Ohio Administrative Code › Title 5123 - Department of Developmental Disabilities › Chapter 5123-9 - Home and Community-Based Services Waivers › Section 5123-9-23 - Home and community-based services waivers - environmental accessibility adaptations under the individual options and level one waivers

Current through all regulations passed and filed through July 1, 2024
(A) Purpose
This rule defines environmental accessibility adaptations 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
				 apply:
(1) "Agency provider"
			 
									has the same
			 meaning as in rule
			 5123-2-08
			 of the Administrative Code.
(2) "County board" means a county board of
			 developmental disabilities.
(3)
			 "Department" means the Ohio department of developmental disabilities.
(4)
									"Environmental
			 accessibility adaptations" means physical adaptations to an individual's home
			 (e.g., installation of ramps or grab-bars, widening of doorways, modification
			 of bathroom facilities, or installation of specialized electrical systems to
			 operate an individual's medical equipment) that comply with the following
			 requirements:
(a)
										The physical adaptation to the individual's home must
			 be:
(i)
											Determined by the individual's team necessary to:
(a)
												Support the
			 individual to reside in a community-based setting; and
(b)
												Either:
(i)
													Ensure the
			 health, welfare, and safety of the individual; or
(ii)
													Enable the
			 individual to function with greater independence while at home.
(ii)
											Identified in the individual service
			 plan.
(iii)
											Completed in accordance with applicable state and local
			 building codes.
(b)
										"Environmental
			 accessibility adaptations" does not include physical adaptations to the home
			 that:
(i)
											Add to
			 the total square footage of the home;
(ii)
											Are of general
			 utility; or
(iii)
											Are not of direct medical or remedial benefit to the
			 individual (e.g., carpeting, roof repair, or central air
			 conditioning).
(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, 
									the person's 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) "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.
(9) "Waiver
			 eligibility span" means the twelve-month period following either an
			 individual's initial waiver enrollment date or a subsequent eligibility
			 redetermination date.