reglab/statecodes huggingface dataset:
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-23 - Initial designation of regional long-term care ombudsman programs: process

Current through all regulations passed and filed through July 1, 2024
The SLTCO shall not designate an agency as a new regional
				long-term care ombudsman program (regional program) unless the agency has
				complied with all the required structural standards established in paragraph
				(B) of rule
				173-14-22
				of the Administrative Code, and has completed an ombudsman plan acceptable to
				the SLTCO. The SLTCO shall temporarily designate a new regional program as
				needed.
(A) The SLTCO shall adhere to
			 the following process when designating a sponsoring agency to serve as a new
			 regional program:
(1) In consultation with the
			 AAA, the SLTCO shall issue a request for proposal (RFP) seeking a sponsoring
			 agency to serve as the regional program. The RFP shall identify all
			 requirements that a sponsoring agency shall meet in order to be designated as a
			 regional program and shall 
									require any agency that responds to
			 the RFP, within thirty days after
			 responding, to provide the SLTCO with an ombudsman plan and
			 documents to support the sponsoring agency's claim to meet these
			 requirements.
(2) The SLTCO shall
			 conduct an on-site visit to each of the eligible agencies responding to the RFP
			 to verify the facts presented in each proposal.
(3) The SLTCO shall review the ombudsman
			 plans of all proposals submitted and shall choose the agency most appropriate
			 to serve as the regional program. When making a decision, the SLTCO shall take
			 into consideration the recommendation of the AAA.
(4) The SLTCO shall notify the AAA and
			 responding agencies of the decision. The SLTCO shall include in the
			 notification the right of every agency not chosen to request a hearing to
			 appeal the SLTCO's decision. The notice and hearing process shall follow the
			 procedures  in Chapter 119. of
			 the Revised Code.
(5) The SLTCO
			 shall notify the agency of its designation year.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-23 - Initial designation of regional long-term care ombudsman programs: process

Current through all regulations passed and filed through July 1, 2024
The SLTCO may designate a sponsoring
				agency as a new regional long-term care ombudsman program (regional program)
				only if the sponsoring agency complies with all the structural standards
				established in paragraph (B) of rule
				173-14-22 of the Administrative
				Code and completed an ombudsman plan that is acceptable to the SLTCO in
				accordance with paragraph (D) rule of this rule.
The SLTCO may designate a temporary
				regional program as needed.
(A)
								The SLTCO shall adhere to the following process when
			 designating a sponsoring agency to serve as a new regional program:
(1)
									Issue a request
			 for proposal (RFP), in consultation with the AAA, that does all of the
			 following:
(a)
										Seeks sponsoring agencies willing to serve as the regional
			 program.
(b)
										Identifies all the standards that a sponsoring agency
			 needs to qualify for designation as a regional program.
(c)
										Establishes a
			 deadline of thirty days after responding to the RFP for the sponsoring agency
			 to provide the SLTCO with an ombudsman plan and documents to support the
			 sponsoring agency's claim to meet the standards under paragraph (A)(1)(b) of
			 this rule.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-24 - Development of ombudsman plans by all programs

Current through all regulations passed and filed through July 1, 2024
(A)
(1)
									Each regional program shall develop an ombudsman plan
			 that describes short- term activities to cover one year and long-term
			 activities on strategic areas to cover two years or more. Long-term components
			 shall address strategic program development, such as the future development of
			 funding sources or the future direction of the program. The requirement to
			 develop such an ombudsman plan may be waived by the SLTCO, as the SLTCO deems
			 appropriate.
(2)
									The plan shall be approved by the SLTCO using the
			 following requirements:
(a)
										Goals are useful, achievable, and in keeping with the
			 core services and thrust of the SLTCO office's goals.
(b)
										Objectives are
			 rational to the goals.
(c)
										Action steps shall lead to achieving the stated
			 objectives.
(d)
										Time lines are reasonable.
(e)
										Outcome standards
			 are rational to the service, measurable, and quantified as much as
			 possible.
(f)
										Potential impact is clearly described.
(g)
										Budget supports
			 the plan.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-24 - Development of ombudsman plans by all programs

Current through all regulations passed and filed through July 1, 2024
(A) Each regional
			 program shall develop an ombudsman plan that describes short- term activities
			 to cover one year and long-term activities on strategic areas to cover two
			 years or more
								that address strategic program development, such
			 as the future development of funding sources or the future direction of the
			 program. The SLTCO may waive the requirement to
			 develop such an ombudsman plan  as the SLTCO deems appropriate.
(B) The
			  SLTCO
			 
								may approve
			 ombudsman plans only if those plans meet the following
			 
								qualifications:
(1) Goals are useful,
			 achievable, and in keeping with the core services and
			 
									intent
			 of the SLTCO office's goals.
(2) Objectives are
			 rational to the goals.
(3) Action steps
			  lead to achieving the stated
			 objectives.
(4) Time lines are
			 reasonable.
(5) Outcome standards
			 are rational to the service, measurable, and quantified as much as
			 possible.
(6) Potential impact is clearly described.
(7)
			 Budget supports the plan.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-25 - Program review for continued designation

Current through all regulations passed and filed through July 1, 2024
(A) The SLTCO shall conduct an annual program
			 review, no less frequently than every two years, to determine whether the
			 regional program may continue its designation as a regional long-term care
			 ombudsman program. In addition to the regular program review, the SLTCO may
			 conduct additional program reviews whenever service delivery problems occur
			 within the region served by a regional program.
The AAA having jurisdiction in the designated region may
				participate in the program review to the extent possible without access to
				confidential information.
Nothing in this rule shall prohibit the AAA from conducting a
				fiscal review independent of the SLTCO's program review, except that the AAA
				shall inform the SLTCO of the results of any such review.
(B)
(1)
			 When conducting any program review, the SLTCO shall review the following:
(a) The program's continued compliance with
			 the structural standards established in paragraph (B) of rule
			 173-14-22
			 of the Administrative Code.
(b) The
			 program's continued compliance with all state and federal laws, regulations,
			 policies, and procedures governing the office of the SLTCO.
(c) The program's continued compliance with
			 the requirements pertaining to the maintenance of program policies and
			 procedures as established in paragraph (B)(6) of rule
			 173-14-22
			 of the Administrative Code.
(d) The
			 program's complaint case records to determine the quality of the program's
			 complaint-handling efforts and to determine whether the program complies with
			 the case handling protocol established in rule
			 173-14-16
			 of the Administrative Code.
(e) The
			 program's attainment of the outcomes and objectives provided for under its
			 current ombudsman plan.
(f) The
			 program's ombudsman plan for the ensuing year. The plan shall be prepared
			 according to paragraph (A) of rule
			 173-14-24
			 of the Administrative Code.
(g) The
			 program's performance on quality measures established by the SLTCO with input
			 from regional program directors.
(h) The program's advocacy and information
			 service.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-25 - Designation service reviews and additional program reviews

Current through all regulations passed and filed through July 1, 2024
(A)
								The SLTCO shall
			 conduct a designation service review (DSR) no less frequently than every two
			 years to determine whether the regional program may continue its designation as
			 a regional long-term care ombudsman program. In addition to the DSR, the SLTCO
			 may conduct additional program reviews whenever service delivery problems occur
			 within the region served by a regional program.
The SLTCO may invite a regional
				program's sponsoring agency to participation in the review of the regional
				program.
Additionally, an AAA may conduct a
				fiscal review of a regional program that is independent of the SLTCO's program
				review if the AAA informs the SLTCO of the results of its fiscal
				review.
(B)
								When conducting the DSR, the SLTCO shall review the
			 following, and for an additional review, the SLTCO may review any of the
			 following:
(1)
									The program's continued compliance with the structural
			 standards established under rule
			 173-14-22 of the Administrative
			 Code.
(2)
									The program's continued compliance with all applicable
			 state and federal laws, regulations, policies, and procedures.
(3)
									The program's
			 continued maintenance of program policies and procedures under rule
			 173-14-22 of the Administrative
			 Code.
(4)
									A random selection of at least fifteen of the program's
			 complaint case records to determine the quality of the program's
			 complaint-handling efforts and to determine whether the program complies with
			 the case handling protocol under rule
			 173-14-16 of the Administrative
			 Code.
(5)
									The program's attainment of the outcomes and objectives
			 under its current ombudsman plan.
(6)
									The program's
			 performance on SLTCO-established quality measures.
(7)
									The program's
			 advocacy and information service.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-26 - Changes in a regional program's designation status; notice rights; and hearing requirements

Current through all regulations passed and filed through July 1, 2024
(A) The SLTCO may change the designation of a
			 fully-designated regional program to a provisional designation or may withdraw
			 the designation of a fully or provisionally-designated regional program for
			 cause. Cause may include any of the following:
(1) The regional program's failure to follow
			 policies and procedures that conform comply with sections
			 173.14
			 to
			 173.27
			 of the Revised Code, this chapter, all relevant sections of the Older Americans
			 Act, or other related federal laws regulating the activities of the
			 office.
(2) The regional program's
			 failure to meet structural standards.
(3) The regional program's failure to provide
			 services according to sections
			 173.14
			 to
			 173.27
			 of the Revised Code, this chapter, all relevant sections of the Older Americans
			 Act, other related federal laws, the policies and procedures of the office, the
			 service contract, or an approved ombudsman plan.
(4) The development of an unremedied conflict
			 of interest involving the regional program, its sponsoring agency, or an
			 individual associated with either.
(5) The misfeasance, malfeasance, or
			 nonfeasance of an employee of the program or a representative of the
			 office.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-26 - Changes in a regional program's designation status; notice rights; and hearing requirements

Current through all regulations passed and filed through July 1, 2024
(A) The SLTCO may change the designation of a
			 fully-designated regional program to a provisional designation or may withdraw
			 the designation of a fully or provisionally- designated regional program for
			 cause. Cause may include any of the following:
(1) The regional program's failure to follow
			 policies and procedures that  comply
			 with sections 173.14 to
			 173.27 of the Revised Code, this
			 chapter, all relevant sections of the Older Americans Act, or other related
			 federal laws regulating the activities of the office.
(2) The regional program's failure to meet
			 structural standards in rule
			 173-14-22 of the Administrative
			 Code.
(3) The regional
			 program's failure to provide services according to sections
			 173.14 to
			 173.27 of the Revised Code, this
			 chapter, all relevant sections of the Older Americans Act, other related
			 federal laws, the policies and procedures of the office, the service contract,
			 or an approved ombudsman plan.
(4)
			 The development of an unremedied conflict of interest involving the regional
			 program, its sponsoring agency, or an individual associated with
			 either.
(5) The misfeasance,
			 malfeasance, or nonfeasance of an employee of the program or a representative
			 of the office.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-27 - Decertification of a representative or removal of a candidate for certification

Current through all regulations passed and filed through July 1, 2024
(A) In all cases where the SLTCO seeks to
			 decertify a representative of the office
			 or to remove a candidate for certification, the SLTCO shall give notice to the
			 party against whom action is to be taken, as well as to the regional program
			 with which the party is affiliated and the regional program's sponsoring
			 agency, if applicable.
Upon receipt of the notice, the sponsoring agency shall ensure
				the representative or the candidate is relieved of all complaint-handling
				duties requiring contact with consumers or providers until such time as all
				appeals have been exhausted and a final determination has been made.
Notice shall be given by registered mail, return receipt
				requested, and shall include all of the following:
(1) The charges or other reasons for the
			 proposed action.
(2) The law or
			 rule directly related to the charges or reasons for the proposed
			 action.
(3) A request that any
			 explanation or extenuating circumstances connected to the SLTCO's decision be
			 provided in writing to the SLTCO.
(4) A request for the return of the
			 representative's or candidate's identification card after all appeals have been
			 exhausted, and a statement as to the consequences for failure to return the
			 card.
(5) A statement informing the
			 representative or candidate that the representative or candidate is entitled to
			 a hearing if the representative or candidate so requests such a hearing within
			 thirty days after receiving the notice.
(6) A statement informing the representative
			 or candidate that, at the hearing, the representative or candidate may be
			 represented by the regional program board, director, attorney, or other such
			 representative as is permitted to practice before the agency; or, that the
			 representative or candidate may present its position, arguments, or contentions
			 in writing; and, that the representative or candidate may present evidence and
			 examine witnesses appearing for and against the representative or candidate at
			 the hearing.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-27 - Decertification of a representative or removal of a candidate for certification

Current through all regulations passed and filed through July 1, 2024
(A) In all cases where the SLTCO seeks to
			 decertify a representative of the office or to remove a candidate for
			 certification, the SLTCO shall 
								notify the party against whom action
			 is to be taken, as well as  the regional
			 program with which the party is affiliated and the regional program's
			 sponsoring agency, if applicable.
Upon receipt of the notice, the sponsoring agency shall ensure
				the representative or the candidate is relieved of all complaint-handling
				duties requiring contact with consumers or providers until
				 all appeals have been
				exhausted and a final determination has been made.
The SLTCO
									 shall 
									notify according to Chapter 119. of the Revised
				Code and  include all of the
				following in the notice:
(1) The charges or other reasons for the
			 proposed action.
(2) The law or
			 rule directly related to the charges or reasons for the proposed
			 action.
(3) A request that any
			 explanation or extenuating circumstances connected to the SLTCO's decision be
			 provided in writing to the SLTCO.
(4) A request for the return of the
			 representative's or candidate's identification card after all appeals have been
			 exhausted, and a statement as to the consequences for failure to return the
			 card.
(5) A statement informing the
			 representative or candidate that the representative or candidate is entitled to
			 a hearing if the representative or candidate so requests such a hearing within
			 thirty days after receiving the notice.
(6) A statement informing the representative
			 or candidate that, at the hearing, the representative or candidate may be
			 represented by the regional program board, director, attorney, or other such
			 representative as is permitted to practice before the agency; or, that the
			 representative or candidate may present its position, arguments, or contentions
			 in writing; and, that the representative or candidate may present evidence and
			 examine witnesses appearing for and against the representative or candidate at
			 the hearing.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-28 - Bed fee collection guidelines

Current through all regulations passed and filed through July 1, 2024
(A) The department of aging shall collect an
			 annual bed fee of six dollars for each bed maintained for resident use by each
			 of the facilities listed in division (A) of section
			 173.26
			 of the Revised Code.
(B) Annually,
			 the department shall provide each of the facilities described in paragraph (A)
			 of this rule with an invoice requesting payment of the bed fee. The invoice
			 shall include all the following information:
(1) The time period covered by the
			 invoice.
(2) The basis for
			 calculating the amount owed by the facility.
(3) The deadline for receipt of payment,
			 which shall be thirty days after the date indicated on the invoice.
(4) The available methods of payment, including the
			 following:
(a)
										Paying through the invoice portal (
https://aging.ohio.gov/wps/portal/gov/aging/agencies-and-service-providers/billing-and-verification/invoice-portal
).
(b)
										Mailing a check or money order to the address listed
			 for payment on the invoice.
(5) The consequences
			 of non-payment.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-29 - Response to allegations about ombudsman performance

Current through all regulations passed and filed through July 1, 2024
(A) Any individual or organization may make a
			 complaint about the action or inaction of a representative.
(B) The SLTCO shall provide each
			 representative with standard 
			 information about the process outlined in this rule.
(C) The office 
								shall
			 investigate and attempt to resolve complaints in the following order of
			 responsibility:
(1) Either of the following:
(a) Regional ombudsman program director when
			 the complaint is about a representative affiliated with the respective regional
			 program; or,
(b) Sponsoring agency
			 director when the complaint is about the regional program director.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-14 - State Long Term Care Ombudsman › Section 173-14-29 - Response to allegations about ombudsman performance

Current through all regulations passed and filed through July 1, 2024
(A) Any individual or organization may make a
			 complaint about the action or inaction of a representative.
(B) The SLTCO shall provide each
			 representative with standard information about the process outlined in this
			 rule.
(C) The office shall
			 investigate and attempt to resolve complaints in the following order of
			 responsibility:
(1) Either of the following:
(a) Regional ombudsman program director when
			 the complaint is about a representative affiliated with the respective regional
			 program; or,
(b) Sponsoring agency
			 director or SLTCO, as appropriate, when the
			 complaint is about the regional program director.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-35 - Residential State Supplement Program › Section 173-35-01 to 173-35-07

Current through all regulations passed and filed through July 1, 2024
Rules 173-35-01 to
				173-35-07renumberedasrules5122-36-01 to 5122-36-05asauthorizedby§
				337.30.50(A)(3) of H.B. 153 of the 129th General
				Assembly.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-36 - Adult Foster Homes › Section 173-36-01 to 173-36-07

Current through all regulations passed and filed through July 1, 2024
Rules 173-36-01 to
				173-36-07renumberedasrules5122-35-01 to
				5122-35-10as
				authorized by § 337.30.75 of H.B. 153 of the 129th General
				Assembly.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-38 - Medicaid-Funded Assisted Living Program › Section 173-38-01 - Assisted living program (medicaid-funded component): introduction and definitions

Current through all regulations passed and filed through July 1, 2024
(A) Introduction: 
								This chapter regulates the medicaid-funded
			 component of the assisted living program created under section
			 173.54
			 of the Revised Code. (See Chapter 173-51 of the Administrative Code for rules
			 on the state-funded component of the assisted living program.)
(B) Definitions for this chapter:
"Assisted living program" (program) means the
				
				program 
									authorized under section
				173.54
				of the Revised Code that provides individuals enrolled in the program with the
				assisted living service under rule 173-39-02.16 of the Administrative Code and,
				in some cases, community transition
				 under rule 173-39-02.17 of the
				Administrative Code, if the individuals reside in a residential care facility
				and would otherwise receive services in a nursing facility if the
				 program was not available.
"Authorized representative" has the same meaning as in rule
				5160-1-33
				of the Administrative Code.
"ODA" means the Ohio
				department of aging.
"ODA's designee" has the same meaning as in rule
				173-39-01
				of the Administrative Code.
"ODM" means the Ohio
				department of medicaid.
"ODM's administrative agency" has the same meaning as
				"administrative agency" in rule
				5160:1-1-01
				of the Administrative Code.
"Person-centered services plan" means the
				 outline of
				 services that a case manager authorizes
				a provider to provide to an individual, regardless of the funding source for
				those services. It includes the person-centered planning in rule
				5160-44-02
				of the Administrative Code.
"Residential care facility" (RCF) has the same meaning as in
				section
				3721.01
				of the Revised Code.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-38 - Medicaid-Funded Assisted Living Program › Section 173-38-02 - Assisted living program (medicaid-funded component): eligibility requirements for individuals

Current through all regulations passed and filed through July 1, 2024
A person is  eligible
				for the medicaid-funded component of the assisted living program
				only if 
								the person meets the eligibility
				requirements under rule
				5160-33-03 of the Administrative
				Code.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-38 - Medicaid-Funded Assisted Living Program › Section 173-38-03 - Assisted living program (medicaid-funded component): enrollment and reassessment of individuals

Current through all regulations passed and filed through July 1, 2024
(A)
								Initial contact:
			 An individual may initially contact either ODM's administrative agency or ODA's
			 designee to apply for the medicaid-funded component of the assisted living
			 program. The two agencies coordinate processing applications for enrollment as
			 follows:
(1)
									If
			 the individual makes initial contact with ODM's administrative agency, then
			 ODM's administrative agency shall help the individual to apply and process the
			 applications for medicaid (unless already enrolled in medicaid) and the
			 medicaid-funded component of the assisted living program. If ODM's
			 administrative agency notifies ODA's designee that the individual meets all
			 financial eligibility requirements, then ODA's designee shall initiate contact
			 with the individual to conduct an assessment by telephone, video conference, or
			 in person to determine if the individual meets all non-financial eligibility
			 requirements in rule
			 5160-33-03 of the Administrative
			 Code.
(2)
									If the individual makes initial contact with ODA's
			 designee, then ODA's designee shall help the individual apply for medicaid
			 (unless already enrolled in medicaid) and the medicaid-funded component of the
			 assisted living program and conduct an assessment by telephone, video
			 conference, or in person to determine if the individual meets all non-financial
			 eligibility requirements in rule
			 5160-33-03 of the Administrative
			 Code.
(3)
									After the individual applies for the medicaid-funded
			 component of the assisted living program, ODA or its designee shall notify the
			 individual of the existence of the state-funded component of the assisted
			 living program in Chapter 173-51 of the Administrative Code and offer the
			 individual an opportunity to apply for enrollment in the state-funded component
			 of the program.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-38 - Medicaid-Funded Assisted Living Program › Section 173-38-04 - Assisted living program (medicaid-funded): provider requirements

Current through all regulations passed and filed through July 1, 2024
The medicaid-funded component of the
				assisted living program may pay a provider for providing a service covered
				under rule
				173-38-05 of the Administrative
				Code only if the provider is certified to provide the service under Chapter
				173-39 of the Administrative Code
				and section 173.39 of the Revised
				Code.
Replaces: 173-38-04
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-38 - Medicaid-Funded Assisted Living Program › Section 173-38-05 - Assisted living program (medicaid-funded component): covered services

Current through all regulations passed and filed through July 1, 2024
An individual's person-centered
								
								services plan may authorize 
								only the
				following two services:
(A)
								
								Assisted living service under rule
			 173-39-02.16 of the
			 Administrative Code.
(B)
								
								Community transition  under rule
			 173-39-02.17 of the
			 Administrative Code.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-01 - ODA provider certification: introduction and definitions

Current through all regulations passed and filed through July 1, 2024
(A) Introduction:
(1) This chapter establishes the requirements
			 for providers to become, and to remain, certified by ODA, compliance reviews of
			 ODA-certified providers, and disciplinary actions that may be imposed upon
			 ODA-certified providers.
(2) Rule
			 5160-58-04 of the Administrative
			 Code 
									establishes requirements for
			 
									providers of services to
			 individuals in the mycare Ohio program to comply with
			 many of the requirements in this chapter.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02 - ODA provider certification: requirements for providers to become, and to remain, certified

Current through all regulations passed and filed through July 1, 2024
Introduction: This rule presents requirements for every type of
				provider to become, and to remain, certified. For agency and assisted living
				providers, the requirements in this rule include requirements for each
				provider's employees.
(A) Requirements
			 for every type of provider to become certified:
(1) Qualifications: The provider shall meet
			 all of the following:
(a) Any qualification
			 (e.g., licensure, training requirements, staffing levels) required by this
			 chapter.
(b) Any qualification
			 (e.g., licensure, certification, registration) required by applicable federal,
			 state, and local laws, including the requirement under 45 C.F.R. Part 162 to
			 have a national provider identifier (NPI), if applicable.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.2 - ODA provider certification: alternative meals

Current through all regulations passed and filed through July 1, 2024
(A)
								"Alternative
			 meals" means a participant-directed service for sustaining an individual's
			 health by enabling the individual to procure up to two meals per day from a
			 non-traditional provider, such as a restaurant, but not an adult day
			 center.
(B)
								Requirements for ODA-certified provider of alternative
			 meals:
(1)
									General requirements: The provider is subject to rule
			 173-39-02 of the Administrative
			 Code.
(2)
									Requirements specific to meals: The provider is subject
			 to all the requirements for ODA-certified providers of home-delivered meals in
			 rule 173-39-02.14 of the
			 Administrative Code except delivery requirements.
(3)
									Provider
			 qualifications: Only an agency provider qualifies for ODA's certification to
			 provide alternative meals.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.3 - Pest control

Current through all regulations passed and filed through July 1, 2024
(A) "Pest control " means a service that improves, restores,
			 or maintains a clean, sanitary, and safe living environment through the
			 performance of tasks in the home that are beyond the consumer's capability and
			 the removal of pests posing a threat to the consumer's health and
			 welfare.
(B) Eligibility: A
			 consumer is only eligible for the service if:
(1) Neither the consumer, nor anyone else in
			 the consumer's home, is capable of performing or financially providing for the
			 services;
(2) No other relative,
			 caregiver, community/volunteer agency, or third-party payer is capable of, or
			 responsible for, their provision; and,
(3) No other person (e.g., a landlord) has a
			 legal or contractual responsibility to perform the job.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.4 - ODA provider certification: choices home care attendant service

Current through all regulations passed and filed through July 1, 2024
(A) "Choices home care attendant service"
			 (service) means a service that provides one or more of the following activities
			 to support the needs of an individual with impaired physical or cognitive
			 functioning:
(1) Assisting the individual
			 with money management and correspondence as directed by the individual,
			 managing the home, handling personal affairs, and providing assistance with
			 self-administration of medications, as defined in rule
			 173-39-01 of the Administrative
			 Code.
(2) Assisting the individual
			 with ADLs and IADLs.
(3) Homemaker
			 activities listed in rule
			 173-39-02.8 of the Administrative
			 Code when those activities are specified in the individual's service plan and
			 are incidental to the activities in paragraphs (A)(1) and (A)(2) of this rule
			 or are essential to the health and welfare of the individual instead of other
			 persons living with the individual.
(4) Escort and
			 transportation.
(5) Providing an errand
			 outside of the presence of the individual that is needed by the individual to
			 maintain the individual's health and safety (e.g., picking up a prescription or
			 groceries for the individual).
(6) The activities
			 included in home maintenance and chores under rule
			 5160-44-12 of the Administrative
			 Code, including seasonal yard care and snow removal.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.5 - ODA provider certification: home maintenance and chores

Current through all regulations passed and filed through July 1, 2024
(A) "Home maintenance and chores" means the
			 service defined in rule
			 5160-44-12 of the Administrative
			 Code.
(B)
								Requirements for
								
								every
			 ODA-certified provider of home maintenance and chores
			 :
(1)
									 The provider
			 
									is subject
			 to rule
			 173-39-02 of the Administrative
			 Code.
(2)
									 The provider 
									is subject to rule
			 5160-44-12 of the Administrative
			 Code.
(3) If a conflict exists
			 between a requirement in rule
			 173-39-02 of the Administrative
			 Code and a requirement in rule
			 5160-44-12 of the Administrative
			 Code, the provider shall comply with the requirement in rule
			 173-39-02 of the Administrative
			 Code instead of the conflicting requirement in rule
			 5160-44-12 of the Administrative
			 Code.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.6 - ODA provider certification: personal emergency response system

Current through all regulations passed and filed through July 1, 2024
(A) "Personal emergency response system"
			 (PERS) means the service defined in rule
			 5160-44-16 of the Administrative
			 Code.
(B)
								Requirements for
								
								every
			 ODA-certified provider of PERS :
(1)
									 The provider
			 
									is subject
			 to rule
			 173-39-02 of the Administrative
			 Code.
(2)
									 The provider
			 
									is subject to rule
			 5160-44-16 of the Administrative
			 Code.
(3) If a conflict exists
			 between a requirement in rule
			 173-39-02 of the Administrative
			 Code and a requirement in rule
			 5160-44-16 of the Administrative
			 Code, the provider shall comply with the requirement in rule
			 173-39-02 of the Administrative
			 Code instead of the conflicting requirement in rule
			 5160-44-16 of the Administrative
			 Code.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.8 - ODA provider certification: homemaker

Current through all regulations passed and filed through July 1, 2024
(A) Definitions for this rule:
(1) "Homemaker" means a service enabling
			 individuals to achieve and maintain clean, safe and healthy environments,
			 assisting individuals to manage their personal appointments and day-to-day
			 household activities, and ensuring individuals maintain their current living
			 arrangements.  Homemaker activities include the following when
			 authorized in the person-centered services plan:
(a) Assistance with meal planning.
(b) Meal preparation, grocery purchase
			 planning, and assisting individuals with shopping and other errands.
(c) Laundry, including
			 washing, drying, folding, ironing, and putting
			 away laundry in the individual's home and washing and
			 drying at a laundromat if the individual does not have a working washer and
			 dryer.
(d) House cleaning
			 including dusting furniture, sweeping, vacuuming, and mopping floors; kitchen
			 care including dishes, appliances, and counters; bathroom care; emptying and
			 cleaning bedside commodes; changing bed linens; washing inside windows within
			 reach from the floor; and removing trash.
(e) Errands outside of the presence of the
			 individual which are needed by the individual to maintain the individual's
			 health and safety (e.g., picking up a prescription or groceries for the
			 individual).
(f)
										Acting as a travel attendant for
			 individuals.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.9 - ODA provider certification: home modification

Current through all regulations passed and filed through July 1, 2024
(A)
								"Home
			 modification" has the same meaning as "home modifications" in rule
			 5160-44-13 of the Administrative
			 Code.
(B)
								Requirements for ODA-certified providers of home
			 modification:
(1)
									The provider is subject to rule
			 173-39-02 of the Administrative
			 Code.
(2)
									The provider is subject to rule
			 5160-44-13 of the Administrative
			 Code.
(3)
									If a conflict exists between a requirement in rule
			 173-39-02 of the Administrative Code and a requirement in rule 5160-44-13 of
			 the Administrative Code, the provider shall comply with the requirement in rule
			 173-39-02 of the Administrative Code instead of the conflicting requirement in
			 rule 5160-44-13 of the Administrative
			 Code.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.10 - ODA provider certification: nutritional consultations

Current through all regulations passed and filed through July 1, 2024
(A) Definitions for
			 this rule:
(1) "Nutritional consultation"
			 (consultation) 
									means individualized guidance to an individual who has
			 special dietary needs. Consultations take into consideration the individual's
			 health; cultural, religious, ethnic, socio-economic background; and dietary
			 preferences and restrictions. Consultations are also known as medical nutrition
			 therapy. "Nutritional consultation" does not include either of the following:
(a) A consultation provided to an
			 individual's authorized representative or caregiver to improve the
			 
										individual's well-being.
(b) A consultation provided to an individual
			 if the individual receives a similar 
										service paid
			 (in full or in part) by medicare state plan medicaid, or another third-party
			 payer.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.11 - ODA provider certification: personal care

Current through all regulations passed and filed through July 1, 2024
(A) "Personal care" means hands-on assistance
			 with ADLs and IADLs (when incidental to providing ADLs) in the individual's
			 home and community.
(1)
									Personal care
			 activities include the following when authorized in a person- centered services
			 plan:
(a) Assisting the
			 individual with managing the home, handling personal affairs, and providing
			 assistance with self-administration of medications, as defined in rule
			 173-39-01 of the Administrative
			 Code.
(b) Assisting the
			 individual with ADLs and IADLs.
(c) Homemaker
			 activities listed in rule
			 173-39-02.8 of the Administrative
			 Code when those activities are specified in the individual's service plan and
			 are incidental to the activities in paragraphs (A)(1) and (A)(2) of this rule
			 or are essential to the health and welfare of the individual rather than the
			 individual's family.
(d) Providing an errand
			 outside of the presence of the individual that is needed by the individual to
			 maintain the individual's health and safety (e.g., picking up a prescription or
			 groceries for the individual).
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.12 - ODA provider certification: social work or counseling

Current through all regulations passed and filed through July 1, 2024
(A)
								Definitions for
			 this rule:
(1)
									"Social work or counseling" (service) means a service to an
			 individual or to an individual's caregiver to promote the individual's
			 physical, social, or emotional well-being; and the development and maintenance
			 of a stable and supportive environment for the individual.
(a)
										"Social work or
			 counseling" includes crisis interventions, grief counseling, and other social
			 work and counseling interventions that support the individual's health and
			 welfare.
(b)
										"Social work or counseling" does not include any of the
			 following:
(i)
											A
			 service provided in place of case management.
(ii)
											A service
			 provided to the individual's authorized representative or caregiver that is
			 unrelated to the individual's well-being.
(iii)
											A service
			 provided if the individual receives a similar service paid (in full or in part)
			 by medicare, state plan medicaid, or another third- party
			 payer.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.14 - ODA provider certification: home-delivered meals

Current through all regulations passed and filed through July 1, 2024
(A) "Home-delivered meal" means a meal
			 regulated by rule
			 5160-44-11 of the Administrative
			 Code.
(B)
								Requirements for
								
								every
			 ODA-certified provider of home-delivered meals :
(1)
									 The provider 
									is subject to rule
			 173-39-02 of the Administrative
			 Code.
(2) Requirements specific to
			 home-delivered meals:
(a) For all meals, the
			 provider 
										is subject to rule
			 5160-44-11 of the Administrative
			 Code.
(b) If ODA's designee
			 authorizes home-delivered meals for an individual, the provider shall provide
			 the individual with home-delivered meals that are kosher if the individual
			 requests a kosher diet.
(3) If a conflict exists between a
			 requirement in this rule or rule
			 173-39-02 of the Administrative
			 Code and a requirement in rule
			 5160-44-11 of the Administrative
			 Code, the provider shall comply with the requirement in this rule or rule
			 173-39-02 of the Administrative
			 Code instead of the conflicting requirement in rule
			 5160-44-11 of the Administrative
			 Code.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.15 - ODA provider certification: community integration

Current through all regulations passed and filed through July 1, 2024
(A)
								"Community
			 integration" means the service defined in rule
			 5160-44-14 of the Administrative
			 Code.
(B)
								Requirements for an ODA-certified provider of community
			 integration:
(1)
									The provider is subject to rule
			 173-39-02 of the Administrative
			 Code.
(2)
									The provider is subject to rule
			 5160-44-14 of the Administrative
			 Code.
(3)
									If a conflict exists between a requirement in rule
			 173-39-02 of the Administrative
			 Code and a requirement in rule
			 5160-44-14 of the Administrative
			 Code, the provider is subject to the requirement in rule
			 173-39-02 of the Administrative
			 Code instead of the conflicting requirement in rule
			 5160-44-14 of the Administrative
			 Code.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.16 - ODA provider certification: assisted living service

Current through all regulations passed and filed through July 1, 2024
(A) Definitions for this rule:
(1)
									"Assisted living
			 service" means either a basic service or memory care that promotes aging in an
			 RCF by supporting the individual's independence, choice, and
			 privacy.
(2) "
									Basic
			 service" means all of the following:
(a) A service that
			 includes the following :
(i)
											Personal care
			 under rule
			 3701-16-09 of the Administrative
			 Code, which includes
											
											hands-on assistance, supervision, and/or cuing of
			 ADLs, and IADLs.
(ii) Nursing , including the following:
(a) The initial and subsequent health
			 assessments under rule
			 3701-16-08 of the Administrative
			 Code.
(b)
												Other activities included in rules
			 3701-16-09 and
			 3701-16-09.1 of the
			 Administrative Code.
(iii) Coordinating three meals per
			 day and snacks according to rule
			 3701-16-10 of the Administrative
			 Code with access to food according to rule
			 5160-44-01 of the Administrative
			 Code.
(iv) Coordinating the social,
			 recreational, and leisure activities under rule
			 3701-16-11 of the Administrative
			 Code to promote community participation and integration, including non-medical
			 transportation to services and resources in the community.
(b) A
			 service that does not include the following:
(i) Housing.
(ii) Meals.
(iii) Twenty-four-hour skilled nursing
			 care.
(iv) One-on-one supervision
			 of an individual.
(3)
									"Census" means
			 the total number of residents in an RCF on a given day and includes any
			 resident who is temporarily absent from the RCF without being
			 discharged.
(4) "Memory care" means
			 a service that a provider provides in compliance with paragraph (D) of this
			 rule to an individual that a practitioner assessed,
			 then issued
									 a documented
			 diagnosis of any form of dementia.
(5)
									"Practitioner"
			 means a health care provider engaging in activities authorized by the
			 provider's license, certification, or registration.
(6)
			 "Resident call system" has the same meaning as in rule
			 3701-16-01 of the Administrative
			 Code.
(7) "Staff member" and
			 "staff" have the same meanings as in rule
			 3701-16-01 of the Administrative
			 Code.
Ohio Administrative Code › Title 173 - Department of Aging › Chapter 173-39 - Certification of Community-Based Long-Term Care Service Providers › Section 173-39-02.17 - ODA provider certification: community transition

Current through all regulations passed and filed through July 1, 2024
(A)
								"Community
			 transition" means the service defined in rule
			 5160-44-26 of the Administrative
			 Code.
(B)
								Requirements for an ODA-certified provider of community
			 transition:
(1)
									The provider is subject to rule
			 173-39-02 of the Administrative
			 Code.
(2)
									The provider is subject to rule
			 5160-44-26 of the Administrative
			 Code.
(3)
									If a conflict exists between a requirement in rule
			 173-39-02 of the Administrative
			 Code and a requirement in rule
			 5160-44-26 of the Administrative
			 Code, the provider is subject to the requirement in rule
			 173-39-02 of the Administrative
			 Code rather than the conflicting requirement in rule
			 5160-44-26 of the Administrative
			 Code.