Ohio Administrative Code › Title 5160 - Ohio Department of Medicaid › Chapter 5160-58 - MyCare Ohio › Section 5160-58-04 - MyCare Ohio waiver: covered services and providers

Current through all regulations passed and filed through July 1, 2024
(A) The purpose of this rule is to establish
			 both the services covered by the MyCare Ohio home and community based services
			 (HCBS) waiver program and the providers eligible to furnish those services to
			 members enrolled in the MyCare Ohio waiver.
(B) Providers seeking to furnish services in
			 the MyCare Ohio waiver program shall meet the requirements in Chapter 173-39,
			 5160-45 or 5160-44 of the Administrative Code, as appropriate. Prior to
			 furnishing services to MyCare Ohio waiver recipients, the services must be
			 documented on the member's person-centered services plan as described in rule
			 5160-44-02 of the Administrative
			 Code.
(C) MyCare Ohio waiver
			 covered services are limited to the following and exclude any reimbursement
			 provisions in the Ohio Administrative Code rules cited therein:
(1) Adult day health services as set forth in
			 rule 173-39-02.1 or
			 5160-46-04 of the Administrative
			 Code;
(2) Alternative meal services
			 as set forth in rule
			 173-39-02.2 of the Administrative
			 Code;
(3) Assisted living services
			 as set forth in rule
			 173-39-02.16 of the
			 Administrative Code;
(4) Choices
			 home care attendant services as set forth in rule
			 173-39-02.4 of the Administrative
			 Code except MyCare waiver providers are not required to
			 submit task sheets to the financial management service (FMS), as identified in
			 rule 173-39-02.4 of the Administrative
			 Code;
(5) Community
			 integration services as set forth in rule
			 173-39-02.15 or
			 5160-44-14 of the Administrative
			 Code;
(6) Community transition
			 services as set forth in rule
			 173-39-02.17 or
			 5160-44-26 of the Administrative
			 Code;
(7) Enhanced community living
			 services as set forth in rule
			 173-39-02.20 of the
			 Administrative Code.
(8) Homemaker
			 services as set forth in rule
			 173-39-02.8 of the Administrative
			 Code;
(9) Home care attendant
			 services as set forth in rule
			 173-39-02.24 or
			 5160-44-27 of the Administrative
			 Code;
(10) Home delivered meal
			 services as set forth in rule
			 173-39-02.14 or
			 5160-44-11 of the Administrative
			 Code;
(11) Home maintenance and
			 chore services as set forth in rule
			 173-39-02.5 or
			 5160-44-12 of the Administrative
			 Code.
(12) Home medical equipment
			 and supplemental adaptive and assistive devices services as set forth in rule
			 173-39-02.7 or
			 5160-46-04 of the Administrative
			 Code;
(13) Home modification
			 services as set forth in rule
			 173-39-02.9 or
			 5160-44-13 of the Administrative
			 Code;
(14) Nutrition consultation
			 services as set forth in rule
			 173-39-02.10 of the
			 Administrative Code;
(15) Out-of-
			 home respite services as set forth in rule
			 173-39-02.23 or
			 5160-44-17 of the Administrative
			 Code;
(16) Personal care aide
			 services as set forth in rule
			 173-39-02.11 or
			 5160-46-04 of the Administrative
			 Code;
(17) Personal emergency
			 response services as set forth in rule
			 173-39-02.6 or
			 5160-44-16 of the Administrative
			 Code;
(18) Social work
			 counseling services as set forth in rule
			 173-39-02.12 of the
			 Administrative Code;
(19) Waiver nursing
			 services as set forth in rule
			 173-39-02.22 or
			 5160-44-22 of the Administrative
			 Code; and
(20) Waiver
			 transportation services as set forth in 
									rule 173-39-02.18 or
			 5160-46-04 of the Administrative Code.