Ohio Administrative Code › Title 5160 - Ohio Department of Medicaid › Chapter 5160-43 - Specialized Recovery Services Program › Section 5160-43-03 - Specialized recovery services program individual rights and responsibilities

Current through all regulations passed and filed through July 1, 2024
(A) Enrollment in the specialized recovery
			 services program is voluntary. Individuals enrolled in the program in
			 accordance with rule
			 5160-43-02
			 of the Administrative Code shall be informed of their rights and
			 responsibilities. Individuals also have choice and control over the arrangement
			 and provision of home and community-based services (HCBS), and the selection
			 and control over the direction of approved services.
(B) An individual enrolled in a specialized
			 recovery services program has the right to:
(1) Be treated with dignity and
			 respect.
(2) Be protected from
			 abuse, neglect, exploitation and other threats to personal health, safety and
			 well-being.
(3) Appoint an
			 authorized representative to act on his or her behalf in accordance with rule
			 5160-1-33 of the Administrative Code.
(4) Receive program services in a
			 person-centered manner that is in accordance with an approved person-centered
			 service
			 plan, that is attentive to the individual's needs and maximizes personal
			 independence.
(5) Choose his or her
			 recovery management agency and recovery managers from among qualified and
			 available providers; and
(a) Have the recovery
			 manager explain the program, how it will assist the individual, and his or her
			 rights and responsibilities;
(b)
			 Participate with the recovery manager and the care team in the person-centered
			 service
			 plan development process, and when possible, lead the process;
(c) Request assistance from the recovery
			 manager with recruitment of providers;
(d) Effectively communicate with the recovery
			 manager and care team and receive information in a manner that is easy to
			 understand;
(e) Be able to meet
			 privately with the recovery manager;
(f) Receive ongoing assistance from the
			 recovery manager; and
(g) Be able
			 to request a change of recovery management agency or recovery
			 manager.
(6) Make
			 informed choices regarding the HCBS and supports he or she receives and from
			 whom those services are received.
(7) Obtain the results of criminal records
			 checks for current agency providers or provider applicants pursuant to section
			 5164.34
			 of the Revised Code. All personal identifying information such as home address,
			 social security number, and home phone number may be redacted to ensure the
			 safety and security of the provider.
(8) Access files, records or other
			 information related to his or her health care.
(9) Be assured of confidentiality of
			 protected health information pursuant to relevant confidentiality and
			 information disclosure laws.
(10)
			 Request assistance with problems, concerns, and
			 issues, and suggest changes without fear of repercussion.
(11) Be fully informed about how to contact
			 the recovery manager and the Ohio department of medicaid (ODM) or its designee,
			 with problems, concerns, issues, or
			 inquiries.
(12) Be informed of the
			 right to appeal decisions made by ODM or its designee about program eligibility
			 or services pursuant to division 5101:6 of the Administrative Code.