Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-43 - Long Term Care Consultation Program › Section 173-43-02 - Long-term care consultation program: general standards for providing consultations

Current through all regulations passed and filed through July 1, 2024
(A)
								The program
			 administrator may provide a consultation in person or by telephone or video
			 conference.
(B)
								The program administrator shall offer a consultation to
			 any individual who contacts the program administrator to seek information about
			 options available to meet longterm care needs.
(C)
								On application
			 for admission to a nursing facility or on seeking medicaid payment for a
			 continued stay in a nursing facility, the following apply:
(1)
									The nursing
			 facility shall notify the program administrator of any individual that was
			 admitted to the nursing facility under a a categorical determination in
			 accordance with rule
			 5160-3-15.1, 5122-21-03, or 5123-14-01
			 of the Administrative Code, but has since been found to need a stay in a
			 nursing facility that will exceed the time limits identified in those rules.
			 The nursing facility shall notify the program administrator no later than
			 seventy-two hours after the expiration of the time limit, unless rule
			 173-43-03 of the Administrative
			 Code indicates that the program administrator is not required to provide a
			 consultation to the individual. On being notified, the program administrator
			 shall determine if a consultation is required.
(2)
									If the program
			 administrator is not required to provide a consultation to an individual under
			 rule 173-43-03 of the Administrative
			 Code, then the nursing facility shall specify the reason why the program
			 administrator is not required to provide a consultation in the individual's
			 record.
(3)
									The program administrator shall provide a consultation
			 at a time agreed to by the program administrator and the individual, whether
			 before or after admission to a nursing facility.
(4)
									The nursing
			 facility shall not deny or limit access to the facility or a resident of the
			 facility to any person who is attempting to provide a
			 consultation.
(5)
									The program administrator may obtain information about
			 an individual who is applying to a nursing facility or seeking medicaid payment
			 for a continued stay in a nursing facility from the individual, the nursing
			 facility to which admission is being sought, the pre-admission screening and
			 resident review under rules
			 5160-3-15.1 and 5160-3-
			 15.2 of the Administrative Code,
			 or through the resident assessment instrument as defined in rule
			 5160-3-43.1 of the Administrative
			 Code.
(6)
									A nursing facility that has a provider agreement with
			 the department of medicaid may admit an individual as a resident only if the
			 nursing facility has evidence of all of the following:
(a)
										The nursing
			 facility complied with this rule.
(b)
										The nursing
			 facility complied with rule
			 173-43-03 of the Administrative
			 Code.
(c)
										The program administrator provided a consultation to
			 the individual, unless rule
			 173-43-03 of the Administrative
			 Code exempted the individual.