Ohio Revised Code Search

...(A) As used in this section, "MFP demonstration project" means a money follows the person demonstration project that the United States secretary of health and human services is authorized to award under section 6071 of the "Deficit Reduction Act of 2005" (Pub. L. No. 109-171, as amended). (B) To the extent funds are available under an MFP demonstration project awarded to the department of medicaid, the direc...

...nstration project called the integrated care delivery system to test and evaluate the integration of the care that dual eligible individuals receive under medicare and medicaid. No provision of Title LI of the Revised Code applies to the integrated care delivery system if that provision implements or incorporates a provision of federal law governing medicaid and that provision of federal law does not apply to t...

...aid director implements the integrated care delivery system and except as provided in division (C) of this section, the director shall annually evaluate all of the following: (1) The health outcomes of ICDS participants; (2) How changes to the administration of the ICDS affect all of the following: (a) Claims processing; (b) The appeals process; (c) The number of reassessments requested; (d) Prior authoriz...

... medicaid services under the integrated care delivery system. The director shall create standardized claim codes to be used on the standardized claim forms. Each medicaid provider and medicaid provider's designee that bills for medicaid services provided under the integrated care delivery system shall use the appropriate standardized claim form and standardized claim codes.

..., to be eligible to serve as a personal care aide under the integrated care delivery system, an individual must successfully complete thirty hours of pre-service training acceptable to the department of medicaid. To maintain eligibility, each personal care aide must successfully complete six hours of in-service training acceptable to the department. Such training must be completed every twelve months. (2) In ad...

...As used in this section, "advanced diagnostic imaging services" means magnetic resonance imaging services, computed tomography services, positron emission tomography services, cardiac nuclear medicine services, and similar imaging services. The department of medicaid shall implement evidence-based, best practice guidelines or protocols and decision support tools for advanced diagnostic imaging services covere...

...(A) The department of medicaid may establish a program under which it provides incentive payments, as authorized by the "Social Security Act," section 1903(a)(3)(F) and (t), 42 U.S.C. 1396b(a)(3)(F) and (t), to encourage the adoption and use of electronic health record technology by medicaid providers who are identified under that federal law as eligible professionals. (B) After the department has made a deter...

...The medicaid director shall implement within the medicaid program a system that encourages medicaid providers to provide medicaid services to medicaid recipients in culturally and linguistically appropriate manners.

... department of medicaid shall establish standards for medicaid payments for health care services the department determines are appropriate to be covered by the medicaid program when provided as telehealth services. The standards shall be established in rules adopted under section 5164.02 of the Revised Code. In accordance with section 5162.021 of the Revised Code, the medicaid director shall adopt rules authorizing...

... department of medicaid shall establish standards for medicaid payments for services provided through teledentistry. The standards shall provide coverage for services to the same extent that those services would be covered by the medicaid program if the services were provided without the use of teledentistry.

...nt to the United States centers for medicare and medicaid services seeking authorization to establish and administer a supplemental payment program to provide supplemental medicaid payments to eligible ground emergency medical transportation service providers. If approved, the medicaid director shall establish and administer the program. (2) To be eligible to receive payments under the supplemental payment program...

...meets all applicable licensure or other standards pertaining to furniture, fixtures, and temperature control. (OO) "Provider" means an operator with a provider agreement. (PP) "Provider agreement" means a provider agreement, as defined in section 5164.01 of the Revised Code, that is between the department of medicaid and the operator of a nursing facility for the provision of nursing facility services under the...

...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...

...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.

...(A) As used in this section: (1) "Dementia" includes Alzheimer's disease or a related disorder. (2) "Serious mental illness" means "serious mental illness," as defined by the United States department of health and human services in regulations adopted under section 1919(e)(7)(G)(i) of the "Social Security Act," 42 U.S.C. 1396r(e)(7)(G)(i). (3) "Individual with a mental illness" means an individual who has a se...

...An individual who applies for admission to or resides in a nursing facility may 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 pu...

...licant or recipient needs the level of care provided by a nursing facility. The assessment may be performed concurrently with a long-term care consultation provided under section 173.42 of the Revised Code. To the maximum extent possible, the assessment shall be based on information from the resident assessment instrument specified in rules authorized by section 5165.191 of the Revised Code. The assessment sha...

...Subject to section 5165.072 of the Revised Code, an operator is eligible to enter into and retain 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...

...(A) Except as provided in section 5165.072 of the Revised Code, the department of medicaid shall enter into 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 it...

...A nursing facility operator may enter into provider agreements for more than one nursing facility.

...The department of medicaid 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.

...The department of medicaid shall terminate 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.

...ough those parts meet federal and state standards for medicaid certification, if all of the following apply: (a) The nursing facility initially obtained both its nursing home license under Chapter 3721. of the Revised Code and medicaid certification on or after January 1, 2008. (b) The nursing facility is located in a county that has a bed need excess at the time the provider excludes the parts from the provider ag...

...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...

...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...

...ed dental hygiene school that meets the standards described in section 4715.21 of the Revised Code: (A) Tuition; (B) Other educational expenses, such as fees, books, and laboratory expenses that are for purposes and in amounts determined reasonable by the director; (C) Room and board, in an amount determined reasonable by the director.

...The director of health, in accordance with Chapter 119. of the Revised Code, shall adopt rules as necessary to implement and administer sections 3702.96 to 3702.967 of the Revised Code. In preparing rules, the director shall consult with the dentist loan repayment advisory board.

...the area, the presence of dental health care provider sites in the area with vacancies for dental hygienists, availability of an eligible candidate interested in being recruited to a particular site within an area, and the distribution of dental health care provider sites in urban and rural regions. The director, by rule, shall establish priorities for use in determining eligibility among applicants for participatio...

...(A) An individual who will not have an outstanding obligation for dental hygiene service to the federal government, a state, or other entity at the time of participation in the dental hygienist loan repayment program and meets either of the following requirements may apply for participation in the dental hygienist loan repayment program: (1) The applicant is a dental hygiene student enrolled in the final year of den...

...If funds are available in the dental hygienist loan repayment fund created under section 3702.967 of the Revised Code and the general assembly has appropriated the funds for the program, the director of health shall approve an applicant for participation in the program on determining in accordance with the priorities established under section 3702.962 of the Revised Code that the applicant is eligible for participati...

...(A) As used in this section: (1) "Full-time practice" and "part-time practice" have the same meanings as in section 3702.71 of the Revised Code; (2) "Teaching activities" means supervising dental hygiene students at the service site specified in the contract described in division (B) of this section. (B) An individual who has been approved for participation under section 3702.964 of the Revised Code may enter into...

...The dentist loan repayment advisory board, annually on or before the first day of March, shall submit a report to the governor and general assembly describing the operations of the dental hygienist loan repayment program during the previous calendar year. The report shall include information about all of the following: (A) The number of requests received by the director of health that a particular area be designated...

...The director of health may accept gifts of money from any source for the implementation and administration of sections 3702.96 to 3702.965 of the Revised Code. The director shall pay all gifts accepted under this section and all damages collected under division (C)(3) of section 3702.965 of the Revised Code into the state treasury to the credit of the dental hygienist loan repayment fund, which is hereby created. ...

...There is hereby created the chiropractic loan repayment program, which shall be administered by the department of health in cooperation with the chiropractic loan repayment advisory board. The program shall provide loan repayment on behalf of individuals who agree to provide chiropractic services in areas designated as chiropractic health resource shortage areas by the director of health pursuant to section 3702.982 ...

...The director of health, in accordance with Chapter 119. of the Revised Code, shall adopt rules as necessary to implement and administer sections 3702.98 to 3702.9810 of the Revised Code. In preparing rules, the director shall consult with the chiropractic loan repayment advisory board.

...terns that limit access to chiropractic care. Except as provided in division (B) of this section, the designations shall be made by rule. The designations may apply to a geographic area, one or more facilities within a particular area, or a population group within a particular area. The director shall consider for designation as a chiropractic health resource shortage area any area in this state that has been designa...

...ulation in the area, presence of health care provider sites in the area with vacancies for chiropractors, availability of an eligible candidate interested in being recruited to a particular site within an area, and the distribution of chiropractic health care provider sites in urban and rural regions. The director shall give greatest priority to chiropractic health resource shortage areas having a high ratio of popul...

...(A) An individual who has not received other student loan repayment assistance and meets either of the following requirements may apply for participation in the chiropractic loan repayment program: (1) The individual is a chiropractic student enrolled in the final year of chiropractic school or college. (2) The individual holds a current, valid license to practice chiropractic issued under Chapter 4734. of the Re...

...If funds are available in the chiropractic loan repayment fund created under section 3702.9810 of the Revised Code and the general assembly has appropriated the funds for the program, the director of health shall approve an applicant for participation in the program on finding in accordance with the priorities established under section 3702.983 of the Revised Code that the applicant is eligible for participation and ...

...(A) An individual who has signed a letter of intent under section 3702.985 of the Revised Code and the director of health may enter into a contract for the applicant's participation in the chiropractic loan repayment program. A lending institution may also be a party to the contract. (B) The contract shall include all of the following obligations: (1) The individual agrees to provide chiropractic services in the ...

...(A) There is hereby created the chiropractic loan repayment advisory board. The board shall consist of the following members: (1) A representative of the department of higher education, appointed by the chancellor; (2) The director of health or an employee of the department of health designated by the director; (3) Three representatives of the chiropractic profession, appointed by the governor. (B) Initia...

...The chiropractic loan repayment advisory board shall determine the amounts that will be paid as loan repayments on behalf of participants in the chiropractic loan repayment program. No repayment shall exceed ten thousand dollars in any year, except that if a repayment results in an increase in the participant's federal, state, or local income tax liability, the department of health, at the participant's request and w...

...The chiropractic loan repayment advisory board, annually on or before the first day of March, shall submit a report to the governor and general assembly describing the operations of the chiropractic loan repayment program during the previous calendar year. The report shall include information about all of the following: (A) The number of requests received by the director of health that a particular area be designat...

...The director of health may accept gifts of money from any source for the implementation and administration of sections 3702.98 to 3702.9810 of the Revised Code. The director shall pay all gifts accepted under this section into the state treasury, to the credit of the chiropractic health resource shortage area fund, which is hereby created, and all damages collected under division (B)(4) of section 3702.986 of the R...

...and women where accommodations, medical care, and social services are provided during the prenatal and postpartal periods. "Maternity home" does not include a private residence where obstetric or newborn services are received by a resident of the home.

...this section does not apply to a health care facility, as defined in section 3702.30 of the Revised Code.

...Each person seeking to operate a maternity home shall apply to the director of health for a license under this chapter. The application shall be submitted in the form and manner prescribed by the director in rules adopted under section 3711.12 of the Revised Code.

...approved; (2) The applicant meets the standards specified in rules adopted under section 3711.12 of the Revised Code; (3) The applicant passes the inspection required by section 3711.06 of the Revised Code. (C) On issuance of a license, the director shall notify the board of health to which the application was sent under division (A) of this section. In the notice, the director shall specify the terms that appl...

...The director of health shall inspect each maternity home for which a person has applied for an initial license under section 3711.04 of the Revised Code prior to issuing the license. Inspections shall be conducted in accordance with inspection criteria, procedures, and guidelines adopted by the director under section 3711.12 of the Revised Code.

...A license issued under this chapter is valid for three years, unless earlier revoked or suspended under section 3711.14 of the Revised Code. The license may be renewed in the manner prescribed by the director of health in rules adopted under section 3711.12 of the Revised Code. The license renewal fee specified in the rules shall be paid not later than sixty days after the director of health mails an invoice fo...