Upon enrollment in an
ODM-administered waiver, the individual must sign an ODM-approved waiver
agreement accepting responsibility for the provisions in paragraphs (B)(1)(a)
to (B)(1)(t) of this rule. The signature requirement in paragraph (B)(1) of
this rule may be satisfied by an electronic signature or standard signature via
regular mail, or otherwise in no instance any later than at the next
face-to-face visit with the case manager.
Participate in, and cooperate during assessments to determine eligibility and
enrollment in the waiver and service needs.
(b) Decide who, besides the case manager,
will participate in the service planning process.
Participate in, and cooperate with, the
case manager and team in the development and implementation of
services plans and plans of
(d) Participate in the
recruitment, selection and dismissal of his or her providers.
(e) Participate in the development and
maintenance of back-up plans that meet the needs of the individual.
(f) Work with the case manager and/or
physician and the provider to identify and secure additional training within
the provider's scope of practice in order to meet the individual's specific
(g) Not direct the service
provider to act in a manner that is contrary to relevant ODM-administered
waiver program requirements, medicaid rules and regulations and all other
applicable laws, rules and regulations.
service delivery in a manner that includes, but is not limited to
the date and
location of service delivery,
start and end
of the provider, the
and the signatures
provider and the
dated signature of the
individual or authorized representative
signatures shall be obtained at the end of every visit or upon completion of
the scheduled service. When services are rendered in multiple visits per day,
signatures must be obtained upon completion of each visit.
(i) Notify the case manager when any change
in provider is necessary. Notification shall include the end date of the former
provider, and the start date of the new provider.
Authorize the exchange of information for
development of the
services plan with all of the
individual's service providers, and in compliance with the "Health Insurance
Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45
C.F.R. parts 160
and the medicaid safeguarding information
requirements set forth in 42 C.F.R. 431.000
along with sections
of the Revised Code.
accurate and complete information including, but not limited to medical
Utilize services in
accordance with the approved
(m) Communicate to the provider personal
preferences about the duties, tasks and procedures to be performed, and when
appropriate, about provider performance concerns.
(n) Report to the case manager any service
delivery issues including, but not limited to, service disruption, complaints
and concerns about the provider, and/or health and safety issues.
(o) Keep scheduled appointments and notify
the provider and case manager if he or she is going to miss a scheduled visit
(p) Treat the case
manager, team and providers with respect.
Report to the case manager any
significant changes, as defined in rule
of the Administrative Code, that may affect the provision of
Report to the case
manager, in accordance with rule
of the Administrative Code, incidents that may impact the health and welfare of
(s) Work with the
case manager and team to resolve problems and concerns.
(t) Refuse to participate in dishonest or
illegal activities involving providers, caregivers and team members.
When an individual receives
services from an agency provider, the individual shall identify a location in
his or her residence where a
containing a copy of his or her medication
profile, if one exists, shall be safely maintained. The
may also include the individual's medication administration record, treatment
administration record, aide assignment,
services plan and plans of