reglab/housing_qa huggingface dataset:
Ohio Rev Code § 5165.80 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.80 | Transfer of Residents to Other Appropriate Care Settings.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) Whenever a nursing facility is closed under sections 5165.60 to 5165.89 of the Revised Code, the department of medicaid or contracting agency shall arrange for the safe and orderly transfer of all residents, including residents who are not medicaid eligible residents, to other appropriate care settings. Whenever a nursing facility's participation in the medicaid program is terminated under sections 5165.60 to 5165.89 of the Revised Code, the department or agency shall arrange for the safe and orderly transfer of all medicaid eligible residents or, if the termination results in the closure of the facility, of all residents. The provider and all persons involved in the facility's operation shall cooperate with and assist in the transfer of residents. (B) After a nursing facility's participation in the medicaid program is terminated under section 5165.71, 5165.72, 5165.77, 5165.771, or 5165.85 of the Revised Code, the department of medicaid or contracting agency may appoint a temporary manager subject to the continuing consent of the provider, or may apply to the common pleas court of the county in which the facility is located for such injunctive relief as is necessary for the appointment of a special master, to ensure the transfer of medicaid eligible residents to other appropriate care settings and, if applicable, the orderly closure of the facility.
Ohio Rev Code § 5165.84 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.84 | Order Denying Payment When Deficiency Is Not Corrected Within Time Limits.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) The department of medicaid or a contracting agency shall issue an order denying medicaid payments to a nursing facility for all medicaid eligible residents admitted to the facility on or after the effective date of the order, if the facility has failed to substantially correct within ninety days after the exit interview a deficiency or cluster of deficiencies in accordance with the plan of correction it submitted under section 5165.69 of the Revised Code, as determined by the department of health on the basis of a follow-up survey. (B) The department of medicaid or contracting agency shall issue an order denying medicaid payments to a nursing facility for all medicaid eligible residents admitted to the facility on or after the effective date of the order, if during three consecutive standard surveys conducted after December 13, 1990, the department of health has found a condition of substandard care in a facility.(C) An order issued under division (A) or (B) of this section shall take effect on the later of the date the facility receives the order or the date the public notice required under division (F) of section 5165.82 of the Revised Code is published. The order is subject to appeal under Chapter 119. of the Revised Code; however the order may take effect prior to or during the pendency of any hearing under that chapter. In that case, the department or agency shall provide the facility an opportunity for a hearing in accordance with section 5165.87 of the Revised Code.
Ohio Rev Code § 5165.86 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.86 | Delivery of Notices.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid, the department of health, and any contracting agency shall deliver a written notice, statement, or order to a nursing facility under sections 5165.60 to 5165.66 and 5165.69 to 5165.89 of the Revised Code by certified mail or hand delivery. If the notice, statement, or order is mailed, it shall be addressed to the administrator of the facility as indicated in the department's or agency's records. If it is hand delivered, it shall be delivered to a person at the facility who would appear to the average prudent person to have authority to accept it. Delivery of written notice by a nursing facility to the department of health, the department of medicaid, or a contracting agency under sections 5165.60 to 5165.89 of the Revised Code shall be by certified mail or hand delivery to the appropriate department or the agency.
Ohio Rev Code § 5165.88 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.88 | Confidentiality.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A)(1) Except as required by court order, as necessary for the administration or enforcement of any statute relating to nursing facilities, or as provided in division (C) of this section, the department of medicaid and any contracting agency shall not release any of the following information without the permission of the individual or the individual's legal representative: (a) The identity of any resident of a nursing facility;(b) The identity of any individual who submits a complaint about a nursing facility;(c) The identity of any individual who provides the department or agency with information about a nursing facility and has requested confidentiality;(d) Any information that reasonably would tend to disclose the identity of any individual described in division (A)(1)(a) to (c) of this section.(2) An agency or individual to whom the department or contracting agency is required, by court order or for the administration or enforcement of a statute relating to nursing facilities, to release information described in division (A)(1) of this section shall not release the information without the permission of the individual who would be or would reasonably tend to be identified, or of the individual's legal representative, unless the agency or individual is required to release it by division (C) of this section, by court order, or for the administration or enforcement of a statute relating to nursing facilities.(B) Except as provided in division (C) of this section, any record that identifies an individual described in division (A)(1) of this section or that reasonably would tend to identify such an individual is not a public record for the purposes of section 149.43 of the Revised Code, and is not subject to inspection and copying under section 1347.08 of the Revised Code.(C) If the department or a contracting agency, or an agency or individual to whom the department or contracting agency was required by court order or for administration or enforcement of a statute relating to nursing facilities to release information described in division (A)(1) of this section, uses information in any administrative or judicial proceeding against a facility that reasonably would tend to identify an individual described in division (A)(1) of this section, the department, agency, or individual shall disclose that information to the facility. However, the department, agency, or individual shall not disclose information that directly identifies an individual described in divisions (A)(1)(a) to (c) of this section, unless the individual is to testify in the proceedings.(D) No person shall knowingly register a false complaint about a nursing facility with the department or a contracting agency, or knowingly swear or affirm the truth of a false complaint, when the allegation is made for the purpose of incriminating another.
Ohio Rev Code § 5165.89 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.89 | Hearing on Transfer or Discharge of Resident Who Medicaid or Medicare Beneficiary.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of health shall be the designee of the department of medicaid for the purpose of conducting a hearing pursuant to section 3721.162 of the Revised Code concerning a nursing facility's decision to transfer or discharge a resident if the resident is a medicaid recipient or medicare beneficiary.
Ohio Rev Code § 5165.99 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.99 | Penalty.

Effective: January 1, 2015|Latest Legislation:  Senate Bill 276 - 130th General Assembly|(A) Whoever violates section 5165.102 or division (E) of section 5165.08 of the Revised Code shall be fined not less than five hundred dollars nor more than one thousand dollars for the first offense and not less than one thousand dollars nor more than five thousand dollars for each subsequent offense. Fines paid under this section shall be deposited in the state treasury to the credit of the general revenue fund.(B) Whoever violates division (D) of section 5165.88 of the Revised Code is guilty of registering a false complaint, a misdemeanor of the first degree. Last updated December 2, 2021 at 5:49 PM
Ohio Rev Code § 5166.02 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.02 | Rules Governing Medicaid Waiver Components.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) The medicaid director shall adopt rules in accordance with Chapter 119. of the Revised Code governing medicaid waiver components. The rules may establish all of the following: (1) Eligibility requirements for the medicaid waiver components;(2) The type, amount, duration, and scope of medicaid services the medicaid waiver components cover;(3) The conditions under which the medicaid waiver components cover medicaid services;(4) The amounts the medicaid waiver components pay for medicaid services or the methods by which the amounts are determined;(5) The manners in which the medicaid waiver components pay for medicaid services;(6) Safeguards for the health and welfare of medicaid recipients receiving medicaid services under a medicaid waiver component;(7) Procedures for prioritizing and approving for enrollment individuals who are eligible for a home and community-based services medicaid waiver component and choose to be enrolled in the component;(8) Procedures for enforcing the rules, including establishing corrective action plans for, and imposing financial and administrative sanctions on, persons and government entities that violate the rules. Sanctions shall include terminating provider agreements. The procedures shall include due process protections.(9) Other policies necessary for the efficient administration of the medicaid waiver components.(B) The director may adopt different rules for the different medicaid waiver components. The rules shall be consistent with the terms of the waiver authorizing the medicaid waiver component.(C) The following apply to procedures established under division (A)(7) of this section:(1) Any such procedures established for the medicaid-funded component of the PASSPORT program shall be consistent with section 173.521 of the Revised Code.(2) Any such procedures established for the medicaid-funded component of the assisted living program shall be consistent with section 173.542 of the Revised Code.(3) Any such procedures established for the Ohio home care waiver program shall be consistent with section 5166.121 of the Revised Code.(4) Any such procedures established for the unified long-term services and support medicaid waiver program shall be consistent with section 5166.141 of the Revised Code.
Ohio Rev Code § 5166.03 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.03 | Notice of Intent to Request Medicaid Waiver.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The medicaid director may not submit a request to the United States secretary of health and human services for a medicaid waiver under the "Social Security Act," section 1115, 42 U.S.C. 1315, unless the director provides the speaker of the house of representatives and president of the senate written notice of the director's intent to submit the request at least ten days before the date the director submits the request to the United States secretary. The notice shall include a detailed explanation of the medicaid waiver the director proposes to seek.
Ohio Rev Code § 5166.041 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.041 | Provision of Nursing Services in a Group Visit Under a Home and Community-Based Services Medicaid Waiver Component.

Effective: October 12, 2016|Latest Legislation:  House Bill 483 - 131st General Assembly|A medicaid provider of nursing services may provide nursing services in a group visit under a home and community-based services medicaid waiver component if the component covers the nursing services, the number of medicaid recipients who receive the nursing services during the group visit does not exceed four, and all of the following apply to all of those medicaid recipients:(A) They are enrolled in the component;(B) They are medically fragile children;(C) They are siblings;(D) They reside together in the home of their caretaker relative.
Ohio Rev Code § 5166.05 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.05 | Review of Plans of Care and Individual Service Plans.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid may review and approve, modify, or deny written plans of care and individual service plans that section 5166.04 of the Revised Code requires be created for individuals determined eligible for a home and community-based services medicaid waiver component. If a state agency or political subdivision contracts with the department under section 5162.35 of the Revised Code to administer a home and community-based services medicaid waiver component and approves, modifies, or denies a written plan of care or individual service plan pursuant to the agency's or subdivision's administration of the component, the department may review the agency's or subdivision's approval, modification, or denial and order the agency or subdivision to reverse or modify the approval, modification, or denial. The state agency or political subdivision shall comply with the department's order. The department of medicaid shall be granted full and immediate access to any records the department needs to implement its duties under this section.
Ohio Rev Code § 5166.06 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.06 | Agency Records of Costs of Medicaid Waiver Components.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|Each administrative agency shall maintain, for a period of time the department of medicaid shall specify, financial records documenting the costs of medicaid services provided under the home and community-based services medicaid waiver components that the agency administers, including records of independent audits. The administrative agency shall make the financial records available on request to the United States secretary of health and human services, United States comptroller general, and their designees.
Ohio Rev Code § 5166.07 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.07 | Agency Accountable for Medicaid Waiver Components Funds.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|Each administrative agency is financially accountable for funds expended for medicaid services covered by the home and community-based services medicaid waiver components that the agency administers.
Ohio Rev Code § 5166.08 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.08 | Agency Contracting for Medicaid Waiver Components; Assurance of Compliance.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|Each state agency and political subdivision that enters into a contract with the department of medicaid under section 5162.35 of the Revised Code to administer a home and community-based services medicaid waiver component, or one or more aspects of such a component, shall provide the department a written assurance that the agency or subdivision will not violate any of the requirements of sections 5166.01 to 5166.07 of the Revised Code.
Ohio Rev Code § 5166.09 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.09 | Reservation of Participant Capacity for Individuals Related to Active Duty Military Who Were Receiving Services in Another State.

Effective: September 15, 2020|Latest Legislation:  House Bill 287 - 133rd General Assembly|Every home and community-based services medicaid waiver component shall reserve a portion of the participant capacity of the waiver for eligible individuals whose spouse or parent or legal guardian is an active duty military service member and, at the time of the service member's transfer to Ohio, the eligible individual was receiving home and community-based services in another state.
Ohio Rev Code § 5166.10 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.10 | Transfer of Enrollee in One Medicaid Waiver Component to Another.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|To the extent necessary for the efficient and economical administration of medicaid waiver components, the department of medicaid may transfer an individual enrolled in a medicaid waiver component administered by the department to another medicaid waiver component the department administers if the individual is eligible for the medicaid waiver component and the transfer does not jeopardize the individual's health or safety.
Ohio Rev Code § 5166.11 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.11 | Creation of Medicaid Waiver Components for Home and Community-Based Services Programs.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) As used in this section, "Ohio home care program" means the program the department of medicaid administers that provides state plan services and medicaid waiver component services pursuant to rules adopted for the medicaid program and a medicaid waiver that went into effect July 1, 1998. (B) The department of medicaid may create and administer two or more medicaid waiver components under which home and community-based services are provided to eligible individuals who need the level of care provided by a nursing facility or hospital. In administering the medicaid waiver components, the department may specify the following:(1) The maximum number of individuals who may be enrolled in each of the medicaid waiver components;(2) The maximum amount the medicaid program may expend each year for each individual enrolled in the medicaid waiver components;(3) The maximum amount the medicaid program may expend each year for all individuals enrolled in the medicaid waiver components;(4) Any other requirements the department selects for the medicaid waiver components.(C) (D) After the first of any of the medicaid waiver components that the department administers under this section begins to enroll eligible individuals, the department may cease to enroll additional individuals in a medicaid waiver component of the Ohio home care program.
Ohio Rev Code § 5166.12 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.12 | Determination Regarding Continuation of the Ohio Home Care Waiver Program.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|( If the unified long-term services and support medicaid waiver component is created, the departments of aging and medicaid shall collaborate to determine whether the Ohio home care waiver program should continue to operate as a separate medicaid waiver component or be terminated. If the departments determine that the Ohio home care waiver program should be terminated, the program shall cease to exist on a date the departments shall specify.
Ohio Rev Code § 5166.121 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.121 | Home First Component for the Ohio Home Care Waiver Program.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) Unless the Ohio home care waiver program is terminated pursuant to section 5165.12 of the Revised Code, the department of medicaid shall establish a home first component for the Ohio home care waiver program. An individual is eligible for the Ohio home care waiver program's home first component if the individual has been determined to be eligible for the Ohio home care waiver program and at least one of the following applies: (1) If the individual is under twenty-one years of age, the individual received inpatient hospital services for at least fourteen consecutive days, or had at least three inpatient hospital stays during the twelve months, immediately preceding the date the individual applies for the Ohio home care waiver program.(2) If the individual is at least twenty-one but less than sixty years of age, the individual received inpatient hospital services for at least fourteen consecutive days immediately preceding the date the individual applies for the Ohio home care waiver program.(3) The individual received private duty nursing services under the medicaid program for at least twelve consecutive months immediately preceding the date the individual applies for the Ohio home care waiver program.(4) The individual does not reside in a nursing facility or hospital long-term care unit at the time the individual applies for the Ohio home care waiver program but is at risk of imminent admission to a nursing facility or hospital long-term care unit due to a documented loss of a primary caregiver.(5) The individual resides in a nursing facility at the time the individual applies for the Ohio home care waiver program.(6) At the time the individual applies for the Ohio home care waiver program, the individual participates in the money follows the person demonstration project authorized by section 6071 of the "Deficit Reduction Act of 2005," Pub. L. No. 109-171, as amended, and either resides in a residential treatment facility or inpatient hospital setting.(B) An individual determined to be eligible for the home first component of the Ohio home care waiver program shall be enrolled in the program in accordance with rules adopted under section 5166.02 of the Revised Code.
Ohio Rev Code § 5166.14 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.14 | Unified Long-Term Services and Support Medicaid Waiver Component.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid shall create a unified long-term services and support medicaid waiver component to provide home and community-based services to eligible individuals of any age who require the level of care provided by nursing facilities. The department of medicaid shall collaborate with the department of aging in creating and implementing the component. The medicaid director shall collaborate with the director of aging when adopting rules under section 5166.02 of the Revised Code to implement the component.