Ohio Administrative Code › Title 5123 - Department of Developmental Disabilities › Chapter 5123-9 - Home and Community-Based Services Waivers › Section 5123-9-48 - Home and community-based services waivers - community transition under the under the individual options waiver

Current through all regulations passed and filed through July 1, 2024
(A) Purpose
This rule defines community transition and sets forth provider
				qualifications, requirements for service delivery and documentation of
				services, and payment standards for the service.
(B) Definitions
For the purposes of this rule, the following definitions shall
				apply:
(1) "Agency provider"
			 
									has the same
			 meaning as in rule
			 5123-2-08
			 of the Administrative Code.
(2) "Community transition" means
			 reimbursement for non-recurring household startup expenses for which an
			 individual who previously resided in an intermediate care facility for
			 individuals with intellectual disabilities or a nursing facility for at least
			 ninety days and is transitioning to enrollment in the individual options waiver
			 is directly responsible.
(a) Community
			 transition includes expenses that do not constitute room and board, necessary
			 to enable an individual to establish a basic household. Community transition
			 includes, but is not limited to:
(i) Security
			 deposits and rental start-up expenses required to obtain a lease on an
			 apartment or house;
(ii) Essential
			 household furnishings required to occupy and use a community domicile such as
			 furniture, window coverings, food preparation items, and bed or bath
			 linens;
(iii) Start-up fees or
			 deposits for utility or service access such as telephone, electricity, heating,
			 and water;
(iv) Moving
			 expenses;
(v) Pre-transition
			 transportation services necessary to secure housing and benefits; and
(vi)
											
			 Initial cleaning products and household supplies.
(b) Community transition does not include:
(i)
											Grocery
			 expenses;
(ii)
											Internet expenses;
(iii) Ongoing monthly
			 rent or mortgage expenses;
(iv) Ongoing utility
			 or service charges;
(v) Items
			 intended for entertainment or recreational purposes; or
(vi) Tobacco products or alcohol.
(3) "County board" means
			 a county board of developmental disabilities.
(4) "Department" means the Ohio department of
			 developmental disabilities.
(5)
			 "Independent provider" 
									has the same meaning as in rule
			 5123-2-09
			 of the Administrative Code.
(6) "Individual" means a person with a
			 developmental disability or for purposes of giving, refusing to give, or
			 withdrawing consent for services, his or her guardian in accordance with
			 section
			 5126.043
			 of the Revised Code or other person authorized to give consent.
(7) "Individual service plan" means the
			 written description of services, supports, and activities to be provided to an
			 individual.
(8) "Intermediate care
			 facility for individuals with intellectual disabilities" has the same meaning
			 as in section
			 5124.01 of the
			 Revised Code.
(9) "Nursing
			 facility" has the same meaning as in section
			 5165.01 of the
			 Revised Code.
(10) "Service
			 documentation" means all records and information on one or more documents,
			 including documents that may be created or maintained in electronic software
			 programs, created and maintained contemporaneously with the delivery of
			 services, and kept in a manner as to fully disclose the nature and extent of
			 services delivered that shall include the items delineated in paragraph (E) of
			 this rule to validate payment for medicaid services.