Ohio Revised Code Search
Section |
---|
Section 5124.527 | Release of amount withheld on postponement of change of operator.
...erator, facility closure, or voluntary termination and the transactions leading to the change of operator, facility closure, or voluntary termination are postponed for at least thirty days but less than ninety days after the date originally proposed for the change of operator, facility closure, or voluntary termination as reported in the written notice required by section 5124.50 or 5124.51 of the Revised Code.... |
Section 5124.528 | Disposition of amounts withheld from payment due an exiting operator.
...ties, and United States centers for medicare and medicaid services, the amount an exiting operator owes the department of medicaid or department of developmental disabilities and United States centers under the medicaid program. (B) Amounts paid from the medicaid payment withholding fund pursuant to division (A)(2) of this section shall be deposited into the appropriate fund. |
Section 5124.53 | Adoption of rules for implementation of sections 5124.50 to 5124.53.
...The director of developmental disabilities shall adopt rules under section 5124.03 of the Revised Code to implement sections 5124.50 to 5124.53 of the Revised Code. The rules shall specify all of the following: (A) The method by which written notices to the department required by sections 5124.50 to 5124.53 of the Revised Code are to be provided; (B) The forms and documents that are to be provided to the dep... |
Section 5124.60 | Conversion of beds to home and community-based services.
...equirements applicable to a residential facility if the operator maintains the facility's license as a residential facility; (b) Such requirements applicable to a facility that is not licensed as a residential facility if the operator surrenders the facility's license as a residential facility under section 5123.19 of the Revised Code. (6) The director of developmental disabilities approves the conversion. (B) A d... |
Section 5124.61 | Conversion of beds in acquired ICF/IID.
... the Revised Code regarding a voluntary termination if those requirements are applicable. (3) If the person intends to convert all of the ICF/IID's beds, the person notifies each of the ICF/IID's residents that the ICF/IID is to cease providing ICF/IID services and informs each resident that the resident may do either of the following: (a) Continue to receive ICF/IID services by transferring to another ICF/IID will... |
Section 5124.62 | Request for federal approval of conversion of beds.
...the licensed capacity of a residential facility that had its license revoked or surrendered under section 5123.19 of the Revised Code if the residential facility was an ICF/IID at the time of the license revocation or surrender. The request may include beds the director of developmental disabilities removed from such a residential facility's licensed capacity before transferring ownership or operation of the r... |
Section 5124.65 | Reconversion of beds to ICF/IID use.
...the licensed capacity of a residential facility. (B) The bed has been sold, leased, or otherwise transferred to another person or government entity. |
Section 5124.68 | Admission as resident in an ICF/IID with medicaid-certified capacity exceeding eight.
...habilitation services in another health care setting. (3) The requirements of divisions (A)(1)(a) and (b) of this section are satisfied but the department fails to make the determination required by division (A)(1)(c) of this section before the deadline specified in that division. |
Section 5124.69 | Informational pamphlet.
...irector of developmental disabilities determines that the department has the funds necessary to pay the nonfederal share of the medicaid expenditures for the home and community-based services provided to the resident under the component. |
Section 5124.70 | Maximum number of residents per sleeping room.
...reater than six unless the department determines that a new ICF/IID would need a larger medicaid-certified capacity to be financially viable. If the department determines that a new ICF/IID would need a larger medicaid-certified capacity to be financially viable, the plan may include the creation of a new ICF/IID that has a medicaid-certified capacity that is greater than six but not greater than eight. (D) The de... |
Section 5124.75 | Conversion of ICF/IID beds to OhioRISE program.
...ld require the operator to discharge or terminate services to a resident occupying that bed. |
Section 5124.99 | Penalty for violation of cost reporting provisions.
...Whoever violates section 5124.102 or division (E) of section 5124.08 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 5165.01 | Definitions.
...by a nursing facility other than direct care costs, tax costs, or capital costs. "Ancillary and support costs" includes, but is not limited to, costs of activities, social services, pharmacy consultants, habilitation supervisors, qualified intellectual disability professionals, program directors, medical and habilitation records, program supplies, incontinence supplies, food, enterals, dietary supplies and personnel,... |
Section 5165.011 | Nursing facility references.
...illed nursing facility," "intermediate care facility," or "dual skilled nursing and intermediate care facility" is referred to or designated in any statute, rule, contract, provider agreement, or other document pertaining to the medicaid program, the reference or designation is deemed to refer to a nursing facility. (B) A reference to or designation of an "intermediate care facility for individuals with intel... |
Section 5165.02 | Rules.
...The medicaid director shall adopt rules as necessary to implement this chapter. The rules shall be adopted in accordance with Chapter 119. of the Revised Code. |
Section 5165.03 | Admission of mentally ill person to nursing facility.
...tal health and addiction services has determined both of the following under section 5119.40 of the Revised Code: (a) That the individual requires the level of services provided by a nursing facility because of the individual's physical and mental condition; (b) Whether the individual requires specialized services for mental illness. (2) Except as provided in division (D) of this section, no nursing facility sh... |
Section 5165.031 | Hearing.
...ay appeal if adversely affected by a determination made by the department of mental health and addiction services under section 5119.40 of the Revised Code or by the department of developmental disabilities under section 5123.021 of the Revised Code. If the individual is an applicant for or recipient of medicaid, the individual may appeal pursuant to section 5160.31 of the Revised Code. If the individual is not... |
Section 5165.06 | Nursing facility eligibility.
...tain a provider agreement for a nursing facility if all of the following apply: (A) The nursing facility is certified by the director of health for participation in medicaid; (B) The nursing facility is licensed by the director of health as a nursing home if so required by law and the operator is the licensed operator of the nursing home; (C) The operator and nursing facility comply with all applicable state a... |
Section 5165.07 | Provider agreement requirements.
...to a provider agreement with a nursing facility operator who applies, and is eligible, for the provider agreement. (B) A provider agreement shall require the department to make medicaid payments to the provider in accordance with this chapter for nursing facility services the nursing facility provides to its residents who are medicaid recipients eligible for nursing facility services. (C) A provider agreemen... |
Section 5165.071 | Facility operator may contract with more than one provider.
...A nursing facility operator may enter into provider agreements for more than one nursing facility. |
Section 5165.072 | Revalidation.
...edicaid shall not revalidate a nursing facility provider agreement if the provider fails to maintain eligibility for the provider agreement as provided in section 5165.06 of the Revised Code. |
Section 5165.073 | Termination for non-compliance with installation of fire extinguishing and fire alarm systems.
... the provider agreement with a nursing facility provider that does not comply with the requirements of section 3721.071 of the Revised Code for the installation of fire extinguishing and fire alarm systems. |
Section 5165.081 | Action against facility for breach of provider agreement or other duties.
...A nursing facility resident has a cause of action against a nursing facility provider for breach of the provider agreement obligations or other duties imposed by section 5165.08 of the Revised Code. The action may be commenced by the resident, or on the resident's behalf by the resident's sponsor or a residents' rights advocate, by the filing of a civil action in the court of common pleas of the county in which... |
Section 5165.082 | Qualification of beds.
...y's medicaid-certified beds in the medicare program. The medicaid director may adopt rules under section 5165.02 of the Revised Code to establish the time frame in which a nursing facility must comply with this requirement. (B) The department of veterans services is not required to qualify all of the medicaid-certified beds in a nursing facility the department maintains and operates under section 5907.01 of t... |
Section 5165.10 | Annual cost report.
...ange of provider that the department determines, in accordance with rules adopted under section 5165.02 of the Revised Code, is not an arm's length transaction, the new provider shall file the nursing facility's cost report in accordance with division (A) of this section and the cost report shall cover the portion of the calendar year during which the new provider operated the nursing facility and the portion ... |