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Rules in Effect

Download List of Currently Effective Rules​
Chapter 5123:1-1
Construction Assistance Funds
Distribution of state construction assistance funds for community adult facilities and early childhood and family centers
Distribution of community assistance funds for the acquisition of housing
Distribution of funds for residential accessibility and renovation projects
Chapter 5123:1-5
Fiscal
Trusts for supplemental services
Assistance to enable a county board to pay the nonfederal share of medicaid expenditures for home and community-based services
Chapter 5123:1-6
Information Systems
Access to confidential personal information
Chapter 5123:1-15
Protective Services
Protective services system for guardianship, trusteeship, protectorship, or conservatorship
Chapter 5123:2-1
County Boards of Developmental Disabilities
Administration and operation of county boards of developmental disabilities
Locally-funded transportation
Waiting lists
Service and support administration
Resolution of complaints involving county boards of developmental disabilities and appeals of adverse action proposed or initiated by county boards of developmental disabilities
Appendix - Complaint or Appeal of Adverse Action Explanation Form
In-service training for members of county boards of developmental disabilities
Chapter 5123:2-2
Provider Standards
Provider certification
Background investigations for employment​
Related Form - Attestation and Agreement to Notify Employer
Quality assurance
Compliance reviews of certified providers​
Employment first
Behavioral support strategies that include restrictive measures
Chapter 5123:2-3
Licensed Residential Facilities
Definitions
Licensure application, issuance, survey, renewal, and sanction procedures
Establishing a term license
Appendix A - Licensure Survey Tool
General requirements
Admission, discharge, and transfer
Employment and staffing
Staff training
Medication
Physical environment requirements
Fire safety and emergency response plans
Food, clothing, and personal items
Individual records
Personal funds of the individual
Procedures to waive licensure rule requirements
Emergency removal of individuals from a residential facility
Individual plan
Calculation of room and board payment for an individual residing in a residential facility
Licensed providers of waiver services
Receipt, investigation, and disposition of complaints
Public notification program of adverse action taken by the department
Licensing fees for residential facilities
Issuance of interim licenses
Participation of individuals in day activities
​Development of licensed residential beds
Chapter 5123:2-5
Certification of County Board Employees
Adult services certification standards
Service and support administration certification standards
Superintendent certification standards
Denial, suspension, and revocation of registration and certification
Early intervention services certification standards
Investigative agent certification standards
Chapter 5123:2-6
Administration of Prescribed Medications, Performance of Health-Related Activities, and Performance of Tube Feedings
Definitions
Self-administration or assistance with the self-administration of prescribed  medication
Authorization of MR/DD personnel to administer prescribed medications, perform health-related activities, or perform tube feedings
Qualifications, training, and certification of registered nurses to train MR/DD personnel in the administration of prescribed medications, performance of health-related activities, and performance of tube feedings
Qualifications and training for registered nurses to train MR/DD personnel and for MR/DD personnel in the administration of prescribed medications and the performance of tube feedings for individuals of a residential facility with seventeen or more beds who are on a field trip from the facility
Qualifications, training, and certification of MR/DD personnel in the administration of prescribed medications, performance of health-related activities, and performance of tube feedings
General provisions and compliance in the administration of prescribed medications, performance of health-related activities, and performance of tube feedings
Chapter 5123:2-7
Intermediate Care Facilities
​Intermediate care facilities - definitions
​Intermediate care facilities - provider agreements
​Intermediate care facilities - institutions eligible to participate in medicaid
Intermediate care facilities - payment during the Ohio office of medical assistance administrative appeals process for termination of a provider agreement​
Intermediate care facilities - payment during the state survey agency's administrative appeals process for termination or non-renewal of medicaid certification​
Intermediate care facilities - level of care review process​
Intermediate care facilities - resource assessment notice​
Intermediate care facilities - coverage of bed-hold days for medical necessity and other limited absences​
Intermediate care facilities - personal needs allowance accounts and other resident funds​
Intermediate care facilities - outlier services for behavioral redirection and medical monitoring​
Intermediate care facilities - relationship of other covered medicaid services​
Intermediate care facilities - medicaid cost report, record retention, and disclosure requirements​
Intermediate care facilities - rate recalculations, interest on overpayments, penalties, repayment of overpayments, and deposit of repayment of overpayments​
Intermediate care facilities - debt estimation, debt summary report, and successor liability agreements for change of operator, facility closure, voluntary termination, involuntary termination, or voluntary withdrawal​
Intermediate care facilities - payment and adjustment process​
Intermediate care facilities - chart of accounts
Appendix - Chart of Accounts​
Intermediate care facilities - leased staff services​
Intermediate care facilities - capital asset and depreciation guidelines
Appendix - Estimated Useful Lives of Capital Assets​
Intermediate care facilities - nonreimbursable costs​
Intermediate care facilities - resident assessment classification and case mix payment system​
Intermediate care facilities - compensation cost limits, reasonable costs for compensation, and compensation disallowances if any for owners and relatives of owners​
Intermediate care facilities - compensation cost limits, reasonable costs for compensation, and compensation disallowances if any for administrators​
Intermediate care facilities - method for establishing the other protected costs component of the prospective rate​
Intermediate care facilities - cost of ownership, efficiency incentive, and reporting of accumulated depreciation​
Intermediate care facilities - nonextensive renovation​
Intermediate care facilities - active treatment day programming​
Intermediate care facilities - prospective rate reconsideration on the basis of possible calculation errors​
Intermediate care facilities - prospective rate reconsideration on the basis of extreme hardship upon admission of a resident from a state-operated developmental center​
Intermediate care facilities - outlier services for pediatric ventilator services
Intermediate care facilities - exception review process
Chapter 5123:2-9
Home and Community-Based Services Waivers
Home and community-based services waivers - enrollment and disenrollment
Home and community-based services waivers - documentation and payment for services under the individual options and level one waivers
Appendix A - Ohio Developmental Disabilities Profile Funding Ranges by Cost-of-Doing Business Categories
Appendix B - Cost-of-Doing-Business Categories​
Home and community-based services waivers - request for prior authorization for individuals enrolled in the individual options waiver
HCBS waivers - free choice of provider
Appendix A - Elements of a Checklist for Provider Choice Process
Home and community-based services waivers - vocational habilitation under the individual options, level one, and self-empowered life funding waivers​
Appendix A - Billing Units, Service Codes, and Payment Rates for Vocational Habilitation
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - supported employment-community under the individual options and level one waivers​
Appendix A - Billing Units, Service Codes, and Payment Rates for Supported Employment-Community
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - supported employment-enclave under the individual options, level one, and self-empowered life funding waivers 
Appendix A - Billing Units, Service Codes, and Payment Rates for Supported Employment-Enclave 
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - adult day support under the individual options, level one, and self-empowered life funding waivers
Appendix A - Billing Units, Service Codes, and Payment Rates for Adult day Support 
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - non-medical transportation under the individual options, level one, and self-empowered life funding waivers
Appendix A - Billing Units, Service Codes, and Payment Rates for Non-Medical Transportation 
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - general requirements for adult day support, non-medical transportation, supported employment-community, supported employment-enclave, and vocational habilitation
Appendix A - Staff Intensity Ratios
Appendix B - Cost-of-Doing Business Categories
Appendix C - Budget Limitations
Home and community-based services waivers - informal respite under the level one waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Informal Respite
Home and community-based services waivers - community respite under the individual options, level one, and self-empowered life funding waivers
Appendix A - Billing Units, Service Codes, and Payment Rates for Community Respite
Appendix B - Cost-of-Doing Business Categories
Home and community-based services waivers - environmental accessibility adaptations under the individual options and level one waivers
Appendix - Billing Unit, Service Code, and Payment Rates for Environmental Accessibility Adaptations
Home and community-based services waivers - transportation under the individual options and level one waivers
Appendix - Billing Unit, Service Codes, and Payment Rates for Transportation
Home and community-based services waivers - specialized medical equipment and supplies under the individual options and level one waivers
Appendix - Billing Unit, Service Codes, and Payment Rates for Specialized Medical Equipment and Supplies
Home and community-based services waivers - personal emergency response systems under the level one waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Personal Emergency Response Systems
Home and community-based services waivers - emergency assistance under the level one waiver
Appendix - Service Codes for Services Provided as Emergency Assistance Under the Level One Waiver
Home and community-based services waivers - nutrition services under the individual options waiver
Appendix A - Billing Unit, Service Code, and Payment Rates for Nutrition Services
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - home-delivered meals under the individual options and level one waivers
Appendix - Billing Unit, Service Code, and Payment Rate for Home-Delivered Meals
Home and community-based services waivers - homemaker/personal care under the individual options and level one waivers
Appendix A - Billing Units, Service Codes, and Payment Rates for Homemaker/Personal Care
Application of Appendix A
Appendix B - Cost-of-Doing Business Categories
Home and community-based services waivers - homemaker/personal care daily billing unit for sites where individuals enrolled on the individual options waiver share services
Appendix - Service Codes for Homemaker/Personal Care Daily Billing Unit Under the Individual Options Waiver
Home and community-based services waivers - adult family living under the individual options waiver
Appendix A - Billing Units, Service Codes, and Payment Rates for Adult Family Living
Appendix B - Cost-Of-Doing-Business Categories
Home and community-based services waivers - adult foster care under the individual options waiver
Appendix A - Billing Unit, Service Codes, and Payment Rates for Adult Foster Care
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - residential respite under the individual options, level one, and self-empowered life funding waivers
Appendix - Billing Units, Service Codes, and Payment Rates for Residential Respite
Home and community-based services waivers - remote monitoring and remote monitoring equipment under the individual options, level one, and self-empowered life funding waivers
Appendix - Billing Units, Service Codes, and Payment Rates for Remote Monitoring and Remote Monitoring Equipment
Home and community-based services waivers - interpreter services under the individual options waiver
Appendix A - Billing Unit, Service Code, and Payment Rates for Interpreter Services
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - social work under the individual options waiver
Appendix A - Billing Unit, Service Code, and Payment Rates for Social Work
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - administration of the self-empowered life funding waiver​
Home and community-based services waivers - clinical/therapeutic intervention under the self-empowered life funding waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Clinical/Therapeutic Intervention ​
Home and community-based services waivers - community inclusion under the self-empowered life funding waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Community Inclusion​
Home and community-based services waivers - functional behavioral assessment under the self-empowered life funding waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Functional Behavioral Assessment​
Home and community-based services waivers - integrated employment under the self-empowered life funding waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Integrated Employment​​
Home and community-based services waivers - participant-directed goods and services under the self-empowered life funding waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Participant-Directed Goods and Services​
Home and community-based services waivers - participant/family stability assistance under the self-empowered life funding waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Participant/Family Stability Assistance​
Home and community-based services waivers - support brokerage under the self-empowered life funding waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Support Brokerage​
Home and community-based services waivers - administration of the transitions developmental disabilities waiver​
Home and community-based services waivers - adult day health center services under the transitions developmental disabilities waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Adult Day Health Center Services
Home and community-based services waivers - emergency response services under the transitions developmental disabilities waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Emergency Response Services
Home and community-based services waivers - home-delivered meals under the transitions developmental disabilities waiver​
Appendix - Billing Unit, Service Code, and Payment Rate for Home-Delivered Meals
Home and community-based services waivers - home modification services under the transitions developmental disabilities waiver​
Appendix - Billing Unit, Service Code, and Payment Rate for Home Modification Services
Home and community-based services waivers - out-of-home respite under the transitions developmental disabilities waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Out-of-Home Respite
Home and community-based services waivers - personal care aide services under the transitions developmental disabilities waiver​
Appendix - Billing Units, Service Codes, and Payment Rates for Personal Care Aide Services
Home and community-based services waivers - supplemental adaptive and assistive devices under the transitions developmental disabilities waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Supplemental Adaptive and Assistive Devices
Home and community-based services waivers - supplemental transportation under the transitions developmental disabilities waiver​
Appendix - Billing Unit, Service Code, and Payment Rate for Supplemental Transportation
Home and community-based services waivers - waiver nursing services under the transitions developmental disabilities waiver​
Appendix - Billing Units, Service Codes, and Payment Rates for Waiver Nursing Services
Chapter 5123:2-14
Preadmission Screening and Resident Review
Preadmission screening and resident review for nursing facility applicants and nursing facility residents with developmental disabilities
Chapter 5123:2-17
Resolution of Complaints, Major Unusual Incidents, and Abuser Registry
Administrative resolution of complaints involving the Ohio department of developmental disabilities
Addressing major unusual incidents and unusual incidents to ensure health, welfare, and continuous quality improvement
Appendix A - Administrative Investigation Procedure for Major Unusual Incidents in Category A
Appendix B - Administrative Investigation Procedure for Major Unusual Incidents in Category B
Appendix C - Administrative Investigation Procedure for Major Unusual Incidents in Category C
Abuser registry 
Chapter 5123:2-19
Receivers of Residential Facilities
Standards for evaluating applicants as potential receivers of residential facilities