Ohio Administrative Code

(A) PurposeThis rule sets forth requirements for an intermediate care facility for individuals with intellectual disabilities (ICFIID) to provide and be reimbursed for providing services to residents who are dependent on invasive mechanical ventilators.(B) DefinitionsFor the purp…

(A) PurposeThis rule sets forth a requirement and process for administration of the Ohio developmental disabilities profile to residents of an intermediate care facility for individuals with intellectual disabilities (ICFIID).(B) Definitions of terms used in this ruleFor the purp…

(A) PurposeThis rule sets forth a method and process for determining the per resident/per day rate paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for direct care costs using the Ohio developmental disabilities profile pursuant to sec…

(A) PurposeThis rule sets forth a method and process for determining the quality incentive payment that may be paid to an intermediate care facility for individuals with intellectual disabilities (ICFIID) for achieving quality indicators pursuant to section 5124.24 of the Revised…

(A) PurposeThis rule sets forth the criteria and process used to determine whether an individual requires the level of care necessary to receive medicaid-funded services from an intermediate care facility for individuals with intellectual disabilities (ICFIID) or through enrollme…

(A) PurposeThis rule establishes procedures for the enrollment, denial of enrollment, disenrollment, and reenrollment of individuals in home and community-based services waivers administered by the Ohio department of developmental disabilities.(B) DefinitionsFor the purposes of t…

(A) PurposeThis rule establishes standards to ensure that individuals receiving services through home and community-based services waivers administered by the Ohio department of developmental disabilities receive the services in settings that meet requirements for home and commun…

(A) PurposeThis rule sets forth procedures related to overtime worked by independent providers, places a limit on the number of hours in a work week an independent provider may provide services under a home and community-based services medicaid waiver component administered by th…

(A) PurposeThis rule sets forth requirements for the waiting list established pursuant to section 5126.042 of the Revised Code when a county board of developmental disabilities determines that available resources are insufficient to enroll individuals who are assessed to need and…

(A) PurposeThis rule establishes requirements and processes for retention payments to benefit direct support professionals providing specific home and community-based services to individuals enrolled in home and community-based services waivers administered by the Ohio department…

(A) PurposeThis rule establishes standards governing administration of the individual options and level one waivers, components of the medicaid home and community-based services program the Ohio department of developmental disabilities administers pursuant to section 5166.21 of t…

(A) PurposeThis rule establishes standards and procedures for prior authorization of waiver services when an individual funding level exceeds the funding range determined by the Ohio developmental disabilities profile for an individual enrolled in the individual options waiver.(B…

(A) PurposeThis rule establishes the responsibilities of a county board of developmental disabilities for assuring an individual's right to obtain home and community-based services from any qualified and willing provider in accordance with 42 C.F.R. 431.51 as in effect on the eff…

(A) PurposeThis rule defines assistive technology and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Accr…

(A) PurposeThis rule defines career planning and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of career planning is the individual's achievement of competitive inte…

(A) PurposeThis rule defines vocational habilitation and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. (B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "…

(A) PurposeThis rule defines individual employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of individual employment support is competitive integrat…

(A) PurposeThis rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work exper…

(A) PurposeThis rule defines adult day support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. (B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Acuity…

(A) PurposeThis rule defines non-medical transportation and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1)…

(A) PurposeThis rule establishes general requirements governing provision of and payment for adult day support, career planning, group employment support, individual employment support, non-medical transportation, and vocational habilitation provided to individuals enrolled in ho…

(A) PurposeThis rule defines money management and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agency p…

(A) PurposeThis rule defines informal respite and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agency p…

(A) PurposeThis rule defines community respite and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agency …

(A) PurposeThis rule defines environmental accessibility adaptations and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definiti…

(A) PurposeThis rule defines transportation and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agency pro…

(A) PurposeThis rule defines specialized medical equipment and supplies and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following defin…

(A) PurposeThis rule defines self-directed transportation and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(…

(A) PurposeThis rule defines health care assessment and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. Health care assessment is intended to provide right-on-time health assessment to det…

(A) PurposeThis rule defines nutrition services and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agency…

(A) PurposeThis rule defines home-delivered meals and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agen…

(A) PurposeThis rule defines homemaker/personal care and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "A…

(A) PurposeThis rule establishes a daily billing unit for homemaker/personal care when individuals share the services of the same agency provider at the same site as part of the home and community-based services individual options waiver administered by the Ohio department of dev…

(A) PurposeThis rule defines participant-directed homemaker/personal care and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following def…

(A) PurposeThis rule defines shared living and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Acute care …

(A) PurposeThis rule defines residential respite and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agenc…

(A) PurposeThis rule defines remote support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agency pro…

(A) PurposeThis rule defines interpreter services and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agen…

(A) PurposeThis rule defines waiver nursing delegation and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) …

(A) PurposeThis rule defines social work and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agency provid…

(A) PurposeThis rule defines waiver nursing and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Adult day …

(A) PurposeThis rule implements the self-empowered life funding waiver, a component of the medicaid home and community-based services program administered by the department pursuant to section 5166.21 of the Revised Code. Individuals enrolled in the self-empowered life funding wa…

(A) PurposeThis rule defines clinical/therapeutic intervention and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions ap…

(A) PurposeThis rule defines functional behavioral assessment and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions app…

(A) PurposeThis rule defines vehicle modification and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definitions apply:(1) "Agen…

(A) PurposeThis rule defines participant-directed goods and services and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) DefinitionsFor the purposes of this rule, the following definiti…

(A) PurposeThis rule defines participant/family stability assistance and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.(B) Definitions(1) "Agency provider" means an entity that directly e…