Ohio Revised Code Search
Section |
---|
Section 5165.86 | Delivery of notices.
...dicated in the department's or agency's records. If it is hand delivered, it shall be delivered to a person at the facility who would appear to the average prudent person to have authority to accept it. Delivery of written notice by a nursing facility to the department of health, the department of medicaid, or a contracting agency under sections 5165.60 to 5165.89 of the Revised Code shall be by certified mail, ha... |
Section 5165.87 | Appeals.
... (B) The department of medicaid or contracting agency may do any of the following prior to or during the pendency of any proceeding under Chapter 119. of the Revised Code: (1) Issue and execute an order under section 5165.72, 5165.77, or 5165.85 of the Revised Code terminating a nursing facility's participation in the medicaid program; (2) Appoint a temporary manager under division (A)(1)(b) or (2)(b) of sectio... |
Section 5165.88 | Confidentiality.
...o identify such an individual is not a public record for the purposes of section 149.43 of the Revised Code, and is not subject to inspection and copying under section 1347.08 of the Revised Code. (C) If the department or a contracting agency, or an agency or individual to whom the department or contracting agency was required by court order or for administration or enforcement of a statute relating to nursing... |
Section 5165.89 | Hearing on transfer or discharge of resident who medicaid or medicare beneficiary.
...The department of health shall be the designee of the department of medicaid for the purpose of conducting a hearing pursuant to section 3721.162 of the Revised Code concerning a nursing facility's decision to transfer or discharge a resident if the resident is a medicaid recipient or medicare beneficiary. |
Section 5165.99 | Penalty.
...(A) Whoever violates section 5165.102 or division (E) of section 5165.08 of the Revised Code shall be fined not less than five hundred dollars nor more than one thousand dollars for the first offense and not less than one thousand dollars nor more than five thousand dollars for each subsequent offense. Fines paid under this section shall be deposited in the state treasury to the credit of the general revenue fund. (... |
Section 5166.01 | Definitions.
...ection 5165.01 of the Revised Code. "Ohio home care waiver program" means the home and community-based services medicaid waiver component that is known as Ohio home care and was created pursuant to section 5166.11 of the Revised Code. "Provider agreement" has the same meaning as in section 5164.01 of the Revised Code. "Residential treatment facility" means a residential facility licensed by the department of... |
Section 5166.02 | Rules governing medicaid waiver components.
...Any such procedures established for the Ohio home care waiver program shall be consistent with section 5166.121 of the Revised Code. |
Section 5166.03 | Notice of intent to request medicaid waiver.
...icaid waiver under the "Social Security Act," section 1115, 42 U.S.C. 1315, unless the director provides the speaker of the house of representatives and president of the senate written notice of the director's intent to submit the request at least ten days before the date the director submits the request to the United States secretary. The notice shall include a detailed explanation of the medicaid waiver the d... |
Section 5166.04 | Home and community-based services medicaid waiver components.
...ndividuals with Disabilities Education Act," 111 Stat. 37 (1997), 20 U.S.C. 1400, as amended. (G) Safeguards shall be taken to protect the health and welfare of individuals receiving medicaid services under a component, including safeguards established in rules adopted under section 5166.02 of the Revised Code and safeguards established by licensing and certification requirements that are applicable to the pro... |
Section 5166.041 | Provision of nursing services in a group visit under a home and community-based services medicaid waiver component.
...A medicaid provider of nursing services may provide nursing services in a group visit under a home and community-based services medicaid waiver component if the component covers the nursing services, the number of medicaid recipients who receive the nursing services during the group visit does not exceed four, and all of the following apply to all of those medicaid recipients: (A) They are enrolled in the component;... |
Section 5166.05 | Review of plans of care and individual service plans.
...anted full and immediate access to any records the department needs to implement its duties under this section. |
Section 5166.06 | Agency records of costs of medicaid waiver components.
...t of medicaid shall specify, financial records documenting the costs of medicaid services provided under the home and community-based services medicaid waiver components that the agency administers, including records of independent audits. The administrative agency shall make the financial records available on request to the United States secretary of health and human services, United States comptroller genera... |
Section 5166.07 | Agency accountable for medicaid waiver components funds.
...Each administrative agency is financially accountable for funds expended for medicaid services covered by the home and community-based services medicaid waiver components that the agency administers. |
Section 5166.08 | Agency contracting for medicaid waiver components; assurance of compliance.
...al subdivision that enters into a contract with the department of medicaid under section 5162.35 of the Revised Code to administer a home and community-based services medicaid waiver component, or one or more aspects of such a component, shall provide the department a written assurance that the agency or subdivision will not violate any of the requirements of sections 5166.01 to 5166.07 of the Revised Code. |
Section 5166.09 | Reservation of participant capacity for individuals related to active duty military who were receiving services in another state.
...ime of the service member's transfer to Ohio, the eligible individual was receiving home and community-based services in another state. |
Section 5166.10 | Transfer of enrollee in one medicaid waiver component to another.
...To the extent necessary for the efficient and economical administration of medicaid waiver components, the department of medicaid may transfer an individual enrolled in a medicaid waiver component administered by the department to another medicaid waiver component the department administers if the individual is eligible for the medicaid waiver component and the transfer does not jeopardize the individual's heal... |
Section 5166.11 | Creation of medicaid waiver components for home and community-based services programs.
...(A) As used in this section, "Ohio home care program" means the program the department of medicaid administers that provides state plan services and medicaid waiver component services pursuant to rules adopted for the medicaid program and a medicaid waiver that went into effect July 1, 1998. (B) The department of medicaid may create and administer two or more medicaid waiver components under which home and co... |
Section 5166.121 | Home first component for the Ohio home care waiver program.
...section 6071 of the "Deficit Reduction Act of 2005," Pub. L. No. 109-171, as amended, and either resides in a residential treatment facility or inpatient hospital setting. (B) An individual determined to be eligible for the home first component of the Ohio home care waiver program shall be enrolled in the program in accordance with rules adopted under section 5166.02 of the Revised Code. |
Section 5166.16 | Integrated care delivery system medicaid waiver.
...the assisted living program; (3) The Ohio home care waiver program. (B) The medicaid director may create a home and community-based services medicaid waiver component as part of the integrated care delivery system. If the ICDS medicaid waiver component is created, both of the following apply: (1) The department of medicaid shall administer it; (2) When it begins to accept enrollments, no ICDS participant ... |
Section 5166.161 | Home and community-based services for Holocaust survivors.
...The department of medicaid shall ensure that each ICDS participant who is a survivor of the Holocaust that occurred in Europe during World War II receives, while enrolled in the ICDS medicaid waiver component, home and community-based services of the type and in at least the amount, duration, and scope that the participant is assessed to need and would have received if the participant were enrolled in an ODA or MCD m... |
Section 5166.20 | Additional Medicaid waiver components for home and community-based services.
...dicaid shall seek, accept, and consider public comments. |
Section 5166.21 | Transitions developmental disabilities waiver.
...ent of medicaid shall enter into a contract with the department of developmental disabilities under section 5162.35 of the Revised Code with regard to one or more of the medicaid waiver components created by the department of medicaid under section 5166.20 of the Revised Code. The contract shall include the medicaid waiver component known as the transitions developmental disabilities waiver. The contract shall provid... |
Section 5166.22 | Allocating enrollment numbers to county board of developmental disabilities.
...he extent, if any, provided by the contract required by section 5166.21 of the Revised Code regarding the component. |
Section 5166.23 | Rules regarding payments for home and community-based services provided under medicaid component.
...e extent, if any, provided by the contract required by section 5166.21 of the Revised Code regarding the component. |
Section 5166.30 | Coverage of home care attendant services.
...ection 5166.3010 of the Revised Code to act on the consumer's behalf for purposes regarding home care attendant services. (4) "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 a consumer with self-administration of medication, nursing tasks, or both. (5) "Consumer" means an individual to whom ... |