers that includes child health, child development, caregiver support, home visiting and other appropriate early childhood resources. Directory shall be updated annually, to coincide with the beginning of...

...he regional enrollment agency through a provider who meets the following requirements: (1) The provider is enrolled in Ohio BCCP as a BCCP provider: and (2) The provider will accept reimbursement from her health insurance plan. (D) Once the provider receives reimbursement or an explanation of benefits indicating that a portion or all of the claim will not be paid due to cost sharing, the provid...

...-term care service. Referral to another provider of health services does not constitute offering of the health service. (EE) "Ultimate controlling interest" means a person who holds a majority of the voting power within a corporation, business trust, firm, partnership, association, joint stock company, limited liability company, or insurance company and is: (1) The applicant for a certificate of need; or (2) Repre...

... applicable, the participation as a provider under Title XVIII or XIX of the Social Security Act, 49 Stat. 620 (1935), 42 U.S.C. 301, as amended (1981), of any long-term care facilities owned, operated, or managed by the applicant, the owner or the operator of the long-term care facility to which the application relates, or by any principal participant, as defined in paragraph (V) of rule 3701-12-...

... applicable, the participation as a provider under Title XVIII or XIX of the Social Security Act, 49 Stat. 620 (1935), 42 U.S.C. 301, as amended (1981), of any long-term care facilities owned, operated, or managed by the applicant, the owner or the operator of the long-term care facility to which the application relates, or by any principal participant, as defined in paragraph (V) of rule 3701-12-...

...ation for employment with a direct care provider (DCP) in a full-time, part-time, or temporary position that involves providing direct care to an older adult. "Applicant" does not include a person who provides direct care as a volunteer without receiving or expecting to receive any form of remuneration other than reimbursement for actual expenses. (B) "BCII" means the bureau of criminal ident...

...ppropriate action against a direct care provider that violates the requirements of Chapter 3701-13 of the Administrative Code and the authorizing sections of the Revised Code applicable to the specific DCP.

...ncy" means an agency certified as a provider of home health services under Title XVIII of the Social Security Act, 49 Stat. 620 (1935), 42 U.S.C. 301, as amended (1981). (N) "Licensed practical nurse" means a person licensed under Chapter 4723. of the Revised Code to practice nursing as a licensed practical nurse. (O) "Lot" means a plot or parcel of land considered as a unit, devoted to a ce...

... between the resident and a third party provider; (b) That the resident chooses not to have met as documented in the resident's record; or (c) That the resident has not contracted with the facility to meet if the facility has complied with paragraph (G) of rule 3701-16-08 of the Administrative Code. (5) Unless the resident's needs are being met by a private psychologist or physician, each resid...

...ividual's personal physician, the provider of the skilled nursing care may enter into the agreement; or (ii) If the individual is a hospice patient as defined in section 3712.01 of the Revised Code, a hospice care program licensed under Chapter 3712. of the Revised Code may enter into the agreement. (2) The written agreement required by this paragraph includes a statement signed by...

... also be provided by an out-of-state provider certified in the state in which the provider is located to offer technical or vocational programs or to offer degrees and college credits. For individuals hired after April 18, 2002, the minimum amount of training needed to meet this requirement shall be ninety hours. (H) A food service manager designated pursuant to paragraph (K) of rule 3701-17-1...

...ility, agency, or any other health care provider that is authorized under applicable law to provide services that include implementation of portions of a nursing regimen, as defined by section 4723.01 of the Revised Code, a statement verifying the dates and hours that the individual performed nursing and nursing-related services for compensation; or (2) A statement by a physician or nurse verifying that he or she ha...

...n; and (5) The name, address, facility provider number or, if the facility is not medicare or medicaid certified, the facility license number or "code number, if applicable," and a description of each long-term care facility with which the program will have arrangements for provision of the clinical experience portion of the program, and copies of the written agreements reflecting those arrangements. A facility-base...

...nd (6) The name, address, facility provider number or, if the facility is not medicare or medicaid certified, the facility license number or "code number, if applicable," and a description of each long-term care facility with which the program will have arrangements for provision of the clinical experience portion of the program, and copies of the written agreements reflecting those arrangeme...

... volunteers under the direction of the provider of the hospice care program; (10) Bereavement services for hospice patients' families. (K) "Hospice patient" or "patient" means a patient who has been diagnosed as terminally ill, has an anticipated life expectancy of six months or less, and has voluntarily requested and is receiving care from a person or public agency licensed under Chapter 3712....

... with another licensed food service provider; (b) Serve at least three meals or their equivalent each day at regular times, with not more than fourteen hours between a substantial evening meal and breakfast; (c) Procure, store, prepare, distribute and serve all food under sanitary conditions; and (d) Have a staff member trained or experienced in food management or nutrition who is responsible f...

...(A) A provider of a hospice care program may arrange for another person or public agency to furnish a component or components of the hospice care program pursuant to a written contract in compliance with 42 C.F.R. 418.64 (2008). (B) Any contract executed under paragraph (A) of this rule, including a contract to which paragraph (C) of this rule applies, shall be legally binding on both parties and shall do all of the...