Ohio Administrative Code › Title 5160 - Ohio Department of Medicaid › Chapter 5160-44 - Nursing Facility-Based Level of Care Home and Community-Based Services Programs › Section 5160-44-27 - Nursing facility-based level of care home and community-based services programs: home care attendant services

Current through all regulations passed and filed through July 1, 2024
(A) The following definitions are applicable
			 to this rule:
(1) "Adult" means an individual
			 at least eighteen years of age.
(2)
			 "Authorizing health care professional" means a health care professional who,
			 pursuant to section 5166.307 of the Revised Code,
			 authorizes a home care attendant to assist an individual enrolled on a nursing
			 facility (NF)-based level of care waiver with self-administration of
			 medication, nursing tasks, or both.
(3) "Controlled substance" has the same
			 meaning as in section
			 3719.01 of the Revised
			 Code.
(4) "Custodian" has the same
			 meaning as in section
			 2151.011 of the Revised
			 Code.
(5) "Gastrostomy tube" means
			 a percutaneously inserted catheter that terminates in the stomach.
(6) "Group setting" means a situation in
			 which a home care attendant service provider furnishes home care attendant
			 services in accordance with this rule and as authorized by the Ohio department
			 of medicaid (ODM), or certified by the Ohio department of aging (ODA), to two
			 or three individuals who reside at the same address.
(7) "Guardian" has the same meaning as in
			 section 2111.01 of the Revised
			 Code.
(8) "Health care
			 professional" means a physician or registered nurse who holds a current, valid
			 unrestricted license.
(9) "Home
			 care attendant" means a provider, holding a valid medicaid provider agreement
			 in accordance with section
			 5166.301 of the Revised Code and
			 paragraph (G) of this rule, who is authorized to provide home care attendant
			 services to a specific individual enrolled on a NF-based level of care
			 waiver.
(10) "Individual enrolled
			 on a NF-based level of care waiver" and "individual" mean the same as
			 "consumer" as defined in section
			 5166.30 of the Revised
			 Code.
(11) "Jejunostomy tube" means
			 a percutaneously inserted catheter that terminates in the jejunum.
(12) "Medication" means a drug as defined in
			 section 4729.01 of the Revised
			 Code.
(13) "Minor" means an
			 individual under eighteen years of age.
(14) "Nursing facility (NF) -based level of
			 care waiver" and "waiver" mean the MyCare Ohio and Ohio home care waivers
			 administered by ODM and the PASSPORT waiver administered by ODA.
(15) "Nursing tasks" means skilled tasks that
			 would otherwise be performed by a registered nurse (RN), or a licensed
			 practical nurse (LPN) at the direction of an RN.
(16) "Oral medication" means any medication
			 that can be administered through the mouth, through a gastrostomy tube or
			 jejunostomy tube if through a pre-programmed pump, or through a syringe. Oral
			 medication may include medication administered through a metered dose
			 inhaler.
(17) "Physician" means an
			 individual authorized under Chapter 4731. of the Revised Code to practice
			 medicine and surgery or osteopathic medicine and surgery.
(18) "Practice of nursing as a registered
			 nurse," "practice of nursing as a licensed practical nurse (LPN)", and
			 "registered nurse (RN)" have the same meanings as in section
			 4723.01 of the Revised Code.
			 "Registered nurse" includes an advance practice nurse as defined in section
			 4723.01 of the Revised
			 Code.
(19) "RN home care attendant
			 service visit" means the  visit
			 every ninety days between the RN and the individual receiving home care
			 attendant services as required by paragraph (G)(8) of this rule.
			 The  visit may be conducted by
			 via telehealth, unless the individual's needs
			 necessitate 
									in-person visit.
(20) "Schedule II, " "schedule III,"
			 "schedule IV" and "schedule V" have the same meaning as in section
			 3719.01 of the Revised
			 Code.
(21) "Topical medication"
			 means any medication applied to the outer skin, including transdermal
			 medications and eye, ear and nose drops. Topical medication may also include
			 vaginal or rectal suppositories.