Ohio Administrative Code Search
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Rule 5123-100-04 | Industrial and entertainment fund for residents of developmental centers.
... enjoyment. (2) "Gift" means an item purchased for a resident of a developmental center to celebrate a special day or occasion including, but not limited to, the resident's birthday, a holiday observed by the resident, or other occasion that is important to the resident. (3) "Industrial and entertainment fund" means funds collected, maintained, and utilized by a developmental center in accorda... |
Rule 5139-35-10 | Safety and emergency procedures.
...o careful fire safety evaluation before purchase or use. Neoprene or cotton mattresses treated with boric acid are recommended. Polyurethane is not to be used in any living area. |
Rule 5139-36-05 | Fiscal management and budgetary requirements.
... that provides for the requisition and purchase of supplies, equipment, inventory and control. (E) The CCF shall provide insurance coverage that includes, at a minimum, property and comprehensive, general liability insurance. (F) When a CCF has a canteen available for use by residents, its fiscal operations are strictly controlled by standard accounting procedures (G) The CCF shall have a writ... |
Rule 5139-36-05 | Fiscal management and budgetary requirements.
... that provides for the requisition and purchase of supplies, equipment, inventory and control. (E) The CCF will provide insurance coverage that includes, at a minimum, property and comprehensive, general liability insurance. (F) When a CCF has a canteen available for use by residents, its fiscal operations are strictly controlled by standard accounting procedures (G) The CCF will have a writte... |
Rule 5139-37-04 | Fiscal management.
...and practice govern the requisition and purchase of supplies equipment, including at a minimum the purchasing procedures and criteria for the selection of bidders and vendors. (8) Written policy, procedure and practice provide for institutional insurance coverage, including at a minimum the following: worker's compensation, general liability for employees, automobile liability, civil liability, a... |
Rule 5139-37-10 | Safety and emergency procedures.
...reful fire safety evaluation before purchase or use. Neoprene or cotton mattresses treated with boric acid are recommended. Foamed plastics or foamed rubber such as polyurethane, polystyrene are not to be used in any living area. (14) The detention center has available to it the services of a qualified fire and safety officer who reviews all policies and procedures related to safety and fire ... |
Rule 5139-67-06 | Audit requirements and record retention.
...t be maintained for all equipment items purchased with grant funds. Inventories must include the following information for all equipment: number, purchase price, date of acquisition, vendor, condition and location; (M) County-established guidelines will be used for the salvage of unusable, damaged, and/or unrepairable equipment taken out of the juvenile court or projects funded by the youth services grant. If no cou... |
Rule 5160-1-04 | Employee access to confidential personal information.
...of a new computer system" means the purchase of a "computer system," as defined in this rule, that is not a computer system currently in place nor one for which the acquisition process has been initiated as of April 7, 2009. (3) "Confidential personal information" (CPI) has the meaning as defined by division (A)(1) of section 1347.15 of the Revised Code. The appendix to this rule identifies, ... |
Rule 5160-1-17.6 | Termination and denial of provider agreement.
...ls, the provision of services or in the purchase of goods and services. (13) The provider, by any act or omission, has negatively affected the health, safety, or welfare of the medicaid recipient or the fiscal or programmatic integrity of the medicaid program. (14) The office of the attorney general, auditor of state, or any board, bureau, commission, or department has recommended that ODM terminate the provider ag... |
Rule 5160-1-17.8 | Provider screening and application fee.
...on in a theft offense, falsification to purchase a firearm, or falsification to obtain a concealed handgun license); (xix) 2921.34 (escape); (xx) 2921.35 (aiding escape or resistance to lawful authority); (xxi) 2921.36 (illegal conveyance of weapons, drugs or other prohibited items onto the grounds of a detention facility or institution); (xxii) 2925.05 (funding drug traffi... |
Rule 5160-3-02.2 | Nursing facilities (NFs): termination, denial, and non-revalidation of provider agreements.
...uals, the provision of services, or the purchase of goods and services. (h) The attorney general, auditor of state, or any board, bureau, commission, or department has recommended ODM terminate the provider agreement where the reason for the request bears a reasonable relationship to the administration of the medicaid program or the integrity of state and/or federal funds. (i) In accordance with... |
Rule 5160-3-03.2 | Nursing facilities (NFs): resident protection fund and collection of fines.
...e with paragraph (C)(2) of this rule, a purchase order will be created by ODM against which invoices or intrastate transfer vouchers are submitted, or, in the event of an emergency at a nursing facility, a state issued payment card will be used. (F) The provisions of this rule are applicable only to the extent that monies are available in the resident protection fund. |
Rule 5160-3-05 | Level of care definitions.
...hopping" means the ability to obtain or purchase one's necessary items. Necessary items include, but are not limited to, groceries, clothing, and household items. Shopping does not include handling finances or accessing transportation. (18) "Less than twenty-four hour support" means that an individual requires the presence of another person, or the presence of a remote monitoring device that does not require the ind... |
Rule 5160-3-16.5 | Nursing facilities (NFs): personal needs allowance (PNA) accounts and other resident funds.
...ligible to retain a PNA account for the purchase of items and services of his or her choice. (2) The PNA account is the exclusive property of the resident, who may use the funds in the account as he or she chooses to meet personal needs. (3) Unless a medicaid resident receives additional irregular contributions from another source, all of his or her personal expenses shall be met through the PNA... |
Rule 5160-3-19 | Nursing facilities (NFs): relationship of NF services to other covered medicaid services.
...x-ray services. Costs incurred for the purchase and administration of tuberculin tests, and for drawing specimens and forwarding specimens to a laboratory, are paid through the NF per diem. All costs of laboratory and x-ray procedures covered under the medicaid program are paid directly to the laboratory or x-ray provider in accordance with Chapter 5160-11 of the Administrative Code. (E) Medical... |
Rule 5160-3-33 | Nursing facilities (NFs): Reimbursement of NF relief payments upon sale of business or bed license.
...d this rule, a "sale" occurs when a purchase agreement or similar document that outlines the terms of the purchase and results in the payment of money for the business or bed license, is signed or, if the signature is not dated, the effective date specified in the purchase agreement or similar document. (B) Any nursing facility that sells any of its business or bed licenses in accordance with... |
Rule 5160-6-01 | Eye care services.
... laboratory holding a current volume purchase contract: (a) Scratch-resistant coated plastic and polycarbonate lenses monofocal, bifocal, or trifocal; (b) Aphakic monofocal and multifocal lenses; (c) A moderately-priced standard acetate or metal frame; and (d) The following items or services: (i) Frosted lenses; (ii) High-index plastic lenses; (iii) Lenses of ... |
Rule 5160-9-05 | Pharmacy services: payment for prescribed drugs.
... the actual amount the provider paid to purchase the prescribed drug. ODM acquires AAC data through one or more of the following: national survey of retail pharmacy providers, e.g., national average drug acquisition cost (NADAC) rate process, states' surveys of retail pharmacy providers, and published compendia prices, e.g., wholesale acquisition cost (WAC). (3) "Administration fee" means the max... |
Rule 5160-10-01 | Durable medical equipment, prostheses, orthoses, and supplies (DMEPOS): general provisions.
... department to consider whether the purchase of a new piece of equipment might be more cost-effective than continued repair. (10) "Private residence" is a recipient's place of residence other than a long-term care facility (LTCF). (11) "Provider cost" is the amount paid for an item by a DMEPOS provider to a supplier or manufacturer, exclusive of discounts, rebates, and situation-specific ... |
Rule 5160-10-07 | DMEPOS: bathing seats.
...(c) The provision of or payment for the purchase of a medically necessary bathing seat for a resident of a long-term care facility (LTCF) is the responsibility of the LTCF. Therefore, claims submitted to the department for bathing seats furnished to LTCF residents will be denied. (d) Bathing seats on wheels are not to be used simply as transport chairs from which an individual then transfers to a... |
Rule 5160-10-08 | DMEPOS: high-frequency chest wall oscillation (HFCWO) devices.
... oscillation (HFCWO) device on a rental/purchase basis. (2) The default certificate of medical necessity (CMN) is form ODM 10229, "Certificate of Medical Necessity: High-Frequency Chest Wall Oscillation Devices" (7/2018). (3) An initial trial period of at least two months is required. Payment may be made for rental during this trial period, excluding any portion that coincides with an inpati... |
Rule 5160-10-09 | DMEPOS: apnea monitors.
...de for an apnea monitor on a rental/purchase basis. (2) The monitoring unit must meet current United States food and drug administration guidelines. (3) The default certificate of medical necessity (CMN) form is the ODM 02900, "Certificate of Medical Necessity: Apnea Monitors" (rev. 7/2018). (4) Payment for the initial rental of an apnea monitor is limited to four months. For this initial renta... |
Rule 5160-10-15 | DMEPOS: transcutaneous electrical nerve stimulation (TENS) units.
...be made for a TENS unit on a rental/purchase basis. (2) The default certificate of medical necessity (CMN) form is the ODM 03402, "Certificate of Medical Necessity: Transcutaneous Electrical Nerve Stimulation (TENS) Units" (rev. 7/2018). The CMN must include one of the following statements of need: (a) For neurogenic pain, the following information: (i) An attestation that the individual ... |
Rule 5160-10-16 | DMEPOS: wheelchairs.
...me with a wheelchair at the time of purchase: (a) A sling or solid seat with back, a captain's chair, or a stadium-style seat; (b) Standard casters or wheels with tires; (c) Standard armrests; (d) Standard front rigging, such as non-elevating legrests with footrests or a footplate; (e) Wheel locks or brakes; (f) With a power mobility device, motors; (g) With a power mobility device, a non-expandab... |
Rule 5160-10-17 | DMEPOS: pneumatic compression devices and accessories.
... limb. (B) Payment may be made for the purchase of a pneumatic appliance. Payment may be made on a rental/purchase basis for a pneumatic compressor. (C) The default form is the ODM 02929, "Certificate of Medical Necessity: Pneumatic Compression Devices and Accessories" (rev. 7/2018). The CMN must include the following information: (1) A statement that previous treatment produced no signific... |