reglab/housing_qa huggingface dataset:
Ohio Rev Code § 5165.51 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.51 | Notice of Change of Operator.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) An exiting operator or owner and entering operator shall provide the department of medicaid written notice of a change of operator if the nursing facility participates in the medicaid program and the entering operator seeks to continue the nursing facility's participation. The written notice shall be provided to the department in accordance with the method specified in rules authorized by section 5165.53 of the Revised Code. The written notice shall be provided to the department not later than forty-five days before the effective date of the change of operator if the change of operator does not entail the relocation of residents. The written notice shall be provided to the department not later than ninety days before the effective date of the change of operator if the change of operator entails the relocation of residents. The written notice shall include all of the following:(1) The name of the exiting operator and, if any, the exiting operator's authorized agent;(2) The name of the nursing facility that is the subject of the change of operator;(3) The exiting operator's seven-digit medicaid legacy number and ten-digit national provider identifier number for the nursing facility that is the subject of the change of operator;(4) The name of the entering operator;(5) The effective date of the change of operator;(6) The manner in which the entering operator becomes the nursing facility's operator, including through sale, lease, merger, or other action;(7) If the manner in which the entering operator becomes the nursing facility's operator involves more than one step, a description of each step;(8) Written authorization from the exiting operator or owner and entering operator for the department to process a provider agreement for the entering operator;(9) The names and addresses of the persons to whom the department should send initial correspondence regarding the change of operator;(10) If the nursing facility also participates in the medicare program, notification of whether the entering operator intends to accept assignment of the exiting operator's medicare provider agreement;(11) The signature of the exiting operator's or owner's representative.(B) An exiting operator or owner and entering operator immediately shall provide the department written notice of any changes to information included in a written notice of a change of operator that occur after that notice is provided to the department. The notice of the changes shall be provided to the department in accordance with the method specified in rules authorized by section 5165.53 of the Revised Code.
Ohio Rev Code § 5165.511 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.511 | Agreements With Entering Operators Effective on Date of Change of Operator.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid may enter into a provider agreement with an entering operator that goes into effect at 12:01 a.m. on the effective date of the change of operator if all of the following requirements are met: (A) The department receives a properly completed written notice required by section 5165.51 of the Revised Code on or before the date required by that section.(B) The department receives both of the following in accordance with the method specified in rules authorized by section 5165.53 of the Revised Code and not later than ten days after the effective date of the change of operator:(1) From the entering operator, a completed application for a provider agreement and all other forms and documents specified in rules authorized by section 5165.53 of the Revised Code;(2) From the exiting operator or owner, all forms and documents specified in rules authorized by section 5165.53 of the Revised Code.(C) The entering operator is eligible for medicaid payments as provided in section 5165.06 of the Revised Code.
Ohio Rev Code § 5165.512 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.512 | Agreements With Entering Operators Effective on a Later Date.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) The department of medicaid may enter into a provider agreement with an entering operator that goes into effect at 12:01 a.m. on the date determined under division (B) of this section if all of the following are the case: (1) The department receives a properly completed written notice required by section 5165.51 of the Revised Code.(2) The department receives, from the entering operator and in accordance with the method specified in rules authorized by section 5165.53 of the Revised Code, a completed application for a provider agreement and all other forms and documents specified in rules adopted under that section.(3) The department receives, from the exiting operator or owner and in accordance with the method specified in rules authorized by section 5165.53 of the Revised Code, all forms and documents specified in rules adopted under that section.(4) One or more of the following apply:(a) The requirement of division (A)(1) of this section is met after the time required by section 5165.51 of the Revised Code;(b) The requirement of division (A)(2) of this section is met more than ten days after the effective date of the change of operator;(c) The requirement of division (A)(3) of this section is met more than ten days after the effective date of the change of operator.(5) The entering operator is eligible for medicaid payments as provided in section 5165.06 of the Revised Code.(B) The department shall determine the date a provider agreement entered into under this section is to go into effect as follows:(1) The effective date shall give the department sufficient time to process the change of operator, assure no duplicate payments are made, and make the withholding required by section 5165.521 of the Revised Code.(2) The effective date shall be not earlier than the latest of the following:(a) The effective date of the change of operator;(b) The date that the entering operator complies with section 5165.51 of the Revised Code and division (A)(2) of this section;(c) The date that the exiting operator or owner complies with section 5165.51 of the Revised Code and division (A)(3) of this section.(3) The effective date shall be not later than the following after the later of the dates specified in division (B)(2) of this section:(a) Forty-five days if the change of operator does not entail the relocation of residents;(b) Ninety days if the change of operator entails the relocation of residents.
Ohio Rev Code § 5165.513 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.513 | Entering Operator Duties Under Provider Agreement.

Effective: January 1, 2015|Latest Legislation:  Senate Bill 276 - 130th General Assembly|(A) A provider that enters into a provider agreement with the department of medicaid under section 5165.511 or 5165.512 of the Revised Code shall do all of the following:(1) Comply with all applicable federal statutes and regulations;(2) Comply with section 5165.07 of the Revised Code and all other applicable state statutes and rules;(3) Subject to division (B) of this section, comply with all the terms and conditions of the exiting operator's provider agreement, including, but not limited to, all of the following:(a) Any plan of correction;(b) Compliance with health and safety standards;(c) Compliance with the ownership and financial interest disclosure requirements of 42 C.F.R. 455.104, 455.105, and 1002.3;(d) Compliance with the civil rights requirements of 45 C.F.R. parts 80, 84, and 90;(e) Compliance with additional requirements imposed by the department;(f) Any sanctions relating to remedies for violation of the provider agreement, including deficiencies, compliance periods, accountability periods, monetary penalties, notification for correction of contract violations, and history of deficiencies.(B) Division (A)(3) of this section does not prohibit a nursing facility provider from excluding one or more parts of the nursing facility from the provider agreement pursuant to division (B)(1) of section 5165.08 of the Revised Code.
Ohio Rev Code § 5165.514 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.514 | Exiting Operator Deemed Operator Pending Change.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|In the case of a change of operator, the exiting operator shall be considered to be the operator of the nursing facility for purposes of the medicaid program, including medicaid payments, until the effective date of the entering operator's provider agreement if the provider agreement is entered into under section 5165.511 or 5165.512 of the Revised Code.
Ohio Rev Code § 5165.515 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.515 | Provider Agreement With Operator Not Complying With Prior Agreement.

Effective: January 1, 2015|Latest Legislation:  Senate Bill 276 - 130th General Assembly|The department of medicaid may enter into a provider agreement as provided in section 5165.07 of the Revised Code, rather than section 5165.511 or 5165.512 of the Revised Code, with an entering operator if the entering operator does not agree to a provider agreement that satisfies the requirements of division (A)(3) of section 5165.513 of the Revised Code. The department may not enter into the provider agreement unless the department of health certifies the nursing facility for participation in medicaid. The effective date of the provider agreement shall not precede any of the following:(A) The date that the department of health certifies the nursing facility;(B) The effective date of the change of operator;(C) The date the requirement of section 5165.51 of the Revised Code is satisfied.
Ohio Rev Code § 5165.516 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.516 | Medicaid Reimbursement Adjustments; Change of Operator.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The medicaid director may adopt rules under section 5165.02 of the Revised Code governing adjustments to the medicaid payment rate for a nursing facility that undergoes a change of operator. No rate adjustment resulting from a change of operator shall be effective before the effective date of the entering operator's provider agreement. This is the case regardless of whether the provider agreement is entered into under section 5165.511, section 5165.512, or, pursuant to section 5165.515, section 5165.07 of the Revised Code.
Ohio Rev Code § 5165.517 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.517 | Determination of Change of Operator for Purposes of Licensure Not Controlling.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of health's determination that a change of operator has or has not occurred for purposes of licensure under Chapter 3721. of the Revised Code shall not affect the department of medicaid's determination of whether or when a change of operator occurs or the effective date of an entering operator's provider agreement under section 5165.511, section 5165.512, or, pursuant to section 5165.515, section 5165.07 of the Revised Code.
Ohio Rev Code § 5165.52 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.52 | Overpayment Amounts Determined Following Notice of Closure, Etc.

Effective: November 22, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|(A) On receipt of a written notice under section 5165.50 of the Revised Code of a facility closure or voluntary withdrawal of participation, on receipt of a written notice under section 5165.51 of the Revised Code of a change of operator, or on the effective date of an involuntary termination, the department of medicaid shall estimate the amount of any overpayments made under the medicaid program to the exiting operator, including overpayments the exiting operator disputes, and other actual and potential debts the exiting operator owes or may owe to the department and United States centers for medicare and medicaid services under the medicaid program, including a franchise permit fee.(B) In estimating the exiting operator's other actual and potential debts to the department and the United States centers for medicare and medicaid services under the medicaid program, the department shall use a debt estimation methodology the medicaid director shall establish in rules authorized by section 5165.53 of the Revised Code. The methodology shall provide for estimating all of the following that the department determines are applicable:(1) Refunds due the department under section 5165.41 of the Revised Code;(2) Interest owed to the department and United States centers for medicare and medicaid services;(3) Final civil monetary and other penalties for which all right of appeal has been exhausted;(4) Money owed the department and United States centers for medicare and medicaid services from any outstanding final fiscal audit, including a final fiscal audit for the last state fiscal year or portion thereof in which the exiting operator participated in the medicaid program;(5) Other amounts the department determines are applicable.(C) The department shall provide the exiting operator written notice of the department's estimate under division (A) of this section not later than thirty days after the department receives the notice under section 5165.50 of the Revised Code of the facility closure or voluntary withdrawal of participation; the department receives the notice under section 5165.51 of the Revised Code of the change of operator; or the effective date of the involuntary termination. The department's written notice shall include the basis for the estimate.
Ohio Rev Code § 5165.522 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.522 | Cost Report by Exiting Operator; Waiver.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) Except as provided in division (B) of this section, an exiting operator shall file with the department of medicaid a cost report not later than ninety days after the last day the exiting operator's provider agreement is in effect or, in the case of a voluntary withdrawal of participation, the effective date of the voluntary withdrawal of participation. The cost report shall cover the period that begins with the day after the last day covered by the operator's most recent previous cost report required by section 5165.10 of the Revised Code and ends on the last day the exiting operator's provider agreement is in effect or, in the case of a voluntary withdrawal of participation, the effective date of the voluntary withdrawal of participation. The cost report shall include, as applicable, all of the following: (1) The sale price of the nursing facility;(2) A final depreciation schedule that shows which assets are transferred to the buyer and which assets are not transferred to the buyer;(3) Any other information the department requires.(B) The department, at its sole discretion, may waive the requirement that an exiting operator file a cost report in accordance with division (A) of this section.
Ohio Rev Code § 5165.523 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.523 | Failure to File Cost Report; Payments Deemed Overpayments.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|If an exiting operator required by section 5165.522 of the Revised Code to file a cost report with the department of medicaid fails to file the cost report in accordance with that section, all payments under the medicaid program for the period the cost report is required to cover are deemed overpayments until the date the department receives the properly completed cost report. The department may impose on the exiting operator a penalty of one hundred dollars for each calendar day the properly completed cost report is late.
Ohio Rev Code § 5165.524 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.524 | Final Payment Withheld Pending Receipt of Cost Reports.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid may not provide an exiting operator final payment under the medicaid program until the department receives all properly completed cost reports the exiting operator is required to file under sections 5165.10 and 5165.522 of the Revised Code.
Ohio Rev Code § 5165.526 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.526 | Release of Amount Withheld Less Amounts Owed.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid shall release the actual amount withheld under division (A) of section 5165.521 of the Revised Code, less any amount the exiting operator owes the department and United States centers for medicare and medicaid services under the medicaid program, as follows: (A) Unless the department issues the initial debt summary report required by section 5165.525 of the Revised Code not later than sixty days after the date the exiting operator files the properly completed cost report required by section 5165.522 of the Revised Code, sixty-one days after the date the exiting operator files the properly completed cost report;(B) If the department issues the initial debt summary report required by section 5165.525 of the Revised Code not later than sixty days after the date the exiting operator files a properly completed cost report required by section 5165.522 of the Revised Code, not later than the following:(1) Thirty days after the deadline for requesting an adjudication under section 5165.525 of the Revised Code regarding the final debt summary report if the exiting operator, and an affiliated operator who executes a successor liability agreement under section 5165.521 of the Revised Code, fail to request the adjudication on or before the deadline;(2) Thirty days after the completion of an adjudication of the final debt summary report if the exiting operator, or an affiliated operator who executes a successor liability agreement under section 5165.521 of the Revised Code, requests the adjudication on or before the deadline for requesting the adjudication.(C) Unless the department issues the initial debt summary report required by section 5165.525 of the Revised Code not later than sixty days after the date the department waives the cost report requirement of section 5165.522 of the Revised Code, sixty-one days after the date the department waives the cost report requirement;(D) If the department issues the initial debt summary report required by section 5165.525 of the Revised Code not later than sixty days after the date the department waives the cost report requirement of section 5165.522 of the Revised Code, not later than the following:(1) Thirty days after the deadline for requesting an adjudication under section 5165.525 of the Revised Code regarding the final debt summary report if the exiting operator, and an affiliated operator who executes a successor liability agreement under section 5165.521 of the Revised Code, fail to request the adjudication on or before the deadline;(2) Thirty days after the completion of an adjudication of the final debt summary report if the exiting operator, or an affiliated operator who executes a successor liability agreement under section 5165.521 of the Revised Code, requests the adjudication on or before the deadline for requesting the adjudication.
Ohio Rev Code § 5165.527 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.527 | Release of Amount Withheld on Postponement of Change of Operator.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid, at its sole discretion, may release the amount withheld under division (A) of section 5165.521 of the Revised Code if the exiting operator submits to the department written notice of a postponement of a change of operator, facility closure, or voluntary withdrawal of participation and the transactions leading to the change of operator, facility closure, or voluntary withdrawal of participation are postponed for at least thirty days but less than ninety days after the date originally proposed for the change of operator, facility closure, or voluntary withdrawal of participation as reported in the written notice required by section 5165.50 or 5165.51 of the Revised Code. The department shall release the amount withheld if the exiting operator submits to the department written notice of a cancellation or postponement of a change of operator, facility closure, or voluntary withdrawal of participation and the transactions leading to the change of operator, facility closure, or voluntary withdrawal of participation are canceled or postponed for more than ninety days after the date originally proposed for the change of operator, facility closure, or voluntary withdrawal of participation as reported in the written notice required by section 5165.50 or 5165.51 of the Revised Code. A written notice shall be provided to the department in accordance with the method specified in rules authorized by section 5165.53 of the Revised Code. After the department receives a written notice regarding a cancellation or postponement of a facility closure or voluntary withdrawal of participation, the exiting operator or owner shall provide new written notice to the department under section 5165.50 of the Revised Code regarding any transactions leading to a facility closure or voluntary withdrawal of participation at a future time. After the department receives a written notice regarding a cancellation or postponement of a change of operator, the exiting operator or owner and entering operator shall provide new written notice to the department under section 5165.51 of the Revised Code regarding any transactions leading to a change of operator at a future time.
Ohio Rev Code § 5165.528 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5165 | Medicaid Coverage of Nursing Facility Services|Section 5165.528 | Disposition of Amounts Withheld From Payment Due an Exiting Operator.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) All amounts withheld under section 5165.521 of the Revised Code from payment due an exiting operator under the medicaid program shall be deposited into the medicaid payment withholding fund created by the controlling board pursuant to section 131.35 of the Revised Code. Money in the fund shall be used as follows: (1) To pay an exiting operator when a withholding is released to the exiting operator under section 5165.526 or 5165.527 of the Revised Code;(2) To pay the department of medicaid and United States centers for medicare and medicaid services the amount an exiting operator owes the department and United States centers under the medicaid program.(B) Amounts paid from the medicaid payment withholding fund pursuant to division (A)(2) of this section shall be deposited into the appropriate department fund.