Effective: October 12, 2016
Latest Legislation: House Bill 158 - 131st General Assembly
The department of medicaid shall enter into a contract with the department of developmental disabilities under section 5162.35 of the Revised Code with regard to one or more of the medicaid waiver components created by the department of medicaid under section 5166.20 of the Revised Code. The contract shall include the medicaid waiver component known as the transitions developmental disabilities waiver. The contract shall provide for the department of developmental disabilities to administer the components in accordance with the terms of the federal medicaid waivers authorizing the components. The contract shall include a schedule for the department of developmental disabilities to begin administering the transitions developmental disabilities waiver.
If the department of developmental disabilities or the department of medicaid denies an individual's application for home and community-based services provided under any of these medicaid components, the department that denied the services shall give timely notice to the individual that the individual may appeal pursuant to section 5160.31 of the Revised Code.
The departments of developmental disabilities and medicaid may approve, reduce, deny, or terminate a medicaid service included in the individual service plan developed for a medicaid recipient eligible for home and community-based services provided under any of these medicaid components. The departments shall consider the recommendations a county board of developmental disabilities makes under division (A)(1)(c) of section 5126.055 of the Revised Code. If either department approves, reduces, denies, or terminates a medicaid service, that department shall give timely notice to the medicaid recipient that the recipient may appeal pursuant to section 5160.31 of the Revised Code.
If supported living, as defined in section 5126.01 of the Revised Code, is to be provided as a medicaid service under any of these components, any person or government entity with a current, valid provider agreement and a current, valid certificate under section 5123.161 of the Revised Code may provide the medicaid service.
If a medicaid service is to be provided under any of these components by a residential facility, as defined in section 5123.19 of the Revised Code, any person or government entity with a current, valid provider agreement and a current, valid license under section 5123.19 of the Revised Code may provide the medicaid service.
Structure Ohio Revised Code
Chapter 5166 | Federal Medicaid Waiver Programs
Section 5166.01 | Definitions.
Section 5166.02 | Rules Governing Medicaid Waiver Components.
Section 5166.03 | Notice of Intent to Request Medicaid Waiver.
Section 5166.04 | Home and Community-Based Services Medicaid Waiver Components.
Section 5166.05 | Review of Plans of Care and Individual Service Plans.
Section 5166.06 | Agency Records of Costs of Medicaid Waiver Components.
Section 5166.07 | Agency Accountable for Medicaid Waiver Components Funds.
Section 5166.08 | Agency Contracting for Medicaid Waiver Components; Assurance of Compliance.
Section 5166.10 | Transfer of Enrollee in One Medicaid Waiver Component to Another.
Section 5166.12 | Determination Regarding Continuation of the Ohio Home Care Waiver Program.
Section 5166.121 | Home First Component for the Ohio Home Care Waiver Program.
Section 5166.14 | Unified Long-Term Services and Support Medicaid Waiver Component.
Section 5166.16 | Integrated Care Delivery System Medicaid Waiver.
Section 5166.161 | Home and Community-Based Services for Holocaust Survivors.
Section 5166.20 | Additional Medicaid Waiver Components for Home and Community-Based Services.
Section 5166.21 | Transitions Developmental Disabilities Waiver.
Section 5166.22 | Allocating Enrollment Numbers to County Board of Developmental Disabilities.
Section 5166.30 | Coverage of Home Care Attendant Services.
Section 5166.301 | Home Care Attendant Services Providers.
Section 5166.302 | Continuing Education Requirements for Home Care Attendants.
Section 5166.303 | Responsibilities of Home Care Attendants.
Section 5166.304 | Nursing Assistance by Home Care Attendants.
Section 5166.305 | Nursing Assistance by Home Care Attendants; Consent and Authorization.
Section 5166.306 | Nursing Assistance by Home Care Attendants; Written Statement Providing Consent.
Section 5166.307 | Nursing Assistance by Home Care Attendants; Written Statement of Authorization.
Section 5166.308 | Nursing Assistance by Home Care Attendants; Unauthorized Actions.
Section 5166.3010 | Authorized Representative.
Section 5166.32 | Medicaid Waiver for Individuals With Cystic Fibrosis.
Section 5166.40 | Definitions.
Section 5166.401 | Enrolllment for Healthy Ohio Program Participants.
Section 5166.402 | Buckeye Accounts for Participants.
Section 5166.403 | Debit Swipe Cards.
Section 5166.404 | Points Award System.
Section 5166.405 | Cessation of Participation.
Section 5166.406 | Exhaustion of Payout Limits.
Section 5166.407 | Disqualification for Medicaid; Disposition of Remainder in Buckeye Account.
Section 5166.408 | Referral to Workforce Development Agency.