Ohio Admin. Code 5123-9-36 - Home and community-based services waivers - interpreter services under the individual options waiver
(A)
Purpose
This rule defines interpreter services and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service.
(B)
Definitions
For the purposes of this rule, the following definitions apply:
(1)
"Agency provider" has the same meaning as in rule
5123-2-08 of the Administrative
Code.
(2)
"County board" means a county board of developmental
disabilities.
(3)
"Department" means the Ohio department of developmental
disabilities.
(4)
"Independent provider" has the same meaning as in rule
5123-2-09 of the Administrative
Code.
(5)
"Individual" means a person with a developmental
disability or for purposes of giving, refusing to give, or withdrawing consent
for services, the person's guardian in accordance with section
5126.043 of the Revised
Code.
(6)
"Individual service plan" means the written description
of services, supports, and activities to be provided to an
individual.
(7)
"Interpreter services" means the process by which one
person's message is conveyed to another in a manner that incorporates both the
message and attitude of the communicator.
(8)
"Service
documentation" means all records and information on one or more documents,
including documents that may be created or maintained in electronic software
programs, created and maintained contemporaneously with the delivery of
services, and kept in a manner as to fully disclose the nature and extent of
services delivered that shall include the items delineated in paragraph (E) of
this rule to validate payment for medicaid services.
(C)
Provider
qualifications
(1)
Interpreter services shall be provided by a person
who:
(a)
Holds a
certification recognized by the registry of interpreters for the
deaf;
(b)
Is either an independent provider or the employee of an
agency provider that meets the requirements of this rule and that has a
medicaid provider agreement with the Ohio department of medicaid;
and
(c)
Meets one of the following standards:
(i)
Has graduated
from an interpreter training program (of a minimum of two-years) and has at
least one year of documented experience providing interpreter
services;
(ii)
Has successfully completed a written test administered
by the registry of interpreters for the deaf and has at least one year of
documented experience providing interpreter services; or
(iii)
Has at least
two years of documented experience interpreting for persons who are deaf or
hard of hearing.
(2)
An applicant
seeking approval to provide interpreter services shall complete and submit an
application through the department's website (http://dodd.ohio.gov/
).
(D)
Requirements for service delivery
(1)
Interpreter
services shall be provided pursuant to an individual service plan that conforms
to the requirements of rule
5123-4-02 of the Administrative
Code.
(2)
A person providing interpreter services shall:
(a)
Maintain a role
of facilitator of communication rather than the initiator of communication;
and
(b)
Render the message faithfully, always conveying the
content and spirit of the individual being served, using language most readily
understood by the individual.
(3)
A person
providing interpreter services shall not counsel, advise, or interject personal
opinions.
(E)
Documentation of services
Service documentation for interpreter services shall include each of the following to validate payment for medicaid services:
(1)
Type of service.
(2)
Date of
service.
(3)
Place of service.
(4)
Name of
individual receiving service.
(5)
Medicaid
identification number of individual receiving service.
(6)
Name of
provider.
(7)
Provider identifier/contract number.
(8)
Written or
electronic signature of the person delivering the service, or initials of the
person delivering the service if a signature and corresponding initials are on
file with the provider.
(9)
Group size in which the service was
provided.
(10)
Description and details of the services delivered that
directly relate to the services specified in the approved individual service
plan as the services to be provided.
(11)
Number of units
of the delivered service.
(12)
Times the
delivered service started and stopped.
(F)
Payment
standards
(1)
The billing unit, service code, and payment rates for
interpreter services are contained in appendix A to this rule.
(2)
Payment rates for
interpreter services are based on the county cost-of-doing-business category.
The cost-of-doing-business categories are contained in appendix B to this
rule.
(3)
Payment rates for interpreter services are established
separately for services provided by independent providers and services provided
through agency providers.
(4)
Payment rates for interpreter services are based on the
number of individuals receiving services.
Replaces: 5123:2-9-36
Notes
Promulgated Under: 119.03
Statutory Authority: 5123.04, 5123.049, 5123.1611
Rule Amplifies: 5123.04, 5123.045, 5123.049, 5123.16, 5123.161, 5123.1611, 5166.21
Prior Effective Dates: 11/03/2011, 07/01/2017
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