Ohio Administrative Code › Title 5123 - Department of Developmental Disabilities › Chapter 5123-2 - Provider Standards › Section 5123-2-09 - Provider certification - independent providers

Current through all regulations passed and filed through July 1, 2024
(A) Purpose
This rule establishes procedures and standards for
				certification of independent providers of supported living services, including
				home and community-based services provided in accordance with section
				5123.045 of the Revised
				Code.
(B) Definitions
For the purposes of this rule, the following definitions
				apply:
(1) "Abuser registry" has the
			 same meaning as in rule
			 5123-17-03 of the Administrative
			 Code.
(2) "Agency provider" means
			 an entity that directly employs at least one person in addition to a director
			 of operations for the purpose of providing services for which the entity is
			 certified in accordance with rule
			 5123-2-08 of the Administrative
			 Code.
(3) "Certificate of high
			 school equivalence" has the same meaning as in section
			 3301.80 of the Revised Code and
			 includes the equivalent of a certificate of high school equivalence described
			 in division (C) of that section.
(4) "County board" means a county board of
			 developmental disabilities.
(5)
			 "Department" means the Ohio department of developmental disabilities.
(6) "Health-related activities" has the same
			 meaning as in rule
			 5123:2-6-01 of the
			 Administrative Code.
(7) "Home and
			 community-based services" has the same meaning as in section
			 5123.01 of the Revised
			 Code.
(8) "Independent provider"
			 means a self-employed person who provides services for which
			 
									the
			 person must be certified in accordance with this rule and
			 
									does not employ, either directly or through contract,
			 anyone else to provide the services.
(9) "Individual" means a person with a
			 developmental disability or for purposes of giving, refusing to give, or
			 withdrawing consent for services, 
									the person's guardian in accordance
			 with section 5126.043 of the Revised Code or
			 other person authorized to give consent.
(10) "Individual service plan" means the
			 written description of services, supports, and activities to be provided to an
			 individual.
(11) "Major unusual
			 incident" has the same meaning as in rule
			 5123-17-02 of the Administrative
			 Code.
(12) "Provider network
			 management module" means a component of the Ohio medicaid enterprise system
			 platform, maintained by the Ohio department of medicaid at its website
			 (medicaid.ohio.gov), used by providers of services to
			 
									initiate applications for certification and access the
			 provider services management system to submit required information and
			 documents.
(13) "Provider
			 services management system" means the electronic portal, maintained by the
			 department at its website (dodd.ohio.gov), used by providers of services to
			 apply for certification and submit required information and
			 documents.
(14) "Related party" has
			 the same meaning as in section
			 5123.16 of the Revised
			 Code.
(15) "Related to" means the
			 independent provider is the individual's:
(a)
			 Parent or stepparent;
(b) Sibling
			 or stepsibling;
(c)
			 Grandparent;
(d)
										Grandchild;
(e) Aunt, uncle,
			 nephew, or niece;
(f) Cousin;
			 or
(g) Child or
			 stepchild.
(16) "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 as set forth in section
			 5126.15 of the Revised Code and
			 who holds the appropriate certification in accordance with rule
			 
									5123-5-02 of the Administrative Code.
(17) "Supported living" has the same meaning
			 as in section 5126.01 of the Revised
			 Code.
(18) "Unusual incident" has
			 the same meaning as in rule
			 5123-17-02 of the Administrative
			 Code.