173-3-06.1 Adult day service.

 

 

 

Rule Summary and Fiscal Analysis (Part A)

 

Department of Aging

Agency Name

 

Tom Simmons

Division                                                                  Contact

 

50 West Broad Street 9th floor Columbus OH 43215-3363

614-728-2548

Agency Mailing Address (Plus Zip)                                       Phone                     Fax

173-3-06.1

Rule Number

NEW

TYPE of rule filing

Rule Title/Tag Line              Adult day service.

RULE SUMMARY

1.  Is the rule being filed consistent with the requirements of the RC 119.032 review? No

2.  Are you proposing this rule as a result of recent legislation? No

3.  Statute prescribing the procedure in accordance with the agency is required to adopt the rule: 119.03

4.  Statute(s) authorizing agency to adopt the rule: 173.02; 173.04; 173.392; Section 305 (a)(1)(C) of the Older Americans Act of 1965, 79 Stat. 210, 42

U.S.C. 3001, as amended in 2006; 45

C.F.R. 1321.11

5.  Statute(s) the rule, as filed, amplifies or implements: 173.04; 173.392, ; Section 321 of the Older Americans Act of 1965, 79 Stat. 210, 42 U.S.C. 3001, as amended in 2006

6.  State the reason(s) for proposing (i.e., why are you filing,) this rule:

ODA is proposing this new rule as part of a larger effort to codify ODA's standards for agreements between AAAs and providers who are not providing services under a Medicaid-funded program (i.e., providers who are non-certified providers under

section 173.392 of the Revised Code). This effort will bring ODA into compliance with sections 173.04 and 173.392 of the Revised Code, Section 305 (a)(1)(C) of the Older Americans Act, and 45 C.F.R. 1321.11.

7.  If the rule is an AMENDMENT, then summarize the changes and the content of the proposed rule; If the rule type is RESCISSION, NEW or NO CHANGE, then summarize the content of the rule:

This proposed new rule regulates adult day service for non-certified providers paid through means of a provider agreement entered into with an AAA. Specifically, the rule:

1.  Defines the terms "adult day service" and "direct-care staff";

2.  Itemizes the minimum requirements for an adult day service; including general requirements (e.g., conduct an initial assessment, conduct a health assessment, provide transportation to and from the facility, draft a care plan, obtain physician authorizations, interdisciplinary care conference, provide activities, provide lunch and snacks), facilities requirements (e.g., separate space for adult day services from other services in the same facility, compliance with the Americans with Disabilities act, a storage space for medications, a storage space for toxic substances, a toilet for every ten adult-day-service consumers present, a bathing facility, an emergency safety plan, evacuation drills, fire extinguishers, and smoke alarms), and staff requirements (e.g., staffing levels, activities staff, qualifications, initial training, continuing education, and performance reviews for the staff of a provider); and,

4. Establishes the units of an adult day service.

8.  If the rule incorporates a text or other material by reference and the agency claims the incorporation by reference is exempt from compliance with sections

121.71 to 121.74 of the Revised Code because the text or other material is generally available to persons who reasonably can be expected to be affected by the rule, provide an explanation of how the text or other material is generally available to those persons:

This response left blank because filer specified online that the rule does not incorporate a text or other material by reference.

9.  If the rule incorporates a text or other material by reference, and it was infeasible for the agency to file the text or other material electronically, provide an explanation of why filing the text or other material electronically was infeasible:

This response left blank because filer specified online that the rule does not

incorporate a text or other material by reference.

10.  If the rule is being rescinded and incorporates a text or other material by reference, and it was infeasible for the agency to file the text or other material, provide an explanation of why filing the text or other material was infeasible:

Not Applicable.

11.  If revising or refiling this rule, identify changes made from the previously filed version of this rule; if none, please state so:

On November 26, 2008, ODA revised the rule to:

1.  Change "no" to "yes" in the enhanced ADS column of Table 1 at the skilled nursing row and to add skilled nursing services to the list of enhanced ADS in paragraph (B)(1)(a)(ii) of the proposed new rule.

2.  Change "during all times that any consumer in the ADS facility requires the services" in paragraph (B)(6)(c) of the proposed new rule to "for a minimum of eight hours per month plus any additional time required for a consumer who requires the services."

3.  Delete "or," from the end of paragraph (B)(7)(b)(ii) of the proposed new rule.

12.  119.032 Rule Review Date:

(If the rule is not exempt and you answered NO to question No. 1, provide the scheduled review date. If you answered YES to No. 1, the review date for this rule is the filing date.)

NOTE: If the rule is not exempt at the time of final filing, two dates are required: the current review date plus a date not to exceed 5 years from the effective date for Amended rules or a date not to exceed 5 years from the review date for No Change rules.

FISCAL ANALYSIS

13.  Estimate the total amount by which this proposed rule would increase / decrease either revenues / expenditures for the agency during the current biennium (in dollars): Explain the net impact of the proposed changes to the budget of your agency/department.

This will have no impact on revenues or expenditures.

$0.00

ODA does not anticipate that the proposed adoption of this new rule would have any impact on the biennial budget established for ODA by the General Assembly because this proposed new rule should not create any expenses unforeseen when the General Assembly appropriate funds to ODA in Am. Sub. H. B. No. 119 (127th

G. A.).

14.  Identify the appropriation (by line item etc.) that authorizes each expenditure necessitated by the proposed rule:

322-490-618 Federal Aging Grants. 3M3-490-611 Federal Aging Nutrition.

3M4-490-612 Federal Independence Services. GRF-490-411 Senior Community Services.

GRF-490-414 Alzheimer's Respite.

15.  Provide a summary of the estimated cost of compliance with the rule to all directly affected persons. When appropriate, please include the source for your information/estimated costs, e.g. industry, CFR, internal/agency:

ODA estimates that there will be no cost of compliance to any directly-affected person as a result of the adoption of this rule. A consumer is not required to pay for an adult day service and thus has no cost of compliance. A provider who enters into a provider agreement under Chapter 173-3 of the Administrative Code to provide an adult day service is reimbursed for his/her fully-allocated costs, meaning any costs incurred by complying with this rule are compensated by funds administered under the chapter. Additionally, the provider sets the rate of reimbursement since he/she bids on the opportunity to win a provider agreement through a

competitive-bidding process.

16.  Does this rule have a fiscal effect on school districts, counties, townships, or municipal corporations? No

17.  Does this rule deal with environmental protection or contain a component dealing with environmental protection as defined in R. C. 121.39? No