Ohio Admin. Code 3701-43-14 - Authorization for payment of service coordination services
(A) Service
coordination services shall be authorized for eligible applicants pursuant to
rule 3701-43-13 of the Administrative
Code if all of the following apply:
(1)
Application for service coordination has been received in accordance with rule
3701-43-13 of the Administrative
Code;
(2) Service coordination
services are furnished by providers, who are approved under applicable
provisions of this chapter to provide the specific services requested and the
services are furnished within the period of eligibility for service
coordination;
(3) The service
coordination services are deemed necessary by the director for the applicant's
medically handicapping condition in accordance with medical policies and the
applicable standards of care as defined in paragraph (U) of rule
3701-43-01 of the Administrative
Code;
(4) The service coordinator
shall furnish to the director a comprehensive service plan in accordance with
medical policies verifying progress in the coordination of services for the
child.
(B) The
department shall notify the service coordinator, the local health department
jurisdiction and the applicant, parent, guardian or other legal representative
of the child in writing of approval or denial of authorization for provision of
services under this rule. The director shall issue this notification within
sixty days of the date of receipt of the completed application for service
coordination filed pursuant to rule
3701-43-13 of the Administrative
Code. A notice of proposed denial of authorization for service coordination
shall contain a statement of the reasons for the denial and a description of
the reconsideration procedure established by paragraph (B) of rule
3701-43-23 of the Administrative
Code.
Notes
Promulgated Under: 119.03
Statutory Authority: 3701.021
Rule Amplifies: 3701.021, 3701.022, 3701.023
Prior Effective Dates: 12/1/2001, 9/1/08
R.C. 119.032 review dates: 05/23/2008 and 09/01/2013
Promulgated Under: 119.03
Statutory Authority: 3701.021
Rule Amplifies: 3701.021, 3701.022, 3701.023
Prior Effective Dates: 12/1/2001
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