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Ohio Administrative Code (Last Updated: January 12, 2021) |
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5160 Medicaid |
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Chapter5160-3. Long-Term Care Facilities; Nursing Facilities; Intermediate Care Facilities for the Individuals with Intellectual Disabilities |
Chapter5160-3. Long-Term Care Facilities; Nursing Facilities; Intermediate Care Facilities for the Individuals with Intellectual Disabilities
| 5160-3-01. Nursing facilities (NFs): definitions |
| 5160-3-01.1. [RESCINDED] |
| 5160-3-02. Nursing facilities (NFs): provider agreements |
| 5160-3-02.1. Nursing facilities (NFs): length and type of provider agreements |
| 5160-3-02.2. Nursing facilities (NFs): termination, denial, and non-revalidation of provider agreements |
| 5160-3-02.3. Nursing facilities (NFs): institutions eligible to participate in medicaid as NFs |
| 5160-3-02.4. Nursing facilities (NFs): mandatory dual participation in the medicare program |
| 5160-3-02.7. Nursing facilities (NFs): emergency and disaster plan, resident relocation, and required notifications |
| 5160-3-03.2. Nursing facilities (NFs): resident protection fund and collection of fines |
| 5160-3-04. Nursing facilities (NFs): payment during the Ohio department of medicaid (ODM) administrative appeals process for denial or termination of a provider agreement |
| 5160-3-04.1. Nursing facilities (NFs): payment during the survey agency's administrative appeals process for termination or non-renewal of medicaid certification |
| 5160-3-05. Level of care definitions |
| 5160-3-06. Criteria for the protective level of care |
| 5160-3-06.1. Institutions for mental diseases (IMDs) |
| 5160-3-07. Intermediate care for individuals with mental retardation and developmental disabilities [RESCINDED] |
| 5160-3-08. Criteria for nursing facility-based level of care |
| 5160-3-14. Process and timeframes for a level of care determination for nursing facility-based level of care programs |
| 5160-3-15. Preadmission screening and resident review (PASRR) definitions |
| 5160-3-15.1. Preadmission screening requirements for individuals seeking admission to nursing facilities |
| 5160-3-15.2. Resident review requirements for individuals residing in nursing facilities |
| 5160-3-15.3. Level of care review process for intermediate care facilities for the mentally retarded [RESCINDED] |
| 5160-3-16. Resident rights for nursing facilities (NFs) [RESCINDED] |
| 5160-3-16.1. Nursing facilities (NFs): resource assessment notice [RESCINDED] |
| 5160-3-16.2. Advance directives for nursing facilities (NFs) [RESCINDED] |
| 5160-3-16.3. Nursing facilities (NFs): private rooms |
| 5160-3-16.4. Nursing facilities (NFs): covered days and bed-hold days |
| 5160-3-16.5. Nursing facilities (NFs): personal needs allowance (PNA) accounts and other resident funds |
| 5160-3-17. Nursing facilities (NFs): payment methodology for the provision of outlier services [RESCINDED] |
| 5160-3-17.1. Outlier services in nursing facilities for individuals with severe maladaptive behaviors due to traumatic brain injury (NF-TBI services) [RESCINDED] |
| 5160-3-17.2. Pediatric outlier services in nursing facilities (NF-PED services) [RESCINDED] |
| 5160-3-17.3. Out-of-state nursing facility (NF) services for individuals with traumatic brain injury (TBI) [RESCINDED] |
| 5160-3-18. Nursing facilities (NFs): ventilator program |
| 5160-3-19. Nursing facilities (NFs): relationship of NF services to other covered medicaid services |
| 5160-3-20. Nursing facilities (NFs) : medicaid cost report filing, disclosure requirements, and records retention |
| 5160-3-22. Rate recalculations, interest on overpayments, penalties, repayment of overpayments, and deposit of repayment of overpayments for nursing facilities (NFs) [RESCINDED] |
| 5160-3-24. Nursing facilities (NFs): prospective rate reconsideration for possible calculation errors |
| 5160-3-30.1. Nursing facilities (NFs) and hospital long term care units appeal of the franchise permit fee (FPF) determination or re-determination |
| 5160-3-30.4. Nursing facilities (NFs), nursing homes (NHs), and long term care hospital beds: procedure for terminating the franchise permit fee (FPF) |
| 5160-3-32. Nursing facilities (NFs): debt estimation methodology |
| 5160-3-32.1. Nursing facilities (NFs): debt estimate and debt summary report procedure |
| 5160-3-32.2. Nursing facilities (NFs): successor liability agreements for operators |
| 5160-3-39. Payment and adjustment process for nursing facilities (NFs) |
| 5160-3-39.1. Nursing facilities (NFs): claim submission |
| 5160-3-41. Nursing facilities (NFs): placement into peer groups |
| 5160-3-42. Nursing facilities (NFs): chart of accounts |
| 5160-3-42.1. Nursing facilities (NFs): medicaid cost report [RESCINDED] |
| 5160-3-42.2. Nursing facilities (NFs): leased staff [RESCINDED] |
| 5160-3-42.3. Nursing facilities (NFs): capital asset and depreciation guidelines |
| 5160-3-42.4. Nursing facilities (NFs): non-reimbursable costs |
| 5160-3-43. Nursing facilities (NFs): method for establishing the total prospective rate. [RESCINDED] |
| 5160-3-43.1. Nursing facilities (NFs): case mix assessment instrument - minimum data set version 3.0 (MDS 3.0) |
| 5160-3-43.2. Nursing facilities (NFs): case mix classification system - resource utilization groups (RUG) |
| 5160-3-43.3. Nursing facilities (NFs): calculation of case mix scores |
| 5160-3-43.4. Nursing facilities (NFs): exception review process |
| 5160-3-57. Nursing facilities (NFs): tax costs payment rate |
| 5160-3-58. Nursing facilities (NFs): quality indicators and quality payment rate |
| 5160-3-64. Nursing facilities (NFs): payment for medicare part A cost sharing |
| 5160-3-64.1. Nursing facilities (NFs): payment for cost-sharing other than medicare part A |
| 5160-3-65. Nursing facilities (NFs): rates for providers with an initial date of certification on or after July 1, 2006 |
| 5160-3-65.1. Nursing facilities (NFs): rates for providers that change provider agreements |
| 5160-3-99. Payment methodology for state-operated intermediate care facilities for individuals with intellectual disabilities (ICFs/IID) |