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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 5160-44-01 | Nursing facility-based level of care home and community-based services programs: home and community-based settings.

...(A) Individuals receiving home and community-based services (HCBS) through either an Ohio department of medicaid (ODM) or Ohio department of aging (ODA) -administered waiver program authorized under section 1915(c) of the Social Security Act (as in effect on January 1, 2023) or the Ohio medicaid state plan authorized under section 1915(i) of the Social Security Act (as in effect on January 1, 2023...

Rule 5160-44-02 | Nursing facility-based level of care home and community-based services programs: person-centered planning.

...(A) Person-centered planning process. Individuals receiving home and community-based services (HCBS) through either an Ohio department of medicaid (ODM) or Ohio department of aging (ODA) -administered waiver program authorized under section 1915(c) of the Social Security Act (as in effect on January 1, 2016) or the Ohio medicaid state plan authorized under section 1915(i) of the Social Securi...

Rule 5160-44-02 | Nursing facility-based level of care home and community-based services programs: person-centered planning.

...(A) Person-centered planning process. Individuals receiving home and community-based services (HCBS) through either an Ohio department of medicaid (ODM) or Ohio department of aging (ODA) -administered waiver program authorized under section 1915(c) of the Social Security Act (as in effect on January 1, 2021) or the Ohio medicaid state plan authorized under section 1915(i) of the Social Securi...

Rule 5160-44-02 | Nursing facility-based level of care home and community-based services programs: person-centered planning and documentation standards.

...(A) Person-centered planning process. Individuals receiving home and community-based services (HCBS) through either an Ohio department of medicaid (ODM) or Ohio department of aging (ODA) -administered waiver program authorized under section 1915(c) of the Social Security Act (as in effect on January 1, 2024) or the Ohio medicaid state plan authorized under section 1915(i) of the Social Securi...

Rule 5160-44-05 | Nursing facility-based level of care home and community-based services (HCBS) programs, medicaid managed care organizations, the OhioRISE program, and specialized recovery services (SRS) program: incident management.

...This rule sets the standards and procedures for managing incidents that may have a negative impact on individuals. The purpose is to establish the procedures for reporting and addressing critical incidents and reportable incidents, and to implement a continuous quality improvement process to prevent and reduce the risk of harm to individuals. This rule applies to the Ohio department of aging (ODA), the Ohio...

Rule 5160-44-05 | Nursing facility-based level of care home and community-based services programs, medicaid managed care organizations, the OhioRISE program, and specialized recovery services program: incident management.

...This rule sets the standards and procedures for managing incidents that may have a negative impact on individuals. The purpose is to establish the procedures for reporting and addressing critical incidents and reportable incidents and to prevent and reduce the risk of harm to individuals. This rule applies to multiple programs administered by the Ohio department of aging (ODA) and the Ohio department of med...

Rule 5160-44-14 | Nursing facility-based level of care home and community-based services programs: community integration services.

...(A) Community integration services are independent living assistance and community support coaching activities that are necessary to enable an individual to live independently and have access to, choice of, and an opportunity to participate in, a full range of community activities. (B) Independent living assistance helps individuals to manage their households and personal affairs, self-administer...

Rule 5160-44-14 | Nursing facility-based level of care home and community-based services programs: community integration.

...(A) "Community integration" means independent living assistance and community support coaching activities that are necessary to enable an individual to live independently and have access to, choice of, and an opportunity to participate in, a full range of community activities. (B) "Independent living assistance" means help for individuals to manage their households and personal affairs, self-...

Rule 5160-44-16 | Nursing facility-based level of care home and community-based services programs: personal emergency response systems.

...(A) Personal emergency response systems (PERS) is a service with a monitoring, reminder and/or reporting component available to support individuals' independence in the community. PERS include telecommunications equipment, a central monitoring station (station), and a medium for two-way, hands-free communication between the individual and the station. Personnel at the station respond to an individ...

Rule 5160-44-16 | Nursing facility-based level of care home and community-based services programs: personal emergency response systems.

...(A) "Personal emergency response systems" (PERS) is a service with a monitoring, reminder and/or reporting component available to support individuals' independence in the community. PERS include telecommunications equipment, a central monitoring station (station), and a medium for two-way, hands-free communication between the individual and the station. Personnel at the station respond to an i...

Rule 5160-44-17 | Nursing facility-based level of care home and community-based services programs: out-of-home respite services.

...(A) "Out-of-home respite services" are services delivered to an individual in an out-of-home setting to allow respite for caregivers normally providing care. The service shall include an overnight stay. (1) An out-of-home respite provider shall make available the following: (a) Waiver nursing services as set forth in rule 5160-44-22 of the Administrative Code; (b) Personal care services as set ...

Rule 5160-44-17 | Nursing facility-based level of care home and community-based services programs: out-of-home respite.

...(A) "Out-of-home respite" are services delivered to an individual in an out-of-home setting to allow a period of rest or relief for caregivers normally providing care. The service will include an overnight stay. (1) An out-of-home respite provider will make available the following: (a) Waiver nursing services as set forth in rule 5160-44-22 of the Administrative Code; (b) Personal care services...

Rule 5160-44-22 | Nursing facility-based level of care home and community-based services programs: waiver nursing services.

...(A) "Waiver nursing services" are defined as nursing tasks and activities provided to individuals who require the skills of a registered nurse (RN) or licensed practical nurse (LPN) at the direction of an RN. (1) All nurses providing waiver nursing services to individuals shall: (a) Possess a current, valid and unrestricted license with the Ohio board of nursing; (b) Possess an active medicaid...

Rule 5160-44-22 | Nursing facility-based level of care home and community-based services programs: waiver nursing services.

...(A) "Waiver nursing services" are defined as nursing tasks and activities provided to individuals who require the skills of a registered nurse (RN) or licensed practical nurse (LPN) at the direction of an RN. (1) All nurses providing waiver nursing services to individuals will: (a) Possess a current, valid and unrestricted license with the Ohio board of nursing; and (b) Possess an active medic...

Rule 5160-44-26 | Nursing facility-based level of care home and community-based services programs: community transition services.

...(A) "Community transition services" pay for non-recurring start-up living expenses for individuals transitioning from an institutional setting to a home and community-based services (HCBS) setting that is compliant with rule 5160-44-01 of the Administrative Code. Community transition services: (1) Include expenses necessary to enable an individual to establish a basic household. Examples incl...

Rule 5160-44-26 | Nursing facility-based level of care home and community-based services programs: community transition.

...(A) "Community transition" pays for non-recurring start-up living expenses for individuals transitioning from an institutional setting to a home and community-based services (HCBS) setting that is compliant with rule 5160-44-01 of the Administrative Code. Community transition: (1) Community transition includes the following: (a) Expenses necessary to enable an individual to establish a basi...

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

...(A) The following definitions are applicable to this rule: (1) "Adult" means an individual at least eighteen years of age. (2) "Authorizing health care professional" means a health care professional who, pursuant to section 5166.307 of the Revised Code, authorizes a home care attendant to assist an individual enrolled on a nursing facility (NF)-based level of care waiver with self-administra...

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

...(A) The following definitions are applicable to this rule: (1) "Adult" means an individual at least eighteen years of age. (2) "Authorizing health care professional" means a health care professional who, pursuant to section 5166.307 of the Revised Code, authorizes a home care attendant to assist an individual enrolled on a nursing facility (NF)-based level of care waiver with self-administra...

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

...(A) An ODM-administered waiver service provider shall maintain a professional relationship with the individuals to whom they provide services. Providers shall furnish services in a manner that is in accordance with the individual's approved person-centered services plan, is attentive to the individual's needs, and maximizes the individual's independence. A provider shall refrain from any behavior ...

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

...(A) An ODM-administered waiver service provider shall maintain a professional relationship with the individuals to whom they provide services. Providers shall furnish services in a manner that is in accordance with the individual's approved person-centered services plan, is attentive to the individual's needs, and maximizes the individual's independence. A provider shall refrain from any behavior ...

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

...(A) An ODM-administered waiver service provider will maintain a professional relationship with the individuals to whom they provide services. Providers will furnish services in a manner that is in accordance with the individual's approved person-centered services plan, is attentive to the individual's needs, and maximizes the individual's independence. A provider will refrain from any behavior tha...

Rule 5160-44-32 | Home and community based medicaid waiver program provider and direct care worker relationships.

...(A) This rule is applicable to the following waiver programs and services: (1) Individual options services, as described in Chapter 5123-9 of the Administrative Code: (a) Homemaker/personal care, participant-directed and provided through an agency; and (b) Waiver nursing, provided through an agency. (2) Level one homemaker/personal care services, participant-directed and provided through a...

Rule 5160-44-33 | Nursing facility-based level of care home and community-based services programs: structured family caregiving.

...(A) "Structured Family Caregiving (SFC)" is a service in which an individual at least eighteen years of age who is enrolled on either the MyCare Ohio, Ohio home care, or pre-admission screening system providing options and resources today (PASSPORT) waiver program, resides with a caregiver who provides daily care and support to the individual when the individual meets the following criteria: (1)...

Rule 5160-44-33 | Nursing facility-based level of care home and community-based services programs: structured family caregiving.

...(A) "Structured Family Caregiving (SFC)" is a service in which an individual at least eighteen years of age who is enrolled on either the MyCare Ohio, Ohio home care, or pre-admission screening system providing options and resources today (PASSPORT) waiver program, resides with a caregiver who provides daily care and support to the individual when the individual meets the following criteria: (1)...

Rule 5160-45-01 | Ohio department of medicaid (ODM) -administered waiver program: definitions.

...The following terms apply to Ohio department of medicaid (ODM) -administered waiver programs: (A) "Abuse" has the same meaning as set forth in rule 5160-44-05 of the Administrative Code. (B) "Accreditation commission for health care" or "(ACHC)" is a national organization that evaluates and accredits agencies seeking to participate in the medicare and medicaid programs. For the purpose of prov...