Ohio Administrative Code

19.03 PDF: (A) Each physician, dentist, hospital, or person providing diagnostic or treatment services to patients with cancer will report each case of cancer to the department in a manner approved by the director. Reports will be made for all patients diagnosed or treated in Ohi…

19.03 PDF: (A) Any information, data, and reports with respect to a case of cancer which are furnished to, or procured by, the department will be confidential and will be used only for public health surveillance and research for the purposes of reducing the morbidity or mortality…

19.03 PDF: As used in this chapter of the Administrative Code:(A) "Address", in the case of an individual, means the individual's residence and, in the case of a government agency, means the office at which the records pertaining to a particular child are maintained.(B) "Attendin…

19.03 PDF: (A) Each freestanding birthing center shall designate a hearing screening coordinator who is responsible for the coordination of the facility's hearing screening program. The coordinator shall be an individual with staff privileges at the facility and either:(1) A medi…

19.03 PDF: (A) Each board of health shall designate a hearing screening contact who is responsible for the coordination of the facility's hearing screening information.(B) Each board of health shall notify the director of the name and contact information of the individual designa…

19.03 PDF: (A) The parent, guardian or custodian of a newborn or infant may object to a hearing screening on the grounds that the hearing screening conflicts with the parent's, guardian's or custodian's religious tenets and practices or for reasons other than religious tenets and…

19.03 PDF: (A) A hearing screening shall be conducted under rule 3701-40-02 or 3701-40-06 of the Administrative Code and shall comply with written protocols developed by the hospital or freestanding birthing center.(B) Any individual conducting hearing screenings must complete an…

19.03 PDF: (A) Each hospital shall designate a hearing screening coordinator who is responsible for the coordination of the facility's hearing screening program. The coordinator shall be an individual with staff privileges at the facility and either:(1) A physician or audiologist…

19.03 PDF: (A) The director shall reimburse providers for a maximum of one hearing screening per newborn or infant in accordance with this rule at a rate determined by the director if all the following criteria are met:(1) The screening is performed before the newborn or infant i…

19.03 PDF: (A) Newborns and infants that do not pass after two hearing screenings shall be immediately referred to an audiologist with expertise in evaluating newborns and infants for a diagnostic hearing evaluation.(B) Protocols for a diagnostic hearing evaluation should be cons…

19.03 PDF: (A) Patient identifying information, submitted to the department of health under rule 3701-40-02 of the Administrative Code by freestanding birthing centers or rule 3701-40-06 of the Administrative Code by hospitals shall be used by the director to maintain the statewi…

19.03 PDF: (A) The director shall provide educational programs for hearing screening coordinators, screeners, audiologists, supervising audiologists, supervising physicians, medical home personnel, data entry personnel, local boards of health, and any other persons identified as …

h 119. PDF: As used in this chapter:(A) "Director" means the director of health or an official or employee of the department of health who has been authorized by the director.(B) "Entity" means an individual, hospital, institution of higher education, political subdivision, assoc…

h 119. PDF: (A) For the purposes of this chapter, the director shall designate poison control network regions. In determining which geographic areas to designate as poison control network regions, the director shall consider:(1) The groups of counties specified in paragraph (B) o…

19.03 PDF: (A) To be designated as a poison prevention and treatment center under rule 3701-41-02 of the Administrative Code and to maintain the designation, a center shall conform to the standards of operation prescribed by this rule. A center may provide the services described …

19.03 PDF: (A) To be designated as a poison prevention and treatment center under rule 3701-41-02 of the Administrative Code and to retain the designation, a center or an applicant for designation as a center shall maintain and report data in accordance with this rule.(B) Each ce…

h 119. PDF: (A) In accordance with this rule, the director shall make grants to poison prevention and treatment centers. Subject to the availability of an appropriation for grants, the director shall make grants annually on a fiscal year (July first to June thirtieth) basis.(B) T…

h 119. PDF: (A) An entity denied designation as a poison prevention and treatment center or a poison prevention and treatment center which has been notified that its designation has been revoked may request reconsideration of the decision in accordance with this rule. A request f…

19.03 PDF: As used in this chapter:(A) "Acknowledgment file" means the file that notifies the vendor if its claim file was accepted or rejected with errors.(B) "Applicant" means a sole proprietorship, partnership, cooperative association, corporation, limited liability company or…

19.03 PDF: (A) For purposes of providing authorized foods to participants, the director may operate any FNS approved food delivery system considered appropriate. The director currently implements a retail food delivery system as follows:(1) Contracts with vendors to provide autho…

19.03 PDF: (A) The director shall authorize an applicant to be a vendor by entering into a contract with an applicant that meets the criteria established under this rule. The contract shall be for a term of no more than three years. Unless otherwise provided in this rule, the con…

19.03 PDF: (A) An applicant is not authorized to act as a vendor without a valid contract executed pursuant to rule 3701-42-03 of the Administrative Code. Vendors whose contracts have expired and applicants who have not yet received authorization from the director to be vendors, …

19.03 PDF: (A) The director shall develop a list of authorized foods; a list of minimum food stocking requirements; and a list of authorized infant formula suppliers. The director shall post these lists to the Ohio department of health's website with as much advance notice as pos…

19.03 PDF: (A) A vendor shall provide to participants only authorized foods in exchange for the benefits on the WIC nutrition card.(B) A vendor shall permit participants the option to select part or all of the available quantities, sizes, and types of authorized food contained on…

19.03 PDF: (A) The department shall pay a vendor for EBT transactions submitted to the state WIC program if all of the following conditions are met:(1) The WIC nutrition card transaction occurred during the valid redemption period;(2) The transactions contained in the claim file …

19.03 PDF: (A) The director shall sanction vendors that abuse the WIC program. The vendor violations referenced in paragraphs (B) to (E) of this rule constitute abuse of the WIC program. The director may sanction a vendor for any violation of this chapter of the Administrative Co…

19.03 PDF: (A) This rule prescribes the rights to administrative review of an applicant, or vendor that is subject to adverse action under this chapter of the Administrative Code.(1) Except as provided under paragraphs (A)(2) and (A)(3) of this rule, a vendor or applicant may req…

19.03 PDF: (A) To apply for a contract, a pharmacy applicant shall complete an application packet on forms prescribed by the director. The director shall determine a pharmacy applicant to be authorized by entering into a contract with the pharmacy applicant that meets the criteri…

19.03 PDF: As used in this chapter of the Administrative Code:(A) "Adult with cystic fibrosis" means an Ohio resident who is twenty-one or more years of age, who is diagnosed with cystic fibrosis and who meets the financial eligibility requirements established by rule 3701-43-16 …

19.03 PDF: (A) The director shall apply the standards and procedures prescribed by this rule and by rules 3701-43-03 to 3701-43-08 and 3701-43-13 of the Administrative Code for the purposes of reviewing the applications of provider applicants and for making determinations as to w…

19.03 PDF: (A) The director shall apply the standards and procedures prescribed by this rule in reviewing and making determinations concerning applications by physicians to be providers for the program for medically handicapped children.(B) To be approved as a provider, a physici…

19.03 PDF: (A) Hospitals:(1) Must be approved by joint commission, American osteopathic association, or healthcare facilities accreditation program (HFAP);(2) Must be licensed or registered in the state in which they are located;(3) For inpatient services and outpatient surgery, …

19.03 PDF: (A) To be approved as a medical equipment supplier of orthotics, prosthetics, or wheelchairs, a provider shall meet the requirements of rule 3701-43-02 of the Administrative Code and the following.(B) If the provider is:(1) A prosthetist or orthotist, he or she shall:(…

19.03 PDF: (A) To be approved for general dental services, a dentist must be a graduate of an approved dental school and licensed as such by the state of Ohio or in the state in which the dentist's practice is located;(B) A dental specialist shall:(1) Meet the requirement in para…

19.03 PDF: (A) To be eligible for consideration as a provider, the following applicants must be licensed, registered, or certified in accordance with the following:(1) Advanced practice nurses in accordance with Chapter 4723. of the Revised Code;(2) Ambulances in accordance with …

19.03 PDF: (A) Local health department applicants:(1) Must meet the definition of a "local health department" as defined under paragraph (F) of rule 3701-43-01 of the Administrative Code; and(2) Must meet provider requirements of rule 3701-43-02 of the Administrative Code.(B) A l…

19.03 PDF: (A) The director shall pay providers for diagnostic services and for treatment services and goods furnished to recipients in accordance with this rule.(B) The director shall pay only for services or goods that have been authorized to be provided under the applicable pr…

19.03 PDF: A provider of services approved under rules 3701-43-02 to 3701-43-08 and 3701-43-13 of the Administrative Code may have his or her approval terminated if he or she:(A) Voluntarily terminates his or her medicaid provider agreement or the provider's medicaid provider agr…

19.03 PDF: (A) Application for provision of diagnostic services as defined in paragraph (D) rule 3701-43-01 of the Administrative Code requires the following:(1) The applicant, parent, guardian or other legal representative of the child for whom services are being requested shall…

19.03 PDF: (A) Subject to paragraphs (B) and (C) of this rule, diagnostic services shall be authorized for applicants determined to be eligible for diagnostic services pursuant to paragraph (B) of rule 3701-43-11 of the Administrative Code if all of the following apply:(1) The se…

19.03 PDF: (A) An applicant who wishes to be approved as a service coordinator shall:(1) Have a bachelor's degree or higher in nursing or social work and is licensed, registered, or certified in the profession, as applicable, by the state of Ohio;(2) Be employed through a hospita…

19.03 PDF: (A) Service coordination services shall be authorized for eligible applicants pursuant to rule 3701-43-13 of the Administrative Code if all of the following apply:(1) Application for service coordination has been received in accordance with rule 3701-43-13 of the Admin…

19.03 PDF: (A) This rule prescribes the procedures for applying for a determination by the director as to whether the applicant is eligible for payment for treatment services and goods by the program because the applicant:(1) Meets the definition of medically handicapped child es…

19.03 PDF: (A) As used in this rule:(1) "Income guidelines" means the guidelines, as established by the director on April first of each year, for use in determining financial eligibility for payment for treatment. The income guidelines shall be equal to one hundred eighty-five pe…

19.03 PDF: (A) As used in this rule:(1) "Adjusted family income" means a balance after credits for child care expenses or educational expenses not reimbursed by a third party, estimated annual expenditures for health insurance not reimbursed by a third party, and service level ar…

19.03 PDF: (A) As used in this rule:(1) "Income guidelines" means the guidelines, as established by the director on April first of each year, for use in determining financial eligibility for payment for treatment. The income guidelines shall be equal to one hundred eighty-five pe…

19.03 PDF: (A) The director shall apply the requirements prescribed by this rule in determining whether an applicant or recipient is medically eligible for payment for treatment services and goods by the program for medically handicapped children. An applicant or recipient is med…