Ohio Administrative Code › Title 5123 - Department of Developmental Disabilities › Chapter 5123-9 - Home and Community-Based Services Waivers › Section 5123-9-46 - Home and community-based services waivers - participant/family stability assistance under the level one and self-empowered life funding waivers

Current through all regulations passed and filed through July 1, 2024
(A) Purpose
This rule defines participant/family stability assistance and
				sets forth provider qualifications, requirements for service delivery and
				documentation of services, and payment standards for 
									the
				service.
(B)
			 Definitions
(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) "Family member" means a person who is
			 related to the individual by blood, marriage, or adoption.
(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 the 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. An individual
			 may designate another person to assist with development of the individual
			 service plan and budget, selection of residence and providers, and negotiation
			 of payment rates for services; the individual's designee shall not be employed
			 by a county board or a provider, or a contractor of either.
(7) "Individual service plan" means the
			 written description of services, supports, and activities to be provided to an
			 individual.
(8) "Participant/family
			 stability assistance" means training (including education and instruction) and
			 counseling (including consultation) that enhance an individual's ability to
			 direct  services
			 received and/or enable an individual and/or
			 family members who reside with the individual to understand how best to support
			 the individual in order that the individual and 
									the individual's family members
			 may live as much like other families as possible and to prevent or delay
			 unwanted out-of-home placement.
(a)
			 Participant/family stability assistance may be utilized only by the individual
			 and family members who reside with the individual and shall be outcome-based,
			 meaning that there 
										is a specific goal for the service which is
			 recorded in the individual service plan.
(b) Participant/family stability assistance
			 includes training and counseling related to accommodating the individual's
			 disability in the home, accessing supports offered in the community,
			 effectively supporting the individual so that 
										the individual may be fully engaged
			 in the life of the family, and supporting the unique needs of the
			 individual.
(c) Participant/family
			 stability assistance includes the cost of enrollment fees and materials, but
			 does not cover travel expenses or experimental and prohibited treatments.
(9)
			 "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 (F) of
			 this rule to validate payment for medicaid services.
(10) "Usual and
			 customary charge" means the amount charged to other persons for the same
			 service.