Ohio Administrative Code Search

...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 includes 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 clinica...

...o the main purpose of the SGD; (c) Purchase, rental, lease, subscription, or maintenance associated with a cellular phone, even if the cellular phone has the capability to perform SGD functions; or (d) Features that may be added on to some models of SGD but have been integrated into the particular SGD under consideration. (C) Claim payment. (1) The payment amount for a portable/tablet computer...

...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 ...

...eparate 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) 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 than the knee; (2)...

...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...

...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. 7/2024). The CMN includes an attestation that appropriate coverage criteria are met. (3) Payment may be made for a spinal electrical osteogenesis stimulator ...

...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 ...

...evice. (C) 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 ...

... 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 ...

...lly available to the general public for purchase; or (2) Provided in order to supplant or replace the purchase of food or groceries for others. (D) Provider qualifications. (1) A provider of home delivered meals will maintain evidence of: (a) A current, valid food operations or other applicable license or certificate as required by licensing or regulatory agencies where the meal is produced. (b)...

...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...

...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...

... 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...

...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 goods and services may be approved if it is determined they will: ...

...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...