Ohio Admin. Code 5160-1-06.5 - Home and community based services (HCBS) waivers: assisted living
(A) The Ohio
department of aging (ODA) is responsible for the daily administration of the
assisted living HCBS waiver. ODA will administer this waiver pursuant to an
interagency agreement with the Ohio department of medicaid (ODM), in accordance
with section
5162.35
of the Revised Code.
(B) The
assisted living HCBS waiver is an alternative to nursing facility placement for
persons age twenty-one and over who require an intermediate level of care or a
skilled level of care as set forth in rule
5160-3-08
of the Administrative Code and are enrolled in the waiver.
(1) The assisted living HCBS waiver's
services and program eligibility criteria are set forth in Chapter 5160-33 of
the Administrative Code.
(2) The
maximum allowable reimbursement rates for assisted living HCBS waiver program
services are listed in appendix A to this rule.
(3) Assisted living HCBS reimbursement shall
be provided in accordance with rule
5160-1-60 of the
Administrative Code.
(4) The
billing maximum for the community transition service listed in appendix A to
this rule represents the cumulative maximum for the items purchased or deposits
made through the community transition service as set forth in rule 173-39-02.17
of the Administrative Code.
Notes
Promulgated Under: 119.03
Statutory Authority: 5166.02
Rule Amplifies: 173.54
Prior Effective Dates: 07/01/2006, 03/22/2008, 07/01/2011 (Emer.), 09/29/2011, 07/01/2013 (Emer.), 09/27/2013, 04/01/2017, 07/01/2019, 03/23/2020
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