Ohio Administrative Code

19.03 PDF: (A) Introduction: This chapter governs nutrition projects paid, in whole or in part, with Older Americans Act funds.(B) Definitions: The definitions in rule 173-2-01 of the Administrative Code apply to this chapter. Last updated February 3, 2025 at 8:21 AM Authorized B…

19.03 PDF: (A) Congregate meals are eligible for payment with Older Americans Act funds if they meet the requirements for meals in this chapter and if the recipient is one of the following:(1) A consumer who is sixty years of age or older.(2) The spouse of the consumer in paragra…

19.03 PDF: (A) Congregate dining:(1) Initial verification: Before enrolling the consumer into a congregate dining project or congregate dining project based in restaurants or supermarkets, the provider shall verify that a consumer's congregate meals are eligible for payment, in w…

19.03 PDF: (A) When an AAA procures for congregate dining project(s) or home-delivered meals project(s), the AAA is subject to rules 173-3-04, 173-3-05, and 173-3-06 of the Administrative Code and this rule.(B) When an AAA procures for congregate dining project(s) or home-deliver…

19.03 PDF: (A) Requirements, flexibilities, and recommendations to include in every AAA-provider agreement for a nutrition project paid, in whole or in part, with Older Americans Act funds:(1) Every AAA-provider agreement paid, in whole or in part, with Older Americans Act funds …

19.03 PDF: The following are the requirements for every AAA-provider agreement for a congregate dining project paid, in whole or in part, with Older Americans Act funds:(A) The AAA-provider agreement is subject to rules 173-3-06 and 173-4-05 of the Administrative Code.(B) Availab…

19.03 PDF: The following are the requirements to include in every AAA-provider agreement for a home-delivered meals project paid, in whole or in part, with Older Americans Act funds:(A) The AAA-provider agreement is subject to rules 173-3-06 and 173-4-05 of the Administrative Cod…

19.03 PDF: The following are the requirements to include in every AAA-provider agreement for a congregate dining project based in restaurants or grocery stores paid, in whole or in part, with Older Americans Act funds:(A) The AAA-provider agreement is subject to rules 173-3-06 an…

19.03 PDF: (A) Definitions for this rule:(1) "Diet order" means an order for a therapeutic diet from a licensed healthcare professional whose scope of practice includes ordering a therapeutic diet.(2) "Therapeutic diet" means a calculated nutritive regimen including, the followin…

19.03 PDF: (A) Definitions for this rule:"Nutrition counseling" ("counseling") is a service provided under Title III, parts C1 and C2, of the Older Americans Act which 45 C.F.R. 1321.87 requires to align with the academy of nutrition and dietetics."Nutritional assessment" ("asses…

19.03 PDF: (A) "Nutrition education" means an intervention that provides consumers and caregivers with knowledge and skills to make healthy food and beverage choices.(B) Requirements for every AAA-provider agreement for nutrition education paid, in whole or in part, with Older Am…

19.03 PDF: (A) Definitions for this rule:"High nutritional risk" means the status of a consumer whose score on the ODA form labeled "Determine Your Own Nutritional Health" (ODA0010, rev. May, 2009) is a six or above."Nutrition health screening" ("screening") means using the ODA f…

19.03 PDF: (A) "Grocery shopping assistance" means a service for a consumer who needs assistance shopping for groceries that assists the consumer with the act of shopping for groceries.(B) Requirements for every AAA-provider agreement for grocery shopping assistance paid, in whol…

19.03 PDF: (A) "Grocery ordering and delivery" means a service for a consumer who needs assistance shopping for groceries that allows the consumer to order groceries, then delivers the ordered groceries to the consumer's home or vehicle (e.g., at a drive-thru pick-up window).(B) …

11.15 PDF: (A) Introduction: This chapter regulates the state-funded component of the PASSPORT program created under section 173.522 of the Revised Code. (See Chapter 173-42 of the Administrative Code for rules on the medicaid-funded component of the PASSPORT program.)(B) Definit…

11.15 PDF: (A) Presumptive: Only an individual meeting all the following qualifications is eligible for the state-funded component of the PASSPORT program on the basis of presumptive eligibility:(1) Consultation: The individual participated in a long-term care consultation under …

11.15 PDF: (A) Presumptive: For each individual enrolled in the state-funded component of the PASSPORT program on the basis of paragraph (A) of rule 173-40-02 of the Administrative Code:(1) Disenrollment: ODA or its designee shall disenroll any individual who no longer meets all …

11.15 PDF: The state-funded component of the PASSPORT program may pay a provider for providing a service covered under rule 173-40-05 of the Administrative Code only if the provider is certified to provide the service under Chapter 173-39 of the Administrative Code and section 17…

11.15 PDF: (A) The person-centered services plan for an individual enrolled in the state-funded component of the PASSPORT program may authorize any service allowed under rule 5160-31-05 of the Administrative Code for the medicaid-funded component of the PASSPORT program.(B) The s…

11.15 PDF: An individual enrolled in the state-funded component of the PASSPORT program has the same choices and responsibilities as rule 173-42-06 of the Administrative Code provides to an individual enrolled in the medicaid-funded component of the PASSPORT program.ODA's designe…

19.03 PDF: (A) Introduction: This chapter regulates the medicaid-funded component of the PASSPORT program created under section 173.52 of the Revised Code. (See Chapter 173-40 of the Administrative Code for rules on the state-funded component of the PASSPORT program.)(B) Definiti…

19.03 PDF: A person is eligible for the medicaid-funded component of the PASSPORT program only if the person meets the eligibility requirements under rule 5160-31-03 of the Administrative Code. Last updated July 26, 2023 at 2:09 PM Authorized By: 121.07, 173.01, 173.02, 173.52 Am…

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

19.03 PDF: (A) Person-centered planning:(1) The individual is subject to rule 5160-44-02 of the Administrative Code. To comply with that rule, the individual and ODA's designee have flexibility to meet by telephone, video conference, or in person to develop the individual's perso…

19.03 PDF: (A) The long-term care consultation program provides information to individuals and their representatives about options available to meet their long-term care needs and factors to consider when making long-term care decisions in accordance with section 173.42 of the Re…

19.03 PDF: (A) The program administrator may provide a consultation in person or by telephone or video conference.(B) The program administrator shall offer a consultation to any individual who contacts the program administrator to seek information about options available to meet …

19.03 PDF: (A) The program administrator shall provide a consultation to an individual satisfying one or more of the following categories, unless paragraph (B) of this rule exempts the individual:(1) An individual who applies, or indicates an intention to apply, for admission to …

19.03 PDF: (A) The program administrator shall complete every consultation no later than ten days after it receives a request for the consultation, unless an exception under paragraph (B) of this rule applies.(B) Exceptions to the deadline in paragraph (A) of this rule:(1) If the…

19.03 PDF: (A) Section 173.42 of the Revised Code permits a person to provide a consultation only if ODA certifies the person.(B) Qualifications for certification: ODA may certify a person to provide consultations only if the person meets all of the following qualifications, unle…

19.03 PDF: (A) The United States centers for medicare and medicaid services limits the number of slots available for enrollment in the medicaid-funded components of the assisted living and PASSPORT programs which may cause a waiting list. A lack of capacity in PACE may also cause…

19.03 PDF: (A) Introduction: This chapter governs the Ohio long-term care consumer guide that AGE electronically publishes to provide the public with detailed information on Ohio's long-term care facilities, including nursing homes, residential care facilities, skilled nursing fa…

19.03 PDF: (A) General information: AGE shall include the following information in the guide:(1) A description of the guide.(2) Disclaimers stating the limitations of the data included in the guide.(3) A recommendation for each individual who is considering an admission into a lo…

19.03 PDF: (A) Nursing facilities: The search query page allows the public to search for nursing facilities with results displaying the following:(1) Geographic location by city, county, ZIP code, or radius.(2) Source of payment accepted in addition to private sources.(3) Service…

19.03 PDF: (A) Following a search query for long-term care providers, the guide shall present a list of all providers that meet the requirements specified in the search.(B) For each provider listed, the guide shall present all comparative measures, electronic links to definitions…

19.03 PDF: (A) Facility page content: The guide includes an individual facility page for each facility that presents the following specific comparative information, if available:(1) The facility's name; the facility's telephone number, mailing address, county in which the facilit…

19.03 PDF: (A) Facility-provided information: The guide shall describe the services provided by, or in affiliation with, each facility listed in the guide.(1) Services for nursing facility residents: A nursing facility may use the electronic portal to indicate whether it offers a…

19.03 PDF: (A) Nursing facilities: The facility page shall do the following for each nursing facility that provides the relevant information to AGE:(1) The facility page shall indicate if the nursing facility makes permanent staff-to-unit/resident assignments.(2) The facility pag…

19.03 PDF: (A) Data to incorporate: The guide shall reference and shall link consumers to resources for viewing surveys and regulatory compliance status.(B) Links: AGE shall include the following links in the guide:(1) A link that allows the public to view an explanation submitte…

19.03 PDF: (A) Fees: AGE shall collect the following annual consumer guide fees to conduct the satisfaction surveys under section 173.47 of the Revised Code:(1) From each nursing facility, AGE shall collect six hundred fifty dollars.(2) From each residential care facility, AGE sh…

19.03 PDF: (A) Definitions for this rule:(1) "Customer satisfaction survey" (survey) means the customer satisfaction survey under section 173.47 of the Revised Code.(2) "Domain" means a subset of a survey question identified by the survey administrator as an area of interest to l…

19.03 PDF: (A) Introduction: This chapter regulates PACE, which is a managed-care program that provides its participants with all of their necessary health care, medical care, and ancillary services in acute, sub-acute, institutional, and community settings. Examples of PACE serv…

19.03 PDF: A person is eligible for PACE only if the person meets all the following requirements:(A) The following basic requirements:(1) The person is at least fifty-five years of age.(2) The person resides within a PO's service area.(3) The person has an intermediate or skilled…

19.03 PDF: (A) Oversight:(1) AGE manages the enrollment for PACE.(2) AGE determines if a slot is available in PACE.(3) AGE may restrict enrollment based on funding for PACE.(4) AGE may increase or decrease the maximum number of PACE slots.(B) Intake process:(1) A person may apply…

19.03 PDF: (A) A participant may voluntarily disenroll from PACE at any time without cause.(B) The PO shall ensure its employees or contractors do not engage in any practice that would reasonably be expected to have the effect of steering or encouraging disenrollment of participa…

19.03 PDF: (A) A participant is subject to involuntary disenrollment from PACE for an reason outlined in 42 C.F.R. 460.164(b).(B) Process to involuntarily disenroll a PACE participant:(1) If a PO requests permission to disenroll a participant under this rule, it shall submit the …

11.15 PDF: (A) Introduction: This chapter regulates the state-funded component of the assisted living program created under section 173.543 of the Revised Code. (See Chapter 173-38 of the Administrative Code for rules on the medicaid-funded component of the assisted living progra…

11.15 PDF: (A) Only an individual meeting all of the following qualifications is eligible for the state-funded component of the assisted living program:(1) Consultation: The individual participated in a long-term care consultation under section 173.42 of the Revised Code and Chap…