Ohio Administrative Code › Title 5123 - Department of Developmental Disabilities › Chapter 5123-9 - Home and Community-Based Services Waivers › Section 5123-9-21 - Home and community-based services waivers - informal respite under the level one waiver

Current through all regulations passed and filed through July 1, 2024
(A) Purpose
This rule defines informal respite and sets forth provider
				qualifications, requirements for service delivery and documentation of
				services, and payment standards for the service.
(B) Definitions
For the purposes of this rule, the following definitions
				 apply:
(1) "Agency provider"
			 
									means an entity that directly employs at least one
			 person in addition to a director of operations for the purpose of providing
			 services for which the entity is certified in accordance with rule
			 5123-2-08 of the Administrative
			 Code.
(2) "County board" means a
			 county board of developmental disabilities.
(3) "Department" means the Ohio department of
			 developmental disabilities.
(4)
			 "Fifteen-minute billing unit" means a billing unit that equals fifteen minutes
			 of service delivery time or is greater or equal to eight minutes and less than
			 or equal to twenty-two minutes of service delivery time. Minutes of service
			 delivery time accrued throughout a day 
									will be added
			 together for the purpose of calculating the number of fifteen-minute billing
			 units for the day.
(5) "Independent
			 provider" 
									means a self-employed person who provides services for
			 which the person is certified in accordance with rule
			 5123-2-09 of the Administrative
			 Code and does not employ, either directly or through
			 contract, anyone else to provide the services.
(6) "Individual" means a person with a
			 developmental disability or for purposes of giving, refusing to give, or
			 withdrawing consent for services, 
									the person's guardian in accordance
			 with section 5126.043 of the Revised Code or
			 other person authorized to give consent.
(7) "Individual service plan" means the
			 written description of services, supports, and activities to be provided to an
			 individual.
(8) "Informal respite"
			 means care and support services
			  furnished to an individual
			 by a person known to the individual, on a short-term basis because of the
			 absence or need for relief of those persons routinely providing
			  care. Informal respite may be provided
			 in the individual's home or place of residence, home of a friend or family
			 member, or at sites of community activities.
(9) "Major unusual incident" has the same
			 meaning as in rule
			 5123-17-02 of the Administrative
			 Code.
(10) "Service documentation"
			 means all records and information on one or more documents, including documents
			 that may be created or maintained in electronic software programs, created and
			 maintained contemporaneously with the delivery of services, and kept in a
			 manner as to fully disclose the nature and extent of services delivered that
			 
									includes the items delineated in paragraph (E) of this
			 rule to validate payment for medicaid services.
(11) "Unusual incident" has the same meaning
			 as in rule
			 5123-17-02 of the Administrative
			 Code.
(12) "Waiver eligibility
			 span" means the twelve-month period following either an individual's initial
			 waiver enrollment date or a subsequent eligibility re-determination
			 date.