Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-40 - State-Funded PASSPORT Program › Section 173-40-02 - PASSPORT program (state-funded component): individual eligibility

Current through all regulations passed and filed through July 1, 2024
(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 Chapter 173-43 of the Administrative
			 Code.
(2) Financial requirements:
(a) The individual contacted either ODA's
			 designee or ODM's administrative agency to apply for the medicaid-funded
			 component of the PASSPORT program, but the application is still pending because
			 ODM's administrative agency has not yet made a final determination on the
			 individual's financial eligibility.  If
			 ODM's administrative agency already determined the individual was eligible to
			 participate in the medicaid-funded component of the PASSPORT program,
			 
										the
			 individual would 
										enroll into the medicaid-funded component of the
			 PASSPORT program and no longer be eligible for the state-funded component of
			 the PASSPORT program. If ODM's administrative agency already determined the
			 individual was not financially eligible to participate in the medicaid-funded
			 component of the PASSPORT program, the individual would also not be eligible to
			 participate in the state-funded component of the PASSPORT program.
(b)
			 The individual agreed that, if the individual 
										enrolls into the state-funded
			 component of the PASSPORT program, then ODM's administrative agency determines
			 the individual is financially eligible for the medicaid-funded component of the
			 PASSPORT program, that the individual would transfer immediately  to the medicaid-funded component of the PASSPORT
			 program.
(c) The individual is
			 cooperating and actively assisting ODM's
			 administrative agency in determining if the individual is financially eligible
			 to participate in the medicaid-funded component of the PASSPORT program by
			 timely providing ODM's administrative agency with information and copies of any
			 records ODM's administrative agency needs to make its financial eligibility
			 determination.
(d) ODA or its
			 designee 
			 determined that ODM's administrative agency would  determine that the individual most
			 likely meets all financial eligibility requirements for the
			 medicaid-funded component of the PASSPORT program listed in rules
			 5160:1-2-03 and
			 5160:1-2-10 of the
			 Administrative Code.
(3) Non-financial requirements:
(a) ODA or its designee and the individual
			 
										entered into an enrollment agreement, and the
			 
										agreement indicated that
			 the individual chose to enroll in the state-funded component of the PASSPORT
			 program, named the individual's representative (if any), and
			  authorized ODA or
			 its designee to release information.
(b) ODA or its designee determined the
			 individual meets all non-financial eligibility requirements for the
			 medicaid-funded component of the PASSPORT program in rule
			 5160-31-03 of the Administrative
			 Code.
(4)
			 Post-eligibility treatment of income (i.e., patient liability or share of
			 cost): ODA or its designee assessed the individual's income and resources using
			 the methodology described in rule
			 5160:1-6-07.1 of the Administrative Code
			 to determine if the individual should pay any share of cost and the individual
			 agreed to pay, and pays, any share of cost as it becomes due.