Ohio Admin. Code 5122-25-07 - Denial, revocation, and termination of certification
(A) The director
may deny or revoke certification for one or more of the following reasons:
(5)(6) The provider is
aware of an employee who has abused or neglected a client and has failed to
take appropriate disciplinary action to correct the situation;
(6)(7)
The provider fails to provide timely access to its records as requested by the
department;
(7)(8) Upon the renewal of
a provider's conditional
probationary certificate issued in accordance
with paragraph (A)
(F)(1) of rule
5122-25-05 of the Administrative
Code; or,
(8)(9) The provider:
(1) The provider fails to comply with any
certification standard for which it has not been granted deemed status in
accordance with rule
5122-25-02 of the Administrative
Code;
(2) The provider misuses or
fails to properly account for the disbursement of state or federal
funds;
(3) The provider provides
false or misleading information or documentation
to the department, Ohio medicaid, or a board;
(4) The provider permits an employee to
falsify information on client records;
(5)
The provider
becomes aware of an employee falsifying information on client records which
have been billed to the Ohio medicaid program for community mental health or
community addiction services and fails to pay back the funds within thirty days
or notify Ohio medicaid within thirty days.
(a) Loses accreditation as specified in
paragraphs (A) and (C) of rule
5122-25-02 of the Administrative
Code; or
(b) Fails to timely notify
the department of its decision not to renew its accreditation; or,
(c) If the provider or principal in the
provider has been convicted of medicaid fraud.
(10)
The provider
alters or modifies its certificate.
(B) The denial of an application for
certification or the revocation of certification is subject to appeal under
Chapter 119. of the Revised Code.
(C) Any provider which has had its
certification revoked pursuant to this rule shall not be eligible to apply to
the department for certification for at least five years from the date of
revocation without the written consent of the department.
Any provider with a principal who was a principal of
another organization that had its certification revoked shall not be eligible
to apply to the department for certification for at least five years from the
date of revocation without the written consent of the
department.
(D) Any provider
which has been denied certification pursuant to this rule shall not be eligible
to apply to the department for certification for at least three years from the
date of denial without the written consent of the department.
Any provider with a principal who was a principal of
another organization that had its certification denied shall not be eligible to
apply to the department for certification for at least three years from the
date of denial without the written consent of the department.
(E) A certificate shall be considered
terminated and invalid if the provider fails to reapply sixty days after the
department notifies the provider of its failure to file an application for
certification., voluntarily relinquishes the certificate, or goes out of
business.
(F) Certificates shall be
returned to the department upon denial, termination, revocation, or upon
voluntarily discontinuing operation of the provider.
Notes
Promulgated Under: 119.03
Statutory Authority: 5119.36
Rule Amplifies: 5119.36
Prior Effective Dates: 10/01/2003, 07/01/2009, 02/01/2016
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