Ohio Administrative Code › Title 5123 - Department of Developmental Disabilities › Chapter 5123-7 - Intermediate Care Facilities for Individuals with Intellectual Disabilities › Section 5123-7-28 - Intermediate care facilities for individuals with intellectual disabilities - intensive behavioral support rate add-on

Current through all regulations passed and filed through July 1, 2024
(A)
								Purpose
This rule sets forth requirements for
				an intermediate care facility for individuals with intellectual disabilities
				(ICFIID) to receive a per diem rate add-on established pursuant to section
				5124.26 of the Revised Code for
				providing short-term intensive behavioral support to youth with complex
				behavioral support needs in a discrete unit or building of six or fewer
				beds.
(B)
								Definitions
For the purposes of this rule, the
				following definitions 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)
									"Aftercare
			 services" means individualized, intensive, post-discharge services driven by
			 input from a youth and his or her team, provided by a discharging ICFIID to the
			 youth and his or her family or other caregivers, as applicable.
(3)
									"Business day"
			 means a day of the week, excluding Saturday, Sunday, or a legal holiday as
			 defined in section 1.14 of the Revised
			 Code.
(4)
									"County board" means a county board of developmental
			 disabilities.
(5)
									"Follow-along services" means contact, engagement, and
			 assistance provided by the department to support a youth who has been
			 discharged from an ICFIID to ensure he or she makes a successful transition
			 back into his or her home and community.
(6)
									"Intensive
			 behavioral support rate add-on" means per diem reimbursement in the amount of
			 three hundred dollars paid to an ICFIID that is approved by the department in
			 accordance with this rule for serving a specific resident who is in middle to
			 late childhood, generally age ten through seventeen, and who has complex
			 behavioral support needs. The intensive behavioral support rate addon is
			 intended to compensate an ICFIID for the additional costs associated with
			 serving a youth with complex behavioral support needs such as:
(a)
										Intensive and
			 specialized therapies (e.g., occupational, physical, speech, audiology, and
			 applied behavior analysis);
(b)
										Non-traditional
			 therapies (e.g., art, music, and recreation);
(c)
										Higher staffing
			 levels including one-to-one staffing;
(d)
										Specialized
			 training for staff;
(e)
										Higher level and intensity of
			 supervision;
(f)
										Intensive engagement with family or other caregivers;
			 and
(g)
										Participating in the intensive behavioral support
			 community of practice convened by the department.
(7)
									"Person-centered
			 plan" means a written description of the services to be provided to a resident
			 of an ICFIID that meets the requirements set forth in
			 42 C.F.R.
			 483.440(c) as in effect on
			 the effective date of this rule for an individual program plan and the
			 requirements for person-centered planning set forth in rule
			 5123:2-3-03
			 of the Administrative Code.
(8)
									"Psychiatrist"
			 means a physician licensed in accordance with Chapter 4731. of the Revised Code
			 to practice psychiatry.