Ohio Revised Code Search

...ounseling training programs for health care providers, and development of counseling guidelines; (3) A confidential partner notification system to alert and counsel sexual contacts of individuals with HIV infection; (4) Risk reduction and education programs for groups determined by the director to be at risk of HIV infection, and, in consultation with a wide range of community leaders, education programs for ...

...do not apply to any part of a long-term care facility's campus that is certified as an intermediate care facility for individuals with intellectual disabilities, as defined in section 5124.01 of the Revised Code.

...or governing medicaid payments for long-term care services, the children require a skilled level of care. (2) The children require the services of a doctor of medicine or osteopathic medicine at least once a week due to the instability of their medical conditions. (3) The children require the services of a registered nurse on a daily basis. (4) The children are at risk of institutionalization in a hospital, ...

...m by improving integration of long-term care services and supportive services with primary and acute health care services. In developing any system under this section, the directors shall consult with representatives of county boards of developmental disabilities, the Ohio provider resource association, and the arc of Ohio. The directors may consult with any other individuals or entities that have an interest in the...

... is provided to each patient on a short-term basis and the care is medically necessary for the patient receiving the care. Notwithstanding any provision of this chapter describing a hospice care program as being authorized to provide care and services only to hospice patients, the provision of palliative care under this division is considered a component of the activities authorized by the hospice care program's l...

...ent for the participating provider to determine the compensation or payment terms for health care services, including all of the following, subject to division (A)(1)(b) of this section: (i) The manner of payment, such as fee-for-service, capitation, or risk; (ii) The fee schedule of procedure codes reasonably expected to be billed by a participating provider's specialty for services provided pursuant to the heal...

... plan that provides payment for health care benefits for other than specific diseases or accidents only, which benefits are not provided by contract with a sickness and accident insurer or health insuring corporation. (B) Notwithstanding section 3901.71 of the Revised Code, and subject to division (F) of this section, each plan of health coverage shall provide benefits for the diagnosis and treatment of biolog...

...ut excludes any hospital indemnity, medicare supplement, long-term care, disability income, one-time-limited-duration policy that is less than twelve months, supplemental benefit, or other policy that provides coverage for specific diseases or accidents only; any policy that provides coverage for workers' compensation claims compensable pursuant to Chapters 4121. and 4123. of the Revised Code; and any policy that pro...

... routine or non-life threatening care determinations is either of the following: (a) Could seriously jeopardize the life, health, or safety of the patient or others due to the patient's psychological state; (b) In the opinion of a practitioner with knowledge of the patient's medical or behavioral condition, would subject the patient to adverse health consequences without the care or treatment that is the subject of...

...ion facilities, and facilities for long-term care, including nursing homes, as those terms are defined in the federal act, and such other facilities for which federal aid may be authorized under the federal act.

...reduce, or terminate a requested health care service or payment in whole or in part, including all of the following: (a) A determination that the health care service does not meet the health plan issuer's requirements for medical necessity, appropriateness, health care setting, level of care, or effectiveness, including experimental or investigational treatments; (b) A determination of an individual's eligibi...

... routine or non-life threatening care determinations is either of the following: (a) Could seriously jeopardize the life, health, or safety of the patient or others due to the patient's psychological state; (b) In the opinion of a practitioner with knowledge of the patient's medical or behavioral condition, would subject the patient to adverse health consequences without the care or treatment that is the subject of...

...ble for the medicaid program or the medicare program. (2) That attainment of the limiting age for dependent children shall not operate to terminate the coverage of a dependent child if the child is and continues to be both of the following: (a) Incapable of self-sustaining employment by reason of an intellectual disability or physical disability; (b) Primarily dependent upon the policyholder or certificate h...

...ermediate, extended, long-term, or self-care facilities, diagnostic and treatment and out-patient facilities, facilities related to programs for home health services, clinics, laboratories, public health centers, research facilities, and rehabilitation facilities, for or pertaining to diagnosis, treatment, care, or rehabilitation of persons who are sick, ill, injured, infirm, or impaired or who have disabilities, or ...

...residential facility, that receives and cares for children, that is maintained by the department of youth services, and that operates a school chartered by the director of education and workforce under section 3301.16 of the Revised Code; (b) Any on-premises school operated by an out-of-home care entity, other than a school district, that is chartered by the director of education and workforce under section 3301.1...

...equires a different construction: (A) "Care" means the continued observation of a facility after closure for the purposes of detecting a need for maintenance, ensuring environmental safety, and determining compliance with applicable licensure and regulatory requirements and including the correction of problems which are detected as a result of that observation. (B) "Commission" means the midwest interstate low-leve...

...only, or to any hospital indemnity, medicare supplement, long-term care, disability income, one-time-limited-duration policy that is less than twelve months, or other policy that offers only supplemental benefits.

...h the national association of long-term care administrator boards. (4) The individual has complied with section 4776.02 of the Revised Code regarding a criminal records check. (5) The board, in accordance with section 9.79 of the Revised Code, has determined that the results of the criminal records check do not make the individual ineligible for the license. (6) The individual has paid to the board a license...

...Establish and operate a state long-term care ombudsman program pursuant to sections 307 and 712 of the "Older Americans Act of 1965," 42 U.S.C. 3027 and 3058.

...The office of the state long-term care ombudsman program shall, in carrying out the provisions and purposes of sections 173.14 to 173.26 of the Revised Code, advise, consult, and cooperate with any agency, program, or other entity related to the purposes of the office. Any agency, program, or other entity related to the purposes of the office shall advise, consult, and cooperate with the office. The office shall att...

...es, including community-based long-term care services, under a program the department of aging administers. (B) A part of a record of an evaluation that is otherwise available as a public record under division (A) of this section is not available as a public record if its release would violate a federal or state statute, regulation, or rule, including regulations adopted by the United States department of health an...

...dual who is the subject of a long-term care consultation is eligible for and elects to receive home and community-based services covered by medicaid components the department of aging administers, the department of aging or program administrator shall monitor the individual by doing either or both of the following at least once each year: (A) Determining whether the services being provided to the individual a...

... procedures may include the use of long-term care consultations.

...hall ensure that the unified long-term care budget established under section 173.43 of the Revised Code is administered in a manner that provides medicaid coverage of and expands access to all of the following as necessary to meet the needs of individuals receiving home and community-based services covered by medicaid components the department of aging administers: (A) To the extent permitted by the medicaid ...

..., the agency shall notify the long-term care consultation program administrator serving the area in which the individual resides. The administrator shall determine whether the PASSPORT program is appropriate for the individual and whether the individual would rather participate in the PASSPORT program than continue or begin to reside in a nursing facility. If the administrator determines that the PASSPORT program is ...