Ohio Administrative Code › Title 5123 - Department of Developmental Disabilities › Chapter 5123-9 - Home and Community-Based Services Waivers › Section 5123-9-12 - Home and community-based services waivers - assistive technology under the individual options, level one, and self-empowered life funding waivers

Current through all regulations passed and filed through July 1, 2024
(A) Purpose
This rule defines assistive technology 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 shall
				apply:
(1) "Accredited college or
			 university" means a college or university accredited by a national or regional
			 association recognized by the secretary of the United States department of
			 education or a foreign college or university of comparable standing.
(2) "Acquisition costs" means the cost of any
			 attachments, accessories, or auxiliary apparatus necessary to make assistive
			 technology equipment usable; taxes; duty; protective in-transit insurance; and
			 freight charges.
(3) "Actual price"
			 means the actual price that a provider of assistive technology equipment is
			 charged to purchase an item of equipment by the seller and that fully and
			 accurately reflects any discount or rebate the provider receives. The provider
			 shall maintain documentation of the actual price in the form of an invoice from
			 the seller that gives details of date, price, quantity, and type of the
			 assistive technology equipment or other documentation approved by the
			 department.
(4) "Agency provider"
			 
									has the same
			 meaning as in rule
			 5123-2-08
			 of the Administrative Code.
(5) "Assistive technology" means an
			 interactive electronic item, device, product system, or engineered solution,
			 whether acquired commercially, modified, or customized, that addresses an
			 individual's needs and outcomes identified in the individual service plan and
			 that is for the direct benefit of the individual in maintaining or improving
			 independence, functional capabilities, vocational skills, community
			 involvement, or physical skills. Assistive technology has three distinct
			 components:
(a) "Assistive technology
			 consultation" means an evaluation of the assistive technology needs of an
			 individual, including a functional evaluation of technologies available to
			 address the individual's assessed needs and support the individual to achieve
			 outcomes identified in his or her individual service plan.
(b) "Assistive technology equipment" means
			 the cost of equipment comprising the assistive technology and may include
			 engineering, designing, fitting, customizing, or otherwise adapting the
			 equipment to meet an individual's specific needs . Assistive technology equipment may include
			 equipment used for remote support such as motion sensing system, radio
			 frequency identification, live video feed, live audio feed, web-based
			 monitoring, or other device that meets the requirements set forth in this rule
			 and rule
			 5123-9-35
			 of the Administrative Code. Assistive technology equipment does not include
			 non-technical, non-electronic equipment (e.g., grab bars or wheelchair ramps)
			 or items otherwise available as environmental accessibility adaptations or
			 specialized medical equipment and supplies.
(c) "Assistive technology support" means
			 education and training that aids an individual in the use of assistive
			 technology equipment as well as training for the individual's family members,
			 guardian, staff, or other persons who provide natural supports or paid
			 services, employ the individual, or who are otherwise substantially involved in
			 activities being supported by the assistive technology equipment. Assistive
			 technology support may include, when necessary, coordination with complementary
			 therapies or interventions and adjustments to existing assistive technology to
			 ensure its ongoing effectiveness.
(6) "County board" means a county board of
			 developmental disabilities.
(7)
			 "Department" means the Ohio department of developmental disabilities.
(8) "Environmental accessibility adaptations"
			 has the same meaning as in rule
			 5123-9-23
			 of the Administrative Code.
(9)
			 "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 
									shall be added together for the purpose of
			 calculating the number of fifteen-minute billing units for the day.
(10) "Homemaker/personal care" has the same
			 meaning as in rule
			 5123-9-30
			 of the Administrative Code.
(11)
			 "Independent provider" 
									has the same meaning as in rule
			 5123-2-09
			 of the Administrative Code.
(12) "Individual" means a person with a
			 developmental disability or for purposes of giving, refusing to give, or
			 withdrawing consent for services, his or her guardian in accordance with
			 section
			 5126.043
			 of the Revised Code or other person authorized to give consent.
(13) "Individual service plan" means the
			 written description of services, supports, and activities to be provided to an
			 individual.
(14) "Manufacturer's
			 suggested retail price" means the current retail price of an item of assistive
			 technology equipment that is recommended by the item's manufacturer. If a
			 provider of assistive technology equipment is also the manufacturer, the
			 provider may establish a suggested retail price if the price is equal to or
			 less than the suggested retail price for the same or a comparable item of
			 equipment recommended by one or more other manufacturers.
(15)
			 "Remote support" has the same meaning as in rule
			 5123-9-35
			 of the Administrative Code.
(16) "Remote support
			 vendor" has the same meaning as in rule
			 5123-9-35
			 of the Administrative Code.
(17) "Service and
			 support administrator" means a person, regardless of title, employed by or
			 under contract with a county board to perform the functions of service and
			 support administration and who holds the appropriate certification in
			 accordance with rule
			 5123:2-5-02
			 of the Administrative Code.
(18) "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 shall include the items delineated in paragraph (E) of
			 this rule to validate payment for medicaid services.
(19) "Specialized
			 medical equipment and supplies" has the same meaning as in rule
			 5123-9-25
			 of the Administrative Code.
(20) "Team" has the
			 same meaning as in rule 
									5123-4-02 of the Administrative Code.
(21)
			 "Useful life" means two years.
(22) "Waiver
			 eligibility span" means the twelve-month period following either an
			 individual's initial waiver enrollment date or a subsequent eligibility
			 re-determination date.