Ohio Administrative Code

19.03 PDF: (A) Definitions for this rule:(1) "Outreach" means a provider-initiated one-on-one intervention with a potential consumer or caregiver, in the consumer's or caregiver's preferred location, which is typically in their home, that may or may not have access to supports to…

19.03 PDF: (A) Definitions for this rule:(1) "Volunteer management" means coordination of the recruitment, screening, training, placement, and evaluation of volunteers to expand the provision of aging-related home and community-based services.(a) "Volunteer management" may includ…

19.03 PDF: (A) Definitions for this rule:(1) "Disease prevention and health promotion service" has the same meaning as in 42. U.S.C. 3002.(2) "Evidence-based" means that a disease prevention and health promotion service complies with 42 U.S.C. 3030m and 45 C.F.R. 1321.89.(3) "Non…

19.03 PDF: (A) "Home maintenance and chores" means a service providing critical cleaning, maintenance, or repair of elements in a consumer's home or surrounding property which are necessary to preserve the consumer's health and welfare.(1) "Home maintenance and chores" includes t…

19.03 PDF: (A) "Home modification" means a service modifying elements of the interior or exterior of a consumer's home to increase accessibility and enable the consumer to function with greater independence in the home.(1) "Home modification" includes the assessment, materials, a…

19.03 PDF: (A) Definitions for this rule:(1) "Homemaker service" (homemaker) means a case-managed service providing routine activities to help a consumer to achieve and maintain a clean, safe, and healthy living environment.(a) "Homemaker service" includes the following activitie…

19.03 PDF: (A) Definition for this rule: "Personal care" means a case-managed service comprised of activities to help a consumer achieve optimal functioning with ADLs and IADLs.(1) "Personal care" includes the following activities:(a) Assisting the consumer with ADLs, IADLs, hous…

19.03 PDF: (A) Definitions for this rule:(1) "Transportation" means a service that transports a consumer from one place to another through the use of a provider's vehicle and driver, and which may, or may not, include providing the consumer with assistance to safely enter and exi…

19.03 PDF: (A) Introduction: All services paid, in whole or in part, with Older Americans Act funds are subject to voluntary contributions. All services paid, in whole or in part, with Older Americans Act funds are subject to cost sharing, except for services excluded by paragrap…

19.03 PDF: (A) 42 U.S.C. 3027(a)(5)(B) and 45 C.F.R. 1321.9(c)(1)(viii) mandate AGE to establish standards for each AAA's grievance procedure under 42 U.S.C. 3026(a)(10).(B) 42 U.S.C. 3026(a)(10) requires each AAA to maintain a grievance procedure for consumers or caregivers who …

19.03 PDF: (A) Introduction:(1) A provider may request an administrative hearing ("hearing") to appeal any adverse action that an AAA has taken against the provider.(2) AAAs and ODA shall honor all written or electronic hearing requests subject to the conditions in this rule.(3) …

19.03 PDF: (A) Definition for this rule: "Private pay programs" has the same meaning as in 45 C.F.R. 1321.3.(B) 42 U.S.C. 3026(g) and 45 C.F.R. 1321.9(c)(2)(xiii) allow AGE, AAAs, and providers to provide private pay programs, subject to compliance with the state requirements in …

19.03 PDF: (A) AGE publishes Ohio's current state plan on aging on https://aging.ohio.gov/reports-and-data.(B) Each state plan on aging is subject to the standards for state-plan content in 42 U.S.C. 3025, 3027, and 3058d and 45 C.F.R. 1321.27 and 1324.15.(C) AGE obtains input on…

19.03 PDF: (A) Introduction: This chapter regulates the medicaid-funded component of the assisted living program created under section 173.54 of the Revised Code. (See Chapter 173-51 of the Administrative Code for rules on the state-funded component of the assisted living program…

19.03 PDF: A person is eligible for the medicaid-funded component of the assisted living program only if the person meets the eligibility requirements under rule 5160-33-03 of the Administrative Code. Last updated July 26, 2023 at 2:07 PM Authorized By: 121.07, 173.01, 173.02, 17…

19.03 PDF: (A) Initial contact: An individual may initially contact either ODM's administrative agency or ODA's designee to apply for the medicaid-funded component of the assisted living program. The two agencies coordinate processing applications for enrollment as follows:(1) If…

19.03 PDF: The medicaid-funded component of the assisted living program may pay a provider for providing a service covered under rule 173-38-05 of the Administrative Code only if the provider is certified to provide the service under Chapter 173-39 of the Administrative Code and …

19.03 PDF: An individual's person-centered services plan may authorize only the following two services:(A) Assisted living service under rule 173-39-02.16 of the Administrative Code.(B) Community transition under rule 173-39-02.17 of the Administrative Code. Last updated July 26,…

19.03 PDF: (A) Introduction:(1) This chapter establishes the requirements for providers to become, and to remain, certified by AGE, compliance reviews of certified providers, and disciplinary actions that may be imposed on certified providers.(2) Rule 5160-58-04 of the Administra…

19.03 PDF: Introduction: This rule presents requirements for every type of provider to become, and to remain, certified. For agency and assisted living providers, the requirements in this rule include requirements for each provider's employees.(A) Requirements for every type of p…

19.03 PDF: (A) "Adult day service" ("ADS") means a regularly-scheduled service provided at an adult day center (center) in a non-institutional, community-based setting and consisting of the activities authorized in an individual's person-centered services plan. ADS includes recre…

19.03 PDF: (A) Definitions for this rule:(1) "Nutritional consultation" (consultation) means individualized guidance to an individual who has special dietary needs. Consultations take into consideration the individual's health; cultural, religious, ethnic, socio-economic backgrou…

19.03 PDF: (A) "Personal care" means hands-on assistance with ADLs and IADLs (when incidental to providing ADLs) in the individual's home and community.(1) Personal care activities include the following when authorized in a person-centered services plan:(a) Assisting the individu…

19.03 PDF: (A) Definitions for this rule:(1) "Social work or counseling" (service) means a service to an individual or to an individual's caregiver to promote the individual's physical, social, or emotional well-being; and the development and maintenance of a stable and supportiv…

19.03 PDF: (A) "Home-delivered meal" means a meal regulated by rule 5160-44-11 of the Administrative Code.(B) Requirements for every ODA-certified provider of home-delivered meals:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) Requirements specific t…

19.03 PDF: (A) "Community integration" means the service defined in rule 5160-44-14 of the Administrative Code.(B) Requirements for an ODA-certified provider of community integration:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The provider is subj…

19.03 PDF: (A) Definitions for this rule:(1) "Assisted living service" means either a basic service or memory care that promotes aging in an RCF by supporting the individual's independence, choice, and privacy.(2) "Basic service" means all of the following:(a) A service that incl…

19.03 PDF: (A) "Community transition" means the service defined in rule 5160-44-26 of the Administrative Code.(B) Requirements for an ODA-certified provider of community transition:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The provider is subjec…

19.03 PDF: (A) Definitions for this rule:(1) "Non-medical transportation" (transportation) means using a provider's vehicle and driver to transport individuals from one place to another for a non-medical purpose. "Non-medical transportation" does not include the following:(a) Tra…

19.03 PDF: (A) "Alternative meals" means a participant-directed service for sustaining an individual's health by enabling the individual to procure up to two meals per day from a non-traditional provider, such as a restaurant, but not an adult day center.(B) Requirements for ODA-…

19.03 PDF: (A) Definitions for this rule:(1) "Enhanced community living" (ECL) means a service promoting aging in place, in multi-family affordable housing, through access to on-site, individually-tailored, health-related, and supportive interventions for individuals who have fun…

19.03 PDF: (A) "Waiver nursing" means the service defined in rule 5160-44-22 of the Administrative Code.(B) Requirements for every ODA-certified provider of waiver nursing:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The provider is subject to rule…

19.03 PDF: (A) "Out-of-home respite" means the service defined in rule 5160-44-17 of the Administrative Code.(B) Requirements for every ODA-certified provider of out-of-home respite:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The provider is subje…

19.03 PDF: (A) "Home care attendant service" means the service defined in rule 5160-44-27 of the Administrative Code.(B) Requirements for every ODA-certified provider of a home care attendant service:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The…

19.03 PDF: (A) "Structured family caregiving" has the same meaning as in rule 5160-44-33 of the Administrative Code.(B) Requirements for every ODA-certified provider of structured family caregiving:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The p…

19.03 PDF: (A) "Vehicle modification" has the same meaning as in rule 5160-46-09 of the Administrative Code.(B) Requirements for every certified provider of vehicle modification:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The provider is subject t…

19.03 PDF: (A) "Choices home care attendant service" (service) means a service that provides one or more of the following activities to support the needs of an individual with impaired physical or cognitive functioning:(1) Assisting the individual with money management and corres…

19.03 PDF: (A) "Home maintenance and chores" means the service defined in rule 5160-44-12 of the Administrative Code.(B) Requirements for every ODA-certified provider of home maintenance and chores:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The p…

19.03 PDF: (A) "Personal emergency response system" (PERS) means the service defined in rule 5160-44-16 of the Administrative Code.(B) Requirements for every ODA-certified provider of PERS:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The provider i…

19.03 PDF: (A) "Home medical equipment and supplies" (HME) means a service providing rented or purchased home medical equipment and supplies to individuals to enable those individuals to function safely in their homes with greater independence, thereby eliminating the need for pl…

19.03 PDF: (A) Definitions for this rule:(1) "Homemaker" means a service enabling individuals to achieve and maintain clean, safe and healthy environments, assisting individuals to manage their personal appointments and day-to-day household activities, and ensuring individuals ma…

19.03 PDF: (A) "Home modification" has the same meaning as "home modifications" in rule 5160-44-13 of the Administrative Code.(B) Requirements for ODA-certified providers of home modification:(1) The provider is subject to rule 173-39-02 of the Administrative Code.(2) The provide…

19.03 PDF: (A) Initial steps:(1) A person may apply for certification by completing an application in the provider management system, which includes electronic submission of all supporting records required as part of the application. An incomplete application expires if the perso…

19.03 PDF: Introduction: In 42 C.F.R. 441.301(c)(5)(v), HHS requires heightened scrutiny by HHS's secretary to determine if a setting presumed to have the qualities of an institution meets HCBS settings requirements. This rule applies to settings subject to heightened scrutiny to…

19.03 PDF: Introduction: Section 173.39 of the Revised Code prohibits ODA from paying a provider for services provided to individuals enrolled in the PASSPORT or assisted living programs unless the provider is an ODA-certified provider. ODA-certification is assigned to a provider…

19.03 PDF: Introduction: After ODA initially certifies a provider in a region, the provider may apply to become certified to provide an additional service in that region, including an ODA-certified provider of enhanced ADS applying for certification to provide intensive ADS and a…

19.03 PDF: .(A) Introduction:(1) This rule applies to the following scenarios:(a) A provider certified to provide a service in a region wants to be certified to provide the same service in another region.(b) A provider certified to provide a service in a region wants to be certif…