Ohio Admin. Code 173-39-02.17 - ODA provider certification: community transition

(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.

(C) Units and rates:

(1) For the assisted living program:

(a) The appendix to rule 5160-1-06.5 of the Administrative Code lists the unit of community transition as one completed job per individual per enrollment in the assisted living program and includes any of the expenses listed under paragraph (A)(1) of rule 5160-44-26 of the Administrative Code.

(b) The rate per job is subject to the maximum-allowable rate established in the appendix to rule 5160-1-06.5 of the Administrative Code and the per-individual-per-enrollment limit in paragraph (C)(2) of rule 5160-44-26 of the Administrative Code.

(c) Rule 5160-33-07 of the Administrative Code establishes the unit rate as a rate that is negotiated between the provider and ODA's designee. The negotiated rate includes any of the expenses listed under paragraph (A)(1) of rule 5160-44-26 of the Administrative Code. The provider is ineligible to receive a payment for a unit of community transition that exceeds the negotiated rate, unless ODA's designee approves a revised rate.

(2) For the PASSPORT program:

(a) The appendix to rule 5160-1-06.1 of the Administrative Code lists the unit of community transition as one completed job per individual per enrollment in the PASSPORT program and includes any of the expenses listed under paragraph (A)(1) of rule 5160-44-26 of the Administrative Code.

(b) The rate per job is subject to the maximum-allowable rate established in the appendix to rule 5160 1 06.1 of the Administrative Code and the per-individual-per-enrollment limit in paragraph (C)(2) of rule 5160-44-26 of the Administrative Code.

(c) Rule 5160-31-07 of the Administrative Code establishes the unit rate as a rate that is negotiated between the provider and ODA's designee. The negotiated rate includes any of the expenses listed under paragraph (A)(1) of rule 5160-44-26 of the Administrative Code. The provider is ineligible to receive a payment for a unit of community transition that exceeds the negotiated rate, unless ODA's designee approves a revised rate.

Replaces: 173-39-02.17

Notes

Ohio Admin. Code 173-39-02.17

Effective: 5/1/2024
Five Year Review (FYR) Dates: 05/01/2029
Promulgated Under: 119.03
Statutory Authority: 121.07, 173.01, 173.02, 173.391, 173.52, 173.522, 173.54, 173.543
Rule Amplifies: 173.39, 173.391, 173.52, 173.522, 173.54, 173.543; 42 C.F.R. 441.352
Prior Effective Dates: 03/31/2006, 03/22/2008, 07/03/2008, 06/10/2013, 07/01/2019