Ohio Administrative Code Search

...made for a hospital bed on a rental/purchase basis. (2) The default certificate of medical necessity (CMN) form is the ODM 02910, "Certificate of Medical Necessity: Hospital Beds and Bed Accessories" (rev. 7/2018). The CMN must include an attestation that at least one of the following criteria is met: (a) The individual's condition (e.g., congestive heart failure, chronic obstructive pulmonary d...

...de for a pulse oximeter on a rental/purchase basis. The default certificate of medical necessity (CMN) form is the ODM 03401, "Certificate of Medical Necessity: Pulse Oximeters" (rev. 7/2018). The CMN must include an attestation by a prescriber that a need exists either for diagnostic monitoring or for continuous monitoring: (a) For diagnostic monitoring undertaken in response to an acute cli...

...e. (1) Payment may be made for the purchase of a single-user manual or electric lactation pump as a medical supply item or for the rental of a multiple-user lactation pump for a period of ninety days. (2) The default certificate of medical necessity (CMN) form is the ODM 01901, "Certificate of Medical Necessity: Lactation Pumps" (rev. 7/2018). The CMN must include an attestation to at least ...

...or both of the following purposes: (a) Purchase of a single-user manual or electric lactation pump as a medical supply item and purchase of any necessary replacement supplies; or (b) Rental of a multiple-user lactation pump. (2) For a single-user manual or electric lactation pump, a prescription is sufficient. No separate certificate of medical necessity (CMN) is needed. (3) For a multiple-use...

...2) Separate payment may be made for the purchase of one complete set of accessories (e.g., pads, straps, hook-and-loop closures) if the individual does not already have such accessories as a result of previous use of a CPM device. (B) Requirements, constraints, and limitations. No payment is made for a CPM device in any of the following circumstances: (1) The device is used on a joint other ...

...e. (1) Payment may be made for the purchase only of a noninvasive osteogenesis stimulator. (2) The default certificate of medical necessity (CMN) form is the ODM 07134, "Certificate of Medical Necessity: Osteogenesis Stimulators" (rev. 7/2018). The CMN must include an attestation that appropriate coverage criteria are met. (3) Payment may be made for a spinal electrical osteogenesis stimula...

...ernal insulin infusion pump on a rental/purchase basis. The initial rental period is limited to three months. (2) The default certificate of medical necessity (CMN) form is the ODM 07136, "Certificate of Medical Necessity: Insulin Pumps" (rev. 7/2021). The CMN includes an attestation that appropriate documentation is kept in the individual's medical record to demonstrate that the following criter...

...evice. (B) Payment may be made for the purchase of a cranial remolding device to treat any of the following conditions if the associated criteria are met. (1) Positional (non-synostotic) plagiocephaly: (a) The individual is at least three months old but not older than eighteen months; (b) Any of the following asymmetries is present: (i) A right/left discrepancy in the skull base of at least ...

...e. (2) Payment may be made for the purchase of a CGM and for the periodic purchase of replaceable CGM components. (3) The default certificate of medical necessity (CMN) form is the ODM 10277, "Certificate of Medical Necessity: Continuous Glucose Monitors" (10/2022). The CMN includes the following information, for which appropriate documentation is kept in the individual's medical record. (a...

... value; (g) Engaging in the sale or purchase of products, services or personal items; (h) Engaging in any activity that takes advantage of or manipulates specialized recovery services program rules. (4) Falsify the individual's signature, including copies of the signature. (5) Make fraudulent, deceptive or misleading statements in the advertising, solicitation, administration or billing of ...

... of value; (g) Engaging in the sale or purchase of products, services or personal items; (h) Engaging in any activity that takes advantage of or manipulates specialized recovery services program rules. (4) Falsify the individual's signature, including copies of the signature. (5) Make fraudulent, deceptive or misleading statements in the advertising, solicitation, administration or billing of ...

...available to the general public for purchase; or (b) Provided in order to supplant or replace the purchase of food or groceries for others. (2) A provider may deliver specifically identified items that are packaged in larger than single servings, in compliance with paragraph (B)(4) of this rule. (3) The type of meal and frequency of delivery shall not be for provider convenience. (D) Provider ...

...uding special diet preparation, grocery purchase, planning and shopping, and running errands. (d) The physical, emotional and developmental needs of individuals, including the need for privacy and respect for individuals and their property. (e) Universal precautions for the prevention of disease transmission, including hand-washing and proper disposal of bodily waste and medical instru...

... of value; (g) Engaging in the sale or purchase of products, services or personal items; and (h) Engaging in any activity that takes advantage of or manipulates ODM-administered waiver program rules. (4) Falsify the individual's signature, including using copies of the signature. (5) Make fraudulent, deceptive or misleading statements in the advertising, solicitation, administration or b...

... of value; (g) Engaging in the sale or purchase of products, services or personal items; and (h) Engaging in any activity that takes advantage of or manipulates ODM-administered waiver program rules. (4) Falsify the individual's signature, including using copies of the signature. (5) Make fraudulent, deceptive or misleading statements in the advertising, solicitation, administration or b...

...n a theft offense, falsification to purchase a firearm, or falsification to obtain a concealed handgun license); (s) 2921.34 (escape); (t) 2921.35 (aiding escape or resistance to lawful authority); (u) 2921.36 (illegal conveyance of weapons, drugs or other prohibited items onto the grounds of a detention facility or institution); (v) 2925.05 (funding drug trafficking); (w) 2925.06 (illegal ad...

...n a theft offense, falsification to purchase a firearm, or falsification to obtain a concealed handgun license); (s) 2921.34 (escape); (t) 2921.35 (aiding escape or resistance to lawful authority); (u) 2921.36 (illegal conveyance of weapons, drugs or other prohibited items onto the grounds of a detention facility or institution); (v) 2925.05 (funding drug trafficking); (w) 2925.06 (illegal ad...

...nding of down payments toward the purchase or lease of any supplemental adaptive and assistive device services; (iii) Equipment, supplies or services furnished in excess of what is approved in the individual's person-centered services plan; (iv) Replacement equipment or supplies or repair of previously approved equipment or supplies that have been damaged as a result of perceived...

...nding of down payments toward the purchase or lease of any supplemental adaptive and assistive device services; (iii) Equipment, supplies or services furnished in excess of what is approved in the individual's person-centered services plan; (iv) Replacement equipment or supplies or repair of previously approved equipment or supplies that have been damaged as a result of perceived...

...llee's maximum approved funding for the purchase of primary flex funds under the OhioRISE program. (C) Eligible providers and conditions of participation. (1) The provider of primary flex funds will be the FMS entity under contract with the OhioRISE plan to complete the purchase and reimbursement of primary flex funds approved by the OhioRISE plan. (2) With the exception of paragraph (B)(14) of rule 5160-44-31 of...

...llotment of waiver funding used for the purchase of approved secondary flex funds based on a youth's unmet needs as determined by the OhioRISE plan. (2) "Participant direction" means the opportunity for an OhioRISE waiver youth to exercise choice and control in managing a budget for the applicable waiver service in accordance with their needs. (3) "Participant-directed budget for secondary flex...

... earned on an excluded burial space purchase agreement if left to accumulate as part of the value of the agreement. (p) The value of any commercial transportation ticket which is received as a gift and is not converted to cash. (q) Payments from a state compensation fund for victims of crime. (r) Relocation assistance provided under title II of the Uniform Relocation Assistance and Real Propert...

...s on income, real property, or food purchased by the family; (10) Income used to fulfill an approved plan to achieve self-support (PASS), as defined in 20 C.F.R. 416.1181 (as in effect on October 1, 2018); (11) The amount of court-ordered child support payments paid by a household member for a child outside the home; (12) The value of in-kind support and maintenance; (13) Alaska longevity ...

... plans, 403(b) pension plans, money purchase pension plans, employee stock ownership plans, individual retirement accounts (IRA); KEOGH pension plans, Roth IRAs, simplified employee pension plans (SEP-IRA), and 401k pension plans; or any other pension or retirement plans authorized under 401, 403, 408 of the Internal Revenue Code (IRC) as outlined in 26 U.S.C. (as in effect on February 1, 2016...

...must verify that no reasonable offer to purchase the property has been declined. An offer is reasonable when it is not less than ninety per cent of the fair market value established by the county auditor, where available, or any other knowledgeable source. (d) When the individual receives an offer for the property that is less than ninety per cent of the fair market value established by...