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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Ohio Administrative Code Search

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Rule 5123-7-33 | Intermediate care facilities for individuals with intellectual disabilities - resident assessment classification system based on administration of the Ohio developmental disabilities profile.

...(A) Purpose This rule sets forth a method and process for determining the per resident/per day rate paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for direct care costs using the Ohio developmental disabilities profile pursuant to sections 5124.19 to 5124.193 of the Revised Code. (B) Definitions For the purposes of this rule, the following definiti...

Rule 5123-7-33 | Intermediate care facilities for individuals with intellectual disabilities - resident assessment classification system based on administration of the Ohio developmental disabilities profile.

...(A) Purpose This rule sets forth a method and process for determining the per resident/per day rate paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for direct care costs using the Ohio developmental disabilities profile pursuant to sections 5124.19 to 5124.193 of the Revised Code. (B) Definitions For the purposes of this rule, the following definiti...

Rule 5123-7-34 | Intermediate care facilities for individuals with intellectual disabilities - quality indicators and the quality incentive payment program.

...(A) Purpose This rule sets forth a method and process for determining the quality incentive payment that may be paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for achieving quality indicators pursuant to section 5124.24 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Change of operator"...

Rule 5123-7-34 | Intermediate care facilities for individuals with intellectual disabilities - quality indicators and the quality incentive payment program.

...(A) Purpose This rule sets forth a method and process for determining the quality incentive payment that may be paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for achieving quality indicators pursuant to section 5124.24 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Change of operator"...

Rule 5123-8-01 | Developmental disabilities level of care.

...(A) Purpose This rule sets forth the criteria and process used to determine whether an individual requires the level of care necessary to receive medicaid-funded services from an intermediate care facility for individuals with intellectual disabilities (ICFIID) or through enrollment in a home and community-based services waiver administered by the Ohio department of developmental disabilities. (...

Rule 5123-8-01 | Developmental disabilities level of care.

...(A) Purpose This rule sets forth the criteria and process used to determine whether an individual requires the level of care necessary to receive medicaid-funded services from an intermediate care facility for individuals with intellectual disabilities (ICFIID) or through enrollment in a home and community-based services waiver administered by the Ohio department of developmental disabilities. (...

Rule 5123-9-01 | Home and community-based services waivers - enrollment, denial of enrollment, disenrollment, and reenrollment.

...(A) Purpose This rule establishes procedures for the enrollment, denial of enrollment, disenrollment, and reenrollment of individuals in home and community-based services waivers administered by the Ohio department of developmental disabilities. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Alternative services" means the various programs, services, and s...

Rule 5123-9-01 | Home and community-based services waivers - enrollment, denial of enrollment, disenrollment, and reenrollment.

...(A) Purpose This rule establishes procedures for the enrollment, denial of enrollment, disenrollment, and reenrollment of individuals in home and community-based services waivers administered by the Ohio department of developmental disabilities. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Alternative services" means the various programs, services, and s...

Rule 5123-9-02 | Home and community-based services waivers - ensuring the suitability of services and service settings.

...(A) Purpose This rule establishes standards to ensure that home and community-based services waivers administered by the Ohio department of developmental disabilities maximize opportunities for enrolled individuals to access the benefits of community living and receive services in the most integrated setting. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "...

Rule 5123-9-02 | Home and community-based services waivers - ensuring the suitability of services and service settings.

...(A) Purpose This rule establishes standards to ensure that individuals receiving services through home and community-based services waivers administered by the Ohio department of developmental disabilities receive the services in settings that meet requirements for home and community-based services established by the centers for medicare and medicaid services. (B) Definitions For the purposes o...

Rule 5123-9-03 | Home and community-based services waivers - overtime and limit on number of hours in a work week an independent provider may provide services.

...(A) Purpose This rule sets forth procedures related to overtime worked by independent providers, places a limit on the number of hours in a work week an independent provider may provide services under a home and community-based services medicaid waiver component administered by the Ohio department of developmental disabilities, and establishes a process and the circumstances under which the limit may be exceeded. (...

Rule 5123-9-04 | Home and community-based services waivers - waiting list.

...(A) Purpose This rule sets forth requirements for the waiting list established pursuant to section 5126.042 of the Revised Code when a county board determines that available resources are insufficient to enroll individuals who are assessed to need and who choose home and community-based services in department-administered home and community-based services waivers. (B) Definitions (1) "Adult" ...

Rule 5123-9-04 | Home and community-based services waivers - waiting list.

...(A) Purpose This rule sets forth requirements for the waiting list established pursuant to section 5126.042 of the Revised Code when a county board of developmental disabilities determines that available resources are insufficient to enroll individuals who are assessed to need and who choose home and community-based services in department-administered home and community-based services waivers. (...

Rule 5123-9-04 | Home and community-based services waivers - waiting list.

...(A) Purpose This rule sets forth requirements for the waiting list established pursuant to section 5126.042 of the Revised Code when a county board of developmental disabilities determines that available resources are insufficient to enroll individuals who are assessed to need and who choose home and community-based services in department-administered home and community-based services waivers. (...

Rule 5123-9-05 | Home and community-based services waivers - retention payments for direct support professionals.

...(A) Purpose This rule establishes requirements and processes for retention payments to benefit direct support professionals providing specific home and community-based services to individuals enrolled in home and community-based services waivers administered by the Ohio department of developmental disabilities. (B) Definitions For the purposes of this rule, the following definitions apply: (1)...

Rule 5123-9-06 | Home and community-based services waivers - documentation and payment for services under the individual options and level one waivers.

...(A) Purpose This rule establishes standards governing documentation and payment for home and community-based services under the individual options waiver and level one waiver components of the medicaid program that the Ohio department of developmental disabilities administers pursuant to section 5166.21 of the Revised Code. (B) Definitions For the purposes of this rule, the following definition...

Rule 5123-9-06 | Home and community-based services waivers - administration of the individual options and level one waivers.

...(A) Purpose This rule establishes standards governing administration of the individual options and level one waivers, components of the medicaid home and community-based services program the Ohio department of developmental disabilities administers pursuant to section 5166.21 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Adult" means an individual who...

Rule 5123-9-06 | Home and community-based services waivers - documentation and payment for services under the individual options and level one waivers.

...(A) Purpose This rule establishes standards governing documentation and payment for home and community-based services under the individual options waiver and level one waiver components of the medicaid program that the Ohio department of developmental disabilities administers pursuant to section 5166.21 of the Revised Code. (B) Definitions For the purposes of this rule, the following definition...

Rule 5123-9-06 | Home and community-based services waivers - documentation and payment for services under the individual options and level one waivers.

...(A) Purpose This rule establishes standards governing documentation and payment for home and community-based services under the individual options waiver and level one waiver components of the medicaid program that the Ohio department of developmental disabilities administers pursuant to section 5166.21 of the Revised Code. (B) Definitions For the purposes of this rule, the following definition...

Rule 5123-9-06 | Home and community-based services waivers - administration of the individual options and level one waivers.

...(A) Purpose This rule establishes standards governing administration of the individual options and level one waivers, components of the medicaid home and community-based services program the Ohio department of developmental disabilities administers pursuant to section 5166.21 of the Revised Code. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Adult" me...

Rule 5123-9-07 | Home and community-based services waivers - request for prior authorization for individuals enrolled in the individual options waiver.

...(A) Purpose This rule establishes standards and procedures for prior authorization of waiver services when an individual funding level exceeds the funding range determined by the Ohio developmental disabilities profile for an individual enrolled in the individual options waiver. (B) Definitions (1) "Cost projection tool" means the web-based analytical tool, developed and administered by the dep...

Rule 5123-9-07 | Home and community-based services waivers - request for prior authorization for individuals enrolled in the individual options waiver.

...(A) Purpose This rule establishes standards and procedures for prior authorization of waiver services when an individual funding level exceeds the funding range determined by the Ohio developmental disabilities profile for an individual enrolled in the individual options waiver. (B) Definitions For the purposes of this rule, the following definitions apply: (1) "Cost projection tool" means the...

Rule 5123-9-11 | Home and community-based services waivers - free choice of providers.

...(A) Purpose This rule establishes the responsibilities of a county board of developmental disabilities for assuring an individual's right to obtain home and community-based services from any qualified and willing provider in accordance with 42 C.F.R. 431.51 as in effect on the effective date of this rule and sections 5123.044 and 5126.046 of the Revised Code. (B) Definitions For the purposes of...

Rule 5123-9-11 | Home and community-based services waivers - free choice of providers.

...(A) Purpose This rule establishes the responsibilities of a county board of developmental disabilities for assuring an individual's right to obtain home and community-based services from any qualified and willing provider in accordance with 42 C.F.R. 431.51 as in effect on the effective date of this rule and sections 5123.044 and 5126.046 of the Revised Code. (B) Definitions For the purposes of...

Rule 5123-9-12 | Home and community-based services waivers - assistive technology under the individual options, level one, and self-empowered life funding waivers.

...(A) Purpose This rule defines assistive technology and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. (B) Definitions For the purposes of this rule, the following definitions shall apply: (1) "Accredited college or university" means a college or university accredited by a national or regional associati...