Ohio Admin. Code 5122-25-08 - Certification fees

(A) Deemed status

Providers who have received deemed status pursuant to rule 5122-25-04 of the Administrative Code are subject to the following fee structure:

(1) A provider applying for initial or renewal certification and deemed status that has obtained appropriate accreditation for all of the services in which it is seeking certification and for which its accrediting body has standards shall be exempt from paying a certification fee unless a fee is owed under paragraph (F) or (G) of this rule. Paragraph (C) of this rule is not applicable to a provider who has all services accredited for which an accrediting body has standards, regardless of requesting certification for other services.

(2) A provider applying for initial or renewal certification and deemed status which has obtained accreditation for some, but not all, of the services for which it is seeking certification and for which an accrediting body has standards shall pay a certification fee in accordance with paragraph (C) of this rule for those services which are not accredited, along with an additional partial deemed status fee of one thousand dollars. If applicable, the provider is also subject to a certification fee in accordance with paragraph (F) and/or paragraph (G) of this rule.

(B) Non-deemed status

(1) Initial certification: A provider not seeking deemed status shall pay the certification fee at the time of application.

(2) A non-deemed status provider seeking to renew its certification shall pay a renewal fee at least ninety days prior to the expiration of its current certification.

(C) The certification fee shall be based on the total number of services which are being certified, but are not accredited.

(1) The certification fee is two hundred dollars per service for each of the following services. The minimum certification fee is one thousand dollars.

(a) General services pursuant to rule 5122-29-03 of the Administrative Code;

(b) Mental health day treatment services pursuant to rule 5122-29-06 of the Administrative Code;

(c) Residential and inpatient substance use disorder services pursuant to rule 5122-29-09 of the Administrative Code;

(d) Crisis intervention services pursuant to rule 5122-29-10 of the Administrative Code;

(e) Driver intervention program pursuant to rule 5122-29-12 of the Administrative Code

(f) Case management services pursuant to rule 5122-29-13 of the Administrative Code;

(g) Peer recovery services pursuant to rule 5122-29-15 of the Administrative Code;

(h) Community psychiatric supportive treatment (CPST) service pursuant to rule 5122-29-17 of the Administrative Code;

(i) Therapeutic behavioral services and psychosocial rehabilitation services pursuant to rule 5122-29-18 of the Administrative Code;

(j) Prevention services pursuant to rule 5122-29-20 of the Administrative Code;

(k) Intensive home based treatment (IHBT) services pursuant to rule 5122-29-28 of the Administrative Code; and,

(l) Assertive community treatment (ACT) services pursuant to rule 5122-29-29 of the Administrative Code.

(2) The certification fee for all other services is one hundred dollars for each service to be certified. No minimum certification fee is owed under this paragraph, however a provider also seeking certification for one or more services in paragraph (C)(1) of this rule is subject to the one thousand dollars minimum specified by that paragraph.

(3) Peer run organizations, as certified pursuant to rule 5122-29-16 of the Administrative Code, shall be exempt from the certification fee.

(4) Fees are non-refundable.

(D) Additional services

(1) Non-deemed providers.

A non-deemed provider adding an additional service during the term of certification shall pay an additional certification fee based upon the schedule set forth in paragraph (C) of this rule for each occurrence of adding one or more additional service. Except no minimum certification fee is owed under this paragraph.

(2) Deemed providers.

A deemed provider adding an additional service during the term of certification shall pay an additional certification fee only for those additional services for which the provider is not accredited. The fee shall be calculated using the schedule set forth in paragraph (C) of this rule. Except no minimum certification fee is owed under this paragraph.

(E) A provider choosing not to renew its accreditation for some or all of its services shall be assessed a certification fee in accordance with this rule. The certification fee shall be due within sixty days of notification to the department of its decision not to apply to its accrediting body to renew some or all of its accredited services. A provider that fails to inform the department of its decision to not apply to its accrediting body for renewal of some or all of its accredited services no later than seven calendar days after its accrediting body deadline for applying for renewal, shall pay an additional fee of twenty-five hundred dollars. This fee shall be in addition to all other fees owed in accordance with this rule.

(F) If a certification application is returned for being incomplete, the application may be resubmitted but the provider may be required to pay a new certification fee in accordance with the provisions of this rule. The department may waive the new certification fee at its discretion. No fee is owed when the department notifies the applicant that its application is incomplete, but does not return the application.

(G) If the department notifies a provider that the application materials are non-compliant, the provider may submit an application corrective action plan with no penalty. If the department notifies a provider that the resubmitted documentation is non-compliant, the provider may again submit an application corrective action plan with no penalty. If the department notifies a provider that a third application plan of correction is required, the provider will incur a two hundred fifty dollar resubmission fee. The department may waive this fee at its discretion if the application only requires minor corrections. Each subsequent notification of a non-compliant application and application plan of correction requirement shall incur a five hundred dollar resubmission fee. The department may waive this fee at its discretion if the application only requires minor corrections.

(H) The certification fee must be paid by the provider into the sale of goods and services fund created pursuant to section 5119.44 of the Revised Code.

Replaces: 5122-25-08

Notes

Ohio Admin. Code 5122-25-08

Effective: 10/31/2019
Five Year Review (FYR) Dates: 10/31/2024
Promulgated Under: 119.03
Statutory Authority: 5119.36
Rule Amplifies: 5119.36
Prior Effective Dates: 10/01/2003, 07/01/2009, 02/01/2016