Ohio Revised Code Search
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Section 5166.09 | Reservation of participant capacity for individuals related to active duty military who were receiving services in another state.
...Every home and community-based services medicaid waiver component shall reserve a portion of the participant capacity of the waiver for eligible individuals whose spouse or parent or legal guardian is an active duty military service member and, at the time 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.
...d in the medicaid waiver components; (4) Any other requirements the department selects for the medicaid waiver components. (C) (D) After the first of any of the medicaid waiver components that the department administers under this section begins to enroll eligible individuals, the department may cease to enroll additional individuals in a medicaid waiver component of the Ohio home care program. |
Section 5166.121 | Home first component for the Ohio home care waiver program.
...r the Ohio home care waiver program. (4) The individual does not reside in a nursing facility or hospital long-term care unit at the time the individual applies for the Ohio home care waiver program but is at risk of imminent admission to a nursing facility or hospital long-term care unit due to a documented loss of a primary caregiver. (5) The individual resides in a nursing facility at the time the individu... |
Section 5166.16 | Integrated care delivery system medicaid waiver.
...(A) As used in this section and section 5166.161 of the Revised Code, "ODA or MCD medicaid waiver component" means all of the following: (1) The medicaid-funded component of the PASSPORT program; (2) The medicaid-funded component of 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 ... |
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.
...The department 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 s... |
Section 5166.22 | Allocating enrollment numbers to county board of developmental disabilities.
... the services pursuant to section 5126.042 of the Revised Code; (2) Anything else the department considers necessary to enable the county board to provide the services to individuals placed on the county board's waiting list established for the services pursuant to section 5126.042 of the Revised Code. (B) Division (A) of this section applies to home and community-based services provided under the medicaid waiver... |
Section 5166.23 | Rules regarding payments for home and community-based services provided under medicaid component.
...(A) Subject to division (D) of this section, the medicaid director shall adopt rules under section 5166.02 of the Revised Code establishing the payment amounts or the methods by which the payment amounts are to be determined for home and community-based services specified in division (A)(1) of section 5166.20 of the Revised Code and provided under the components of the medicaid program that the department of de... |
Section 5166.30 | Coverage of home care attendant services.
...rding 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 all of the following apply: (a) The individual is enrolled in a participating medic... |
Section 5166.301 | Home care attendant services providers.
... personnel qualifications specified in 42 C.F.R. 484.4 for home health aides or has successfully completed at least one of the following: (a) A competency evaluation program or training and competency evaluation program approved or conducted by the director of health under section 3721.31 of the Revised Code; (b) A training program approved by the appropriate director that includes training in at least all of ... |
Section 5166.302 | Continuing education requirements for home care attendants.
...A home care attendant shall complete not less than twelve hours of in-service continuing education regarding home care attendant services each year and provide the appropriate director evidence satisfactory to the appropriate director that the attendant satisfied this requirement. The evidence shall be submitted to the appropriate director not later than the annual anniversary of the issuance of the home care a... |
Section 5166.303 | Responsibilities of home care attendants.
...A home care attendant shall do all of the following: (A) Maintain a clinical record for each consumer to whom the attendant provides home care attendant services in a manner that protects the consumer's privacy; (B) Participate in a face-to-face visit every ninety days with all of the following to monitor the health and welfare of each of the consumers to whom the attendant provides home care attendant services... |
Section 5166.304 | Nursing assistance by home care attendants.
...(A) A home care attendant may assist a consumer with nursing tasks or self-administration of medication only after the attendant does both of the following: (1) Subject to division (B) of this section, completes consumer-specific training in how to provide the assistance that the authorizing health care professional authorizes the attendant to provide to the consumer; (2) At the request of the consumer, consu... |
Section 5166.305 | Nursing assistance by home care attendants; consent and authorization.
...A home care attendant shall comply with both of the following when assisting a consumer with nursing tasks or self-administration of medication: (A) The written consent of the consumer or consumer's authorized representative provided to the appropriate director under section 5166.306 of the Revised Code; (B) The authorizing health care professional's written authorization provided to the appropriate director ... |
Section 5166.306 | Nursing assistance by home care attendants; written statement providing consent.
...To consent to a home care attendant assisting a consumer with nursing tasks or self-administration of medication, the consumer or consumer's authorized representative shall provide the appropriate director a written statement signed by the consumer or authorized representative under which the consumer or authorized representative consents to both of the following: (A) Having the attendant assist the consumer ... |
Section 5166.307 | Nursing assistance by home care attendants; written statement of authorization.
...To authorize a home care attendant to assist a consumer with nursing tasks or self-administration of medication, a health care professional shall provide the appropriate director a written statement signed by the health care professional that includes all of the following: (A) The consumer's name and address; (B) A description of the nursing tasks or self-administration of medication with which the attendant ... |
Section 5166.308 | Nursing assistance by home care attendants; unauthorized actions.
...d in the consumer's clinical record. (4) The medication is stored separately from all other medications and is secured and locked at all times when not being administered to the consumer to prevent unauthorized access. (D) Perform an intramuscular injection; (E) Perform a subcutaneous injection unless it is for a routine dose of insulin; (F) Program a pump used to deliver a medication unless the pump is used... |
Section 5166.309 | Practice of nursing as registered nurse or licensed practical nurse not allowed by home care attendants.
...ractical nurse in violation of section 4723.03 of the Revised Code. A consumer or the consumer's authorized representative shall report to the appropriate director if a home care attendant engages in the practice of nursing as a registered nurse or the practice of nursing as a licensed practical nurse beyond the authorizing health care professional's authorization. The appropriate director shall forward a cop... |
Section 5166.3010 | Authorized representative.
...A consumer who is an adult may select an individual to act on the consumer's behalf for purposes regarding home care attendant services by submitting a written notice of the consumer's selection of an authorized representative to the appropriate director. The notice shall specifically identify the individual the consumer selects as authorized representative and may limit what the authorized representative may d... |
Section 5166.32 | Medicaid waiver for individuals with cystic fibrosis.
...If the department of medicaid terminates the 209(b) option, the department shall establish a medicaid waiver component under which an individual who has cystic fibrosis and is enrolled in the program for children and youth with special health care needs by the department of health under section 3701.023 of the Revised Code or the program the department of health administers pursuant to division (G) of that section ma... |
Section 5166.37 | Medicaid waiver - additional eligibility requirements for members of expansion group.
...r an occupational training program; (4) Be participating in an alcohol and drug addiction treatment program; (5) Have intensive physical health care needs or serious mental illness. (B) Not earlier than February 1, 2025, and not later than March 1, 2025, the director shall seek approval from the United States centers for medicare and medicaid services to implement the medicaid waiver component described in t... |
Section 5166.40 | Definitions.
...(A) As used in sections 5166.40 to 5166.409 of the Revised Code: (1) "Adult" means an individual who is at least eighteen years of age. (2) "Buckeye account" means a modified health savings account established under section 5166.402 of the Revised Code. (3) "Contribution" means the amounts that an individual contributes to the individual's buckeye account and are contributed to the account on the individual's beha... |
Section 5166.401 | Enrolllment for healthy Ohio program participants.
...A healthy Ohio program participant shall enroll in a comprehensive health plan offered by a managed care organization under contract with the department of medicaid. All of the following apply to the health plan: (A) It shall cover physician, hospital inpatient, hospital outpatient, pregnancy-related, mental health, pharmaceutical, laboratory, and other health care services the medicaid director determines necessary... |