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Rule 5160-44-11 | Nursing facility-based level of care home and community-based services programs: home delivered meals.

...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 ...

Rule 5160-44-11 | Nursing facility-based level of care home and community-based services programs: home delivered meals.

...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)...

Rule 5160-44-27 | Nursing facility-based level of care home and community-based services programs: home care attendant services.

...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...

Rule 5160-44-27 | Nursing facility-based level of care home and community-based services programs: home care attendant services.

...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...

Rule 5160-44-31 | Ohio department of medicaid (ODM)-administered waiver programs: provider conditions of participation.

... 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...

Rule 5160-44-31 | Ohio department of medicaid (ODM)-administered waiver programs: provider conditions of participation.

... 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...

Rule 5160-44-31 | Ohio department of medicaid (ODM)-administered waiver programs: provider conditions of participation.

... 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...

Rule 5160-45-03.5 | ODM-administered waiver program: self-directed goods and services.

...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: ...

Rule 5160-45-11 | ODM-administered waiver programs: exclusionary periods for disqualifying offenses; certificates; and pardons.

...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...

Rule 5160-45-11 | ODM-administered waiver programs: exclusionary periods for disqualifying offenses; certificates; and pardons.

...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...

Rule 5160-46-04 | Ohio home care waiver: definitions of the covered services and provider requirements and specifications.

...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...

Rule 5160-46-04 | Ohio home care waiver: definitions of the covered services and provider requirements and specifications.

...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...

Rule 5160-46-04 | Ohio home care waiver: definitions of the covered services and provider requirements and specifications.

...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...

Rule 5160-46-09 | Ohio home care waiver: vehicle modification service.

...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...

Rule 5160-46-11 | Ohio home care waiver: supplemental assistive and adaptive device service.

...(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, ...

Rule 5160-59-03.5 | OhioRISE: primary flex funds.

...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...

Rule 5160-59-03.5 | OhioRISE: primary flex funds.

...'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...

Rule 5160-59-05.3 | OhioRISE home and community-based services waiver: secondary flex funds.

...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...

Rule 5160:1-3-03.2 | Medicaid: income exclusions.

... 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...

Rule 5160:1-3-03.3 | Medicaid: deeming of income.

...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 ...

Rule 5160:1-3-03.10 | Medicaid: retirement funds.

... 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...

Rule 5160:1-3-05.1 | Medicaid: resource requirement.

...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...

Rule 5160:1-3-05.6 | Medicaid: burial funds and contracts.

...ion of the contract that represents the purchase of burial spaces has no effect on the burial funds exclusion. (E) Revocable or salable prepaid burial contracts. (1) If a prepaid burial contract is revocable or salable it is a countable resource and treated as a burial fund. (2) Any portion of the contract that clearly represents the purchase of a burial space is excludable as a countable resource if it meets the ...

Rule 5160:1-3-05.6 | Medicaid: burial funds and contracts.

...ion of the contract that represents the purchase of a burial space has no effect on the burial funds exclusion. (E) Revocable or salable prepaid burial contracts. (1) When a prepaid burial contract is revocable or salable it is a countable resource and treated as a burial fund. (2) Any portion of the contract that clearly represents the purchase of a burial space is excludable as a countable resource when it meets...

Rule 5160:1-3-05.7 | Medicaid: burial spaces.

...istrative Code which represents the purchase of a burial space held for the burial of the individual, the individual's spouse, or any other member of the individual's immediate family is an excluded resource, regardless of value. (D) A burial space is held for an individual when someone currently has: (1) Title to and/or possesses a burial space intended for the individual's use (e.g., has ...