5160-32-04 Provider conditions of participation for the choices home and community based services (HCBS) waiver program.

 

 

 

TO BE RESCINDED

 

5160-32-04                  Provider conditions of participation for the choices home and community based services (HCBS) waiver program.

 

 

 

(A)   The purpose of this rule is to establish the conditions of participation under which providers are able to participate in the choices HCBS waiver program.

 

(B)    In order to obtain a medicaid provider agreement to be a choices provider, the provider must be certified by the Ohio department of aging (ODA) or its designee in accordance with the provisions of Chapter 173-39 of the Administrative Code.

 

(1)   The provider may be certified as either:

 

(a)   An ODA certified long-term care agency providers in accordance with the provisions of rule 173-39-03 of the Administrative Code, or

 

(b)   An ODA certified long-term care non-agency provider in accordance with the provisions of rule 173-39-03 of the Administrative Code, or

 

(c)    An ODA certified consumer-directed individual provider in accordance with the provisions of rule 173-39-03 of the Administrative Code.

 

(C)    Individuals enrolled in the choices HCBS waiver shall be given a free choice of qualified providers as set forth in 42 C.F.R. 431.51 (as in effect on October 1, 2010).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5160-32-04         Effective:	TO BE RESCINDED         12/20/2015	2
Five Year Review (FYR) Dates:	09/21/2015
CERTIFIED ELECTRONICALLY
Certification
12/04/2015
Date
Promulgated Under:	119.03
Statutory Authority:	5162.03, 5164.03, 5166.02
Rule Amplifies:	173.53
Prior Effective Dates:	8/30/01, 7/01/05, 7/01/06, 7/01/07, 9/29/2011