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Ohio Administrative Code (Last Updated: January 12, 2021) |
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5160 Medicaid |
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Chapter5160-1. General Provisions |
5160-1-06.5. Home and community based services (HCBS) waivers: assisted living
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(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.