Ohio Administrative Code Search

...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...

...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...

...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 PCSP; (iv) Replacement equipment or supplies or repair of previously approved equipment or supplies that have been damaged as a result of perceived misuse, abuse or neglige...

...temized invoice associated with the purchase of a new vehicle that is not pre-owned or pre-leased. Such modifications are payable upon proof of transfer of vehicle ownership from the dealer into the name of the allowable owner of the vehicle as described in this rule. (C) Vehicle modifications do not include: (1) Modifications that are available through another funding source. (2) Routine a...

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

...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...

...'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) o...