Ohio Revised Code Search
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Section 5124.45 | Deposits to general revenue fund.
... in the general revenue fund amounts collected from the following: (A) Refunds required by, and interest charged under, section 5124.41 of the Revised Code; (B) Penalties imposed under section 5124.42 of the Revised Code. |
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Section 5124.46 | Adjudications under the administrative procedure act.
...ilities makes as the result of an audit under section 5124.109 of the Revised Code; (B) Any medicaid payment deemed an overpayment under section 5124.523 of the Revised Code; (C) Any penalty the department imposes under section 5124.42 of the Revised Code or section 5124.523 of the Revised Code. |
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Section 5124.50 | Notice of facility closure or voluntary termination.
...ty closure or voluntary termination not less than ninety days before the effective date of the facility closure or voluntary termination. The written notice shall be provided to the department of developmental disabilities and department of medicaid in accordance with the method specified in rules authorized by section 5124.53 of the Revised Code. The written notice shall include all of the following: (A) The... |
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Section 5124.51 | Notice of change of operator.
...cordance with the method specified in rules authorized by section 5124.53 of the Revised Code. The written notice shall be provided to the department of developmental disabilities and department of medicaid not later than forty-five days before the effective date of the change of operator if the change of operator does not entail the relocation of residents. The written notice shall be provided to the departmen... |
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Section 5124.511 | Agreements with entering operators effective on date of change of operator.
... The department receives a properly completed written notice required by section 5124.51 of the Revised Code on or before the date required by that section. (B) The department receives both of the following in accordance with the method specified in rules authorized by section 5124.53 of the Revised Code and not later than ten days after the effective date of the change of operator: (1) From the entering opera... |
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Section 5124.512 | Agreements with entering operators effective at a later date.
... The department receives a properly completed written notice required by section 5124.51 of the Revised Code. (2) The department receives, from the entering operator and in accordance with the method specified in rules authorized by section 5124.53 of the Revised Code, a completed application for a provider agreement and all other forms and documents specified in rules adopted under that section. (3) The depar... |
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Section 5124.513 | Entering operator duties under provider agreement.
...ollowing: (A) Comply with all applicable federal statutes and regulations; (B) Comply with section 5124.07 of the Revised Code and all other applicable state statutes and rules; (C) Comply with all the terms and conditions of the exiting operator's provider agreement, including all of the following: (1) Any plan of correction; (2) Compliance with health and safety standards; (3) Compliance with the ownershi... |
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Section 5124.514 | Exiting operator deemed operator pending change.
... program, including medicaid payments, until the effective date of the entering operator's provider agreement if the provider agreement is entered into under section 5124.511 or 5124.512 of the Revised Code. |
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Section 5124.515 | Provider agreement with operator not complying with prior agreement.
...not enter into the provider agreement unless the department of health certifies the ICF/IID under Title XIX. The effective date of the provider agreement shall not precede any of the following: (A) The date that the department of health certifies the ICF/IID; (B) The effective date of the change of operator; (C) The date the requirement of section 5124.51 of the Revised Code is satisfied. |
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Section 5124.516 | Medicaid reimbursement adjustments; change of operator.
...lopmental disabilities may adopt rules under section 5124.03 of the Revised Code governing adjustments to the medicaid reimbursement rate for an ICF/IID that undergoes a change of operator. No rate adjustment resulting from a change of operator shall be effective before the effective date of the entering operator's provider agreement. This is the case regardless of whether the provider agreement is entered int... |
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Section 5124.517 | Determination that a change of operator has or has not occurred; effect.
...not occurred for purposes of licensure under section 5123.19 of the Revised Code shall not affect either of the following: (A) A determination by the department of developmental disabilities or department of medicaid of whether or when a change of operator occurs; (B) The department of medicaid's determination of the effective date of an entering operator's provider agreement under section 5124.511, section ... |
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Section 5124.52 | Overpayment amounts determined following notice of closure, etc.
...ental disabilities shall establish in rules authorized by section 5124.53 of the Revised Code. The methodology shall provide for estimating all of the following that the department determines are applicable: (1) Refunds due the department under section 5124.41 of the Revised Code; (2) Interest owed to the department and United States centers for medicare and medicaid services; (3) Final civil monetary and oth... |
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Section 5124.521 | Withholding from medicaid payment due exiting operator.
... be paid into the state treasury to the credit of the attorney general claims fund created under section 109.081 of the Revised Code. |
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Section 5124.522 | Cost report by exiting operator; waiver.
...most recent previous cost report filed under section 5124.10 or 5124.101 of the Revised Code and ends on the last day the exiting operator's provider agreement is in effect. The cost report shall include, as applicable, all of the following: (1) The sale price of the ICF/IID; (2) A final depreciation schedule that shows which assets are transferred to the buyer and which assets are not transferred to the buy... |
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Section 5124.523 | Failure to file cost report; payments deemed overpayments.
...ordance with that section, all payments under the medicaid program for the period the cost report is required to cover are deemed overpayments until the date the department receives the properly completed cost report. The department may impose on the exiting operator a penalty of one hundred dollars for each calendar day the properly completed cost report is late. |
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Section 5124.524 | Final payment withheld pending receipt of cost reports.
...e department receives all properly completed cost reports the exiting operator is required to file under sections 5124.10 and 5124.522 of the Revised Code. |
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Section 5124.525 | Determination of debt of exiting operator; summary report.
...vices under the medicaid program by completing all final fiscal audits not already completed and performing all other appropriate actions the department determines to be necessary. The department shall issue an initial debt summary report on this matter not later than sixty days after the date the exiting operator files the properly completed cost report required by section 5124.522 of the Revised Code with the... |
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Section 5124.526 | Release of amount withheld less amounts owed.
...sabilities shall release the actual amount withheld under division (A) of section 5124.521 of the Revised Code, less any amount the exiting operator owes the department and United States centers for medicare and medicaid services under the medicaid program, as follows: (A) Unless the department issues the initial debt summary report required by section 5124.525 of the Revised Code not later than sixty days a... |
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Section 5124.527 | Release of amount withheld on postponement of change of operator.
...its sole discretion, may release the amount withheld under division (A) of section 5124.521 of the Revised Code if the exiting operator submits to the department written notice of a postponement of a change of operator, 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... |
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Section 5124.528 | Disposition of amounts withheld from payment due an exiting operator.
...he exiting operator under section 5124.526 or 5124.527 of the Revised Code; (2) To pay the department of medicaid or department of developmental disabilities, 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 medic... |
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Section 5124.53 | Adoption of rules for implementation of sections 5124.50 to 5124.53.
...pmental 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 department under sections... |
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Section 5124.60 | Conversion of beds to home and community-based services.
...ervices if all of the following requirements are met: (1) The operator provides the directors of health and developmental disabilities at least ninety days' notice of the operator's intent to make the conversion. (2) The operator complies with the requirements of sections 5124.50 to 5124.53 of the Revised Code regarding a voluntary termination if those requirements are applicable. (3) If the operator intends to co... |
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Section 5124.61 | Conversion of beds in acquired ICF/IID.
...osals issued by the director of developmental disabilities, an ICF/IID for which a residential facility license was previously surrendered or revoked may convert some or all of the ICF/IID's beds from providing ICF/IID services to providing home and community-based services if all of the following requirements are met: (1) The person provides the directors of health and developmental disabilities and medicaid direct... |
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Section 5124.62 | Request for federal approval of conversion of beds.
...to increase the number of slots available for home and community-based services by a number not exceeding the number of beds that were part of 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... |
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Section 5124.65 | Reconversion of beds to ICF/IID use.
...ed Code. This prohibition applies regardless of either of the following: (A) The bed is part of the licensed capacity of a residential facility. (B) The bed has been sold, leased, or otherwise transferred to another person or government entity. |