Weekly Report - 16/09/2013 to 20/09/2013, Ohio Administrative Register

Weekly Report - 16/09/2013 to 20/09/2013

1. New

Definitions.
Deemed certification.
- Hearing Meeting: 9/30/2013
"Step Up To Quality" (SUTQ): program standards.
- Hearing Meeting: 10/1/2013
"Step Up To Quality" (SUTQ): eligibility for registration.
- Hearing Meeting: 10/1/2013
"Step Up To Quality" (SUTQ): desk reviews, verification visits and star rating awards.
- Hearing Meeting: 10/1/2013
"Step Up To Quality" (SUTQ): changes, renewals, removals or requests to withdraw a SUTQ rating.
- Hearing Meeting: 10/1/2013
"Step Up To Quality" (SUTQ): request for review.
- Hearing Meeting: 10/1/2013
Case management schedules and special case management procedures.
- Hearing Meeting: 10/9/2013
Small claims docket.
- Hearing Meeting: 10/9/2013
Statutory transcripts.
- Hearing Meeting: 10/9/2013
Mediation.
- Hearing Meeting: 10/9/2013
Filings.
- Hearing Meeting: 10/9/2013
Non-adjudicatory meetings of the board of tax appeals.
- Hearing Meeting: 10/9/2013
Notice of meetings of the board of tax appeals.
- Hearing Meeting: 10/9/2013

2. Amendment

Industry-specific safety program.
- Hearing Meeting: 9/27/2013
One claim program.
- Hearing Meeting: 9/27/2013
Outpatient medication formulary.
Payment rates and procedures for providers of publicly funded child care.
- Hearing Meeting: 10/1/2013
Food assistance: time limit for able-bodied adults without dependents.
- Hearing Meeting: 10/1/2013
Medicaid: definitions.
- Hearing Meeting: 1/9/2012
Medicaid: administrative agency responsibilities.
- Hearing Meeting: 9/9/2012
Medicaid: income, exemptions, and disregards.
- Hearing Meeting: 1/9/2012
Medicaid: notice of privacy practices.
- Hearing Meeting: 2/14/2011
Medicaid: outstationing workers at disproportionate share hospitals and federally qualified health centers.
- Hearing Meeting: 10/15/2005
Medicaid: conditions of eligibility and verifications.
- Hearing Meeting: 1/1/2010
Medicaid: United States (U.S.) citizenship documentation.
- Hearing Meeting: 9/1/2007
Medicaid: criteria for age, blindness and disability.
- Hearing Meeting: 10/1/2002
Medicaid premium assistance program (MPAP).
- Hearing Meeting: 10/1/2002
Medicare qualified disabled and working individuals (QDWI).
- Hearing Meeting: 10/1/2006
Medicaid: grandfathering provisions resulting from the implementation of the supplemental security income (SSI) program.
- Hearing Meeting: 10/1/2002
Medicaid: transfer of resources.
- Hearing Meeting: 10/20/2006
Medicaid: determining patient liability.
- Hearing Meeting: 11/1/2013
Medicaid: income and patient liability determinations for individuals under the assisted living home and community based waiver.
- Hearing Meeting: 9/15/2006
Medicaid: liquid assets as resources.
- Hearing Meeting: 11/25/1985
Medicaid: property agreements.
- Hearing Meeting: 10/1/2006
MAGI-based medicaid: coverage for Ribicoff and former foster care adults.
- Hearing Meeting: 1/1/2008
MAGI-based medicaid: coverage for a parent or caretaker relative residing with a child.
- Hearing Meeting: 1/1/2010
Medicaid: the residential state supplement (RSS) program.
- Hearing Meeting: 7/1/2002
Medicaid: medicaid buy-in for workers with disabilities (MBIWD).
- Hearing Meeting: 7/1/2002
Medicaid: alien emergency medical assistance (AEMA).
- Hearing Meeting: 3/1/2005
Medicaid: covered group eligibility for family planning services.
- Hearing Meeting: 1/8/2012
Medical supplies and the medicaid supply list.
- Hearing Meeting: 3/29/2012
Wheelchairs.
- Hearing Meeting: 10/29/2009
Wheelchair rentals.
- Hearing Meeting: 4/25/2011
Covered orthotic and prosthetic services and associated limitations.
- Hearing Meeting: 3/29/2012
Payment for "Medicare Part B" cost sharing.
- Hearing Meeting: 10/29/2009
Home and community-based service waivers: PASSPORT.
- Hearing Meeting: 9/27/2013
Home and community-based services (HCBS) waivers: choices.
- Hearing Meeting: 9/27/2013
Definitions: independent laboratory, portable x-ray supplier, independent diagnostic testing facility (IDTF), and mammography supplier.
- Hearing Meeting: 6/1/2009
Provider requirements: independent laboratory, portable x-ray supplier, independent diagnostic testing facility (IDTF), mammography supplier, and other providers of laboratory services.
- Hearing Meeting: 6/1/2009
Laboratory services: coverage and limitations.
- Hearing Meeting: 3/30/2008
Laboratory: exceptions for FQHCs, RHCs, OHFs, and hospital outpatients.
- Hearing Meeting: 5/25/2006
Laboratory specimens sent to the Ohio department of health (ODH) state laboratories.
- Hearing Meeting: 5/25/2006
Portable x-ray suppliers: covered services and limitations.
- Hearing Meeting: 5/25/2006
Independent diagnostic testing facility: coverage and limitations.
- Hearing Meeting: 5/25/2006
Reimbursement for laboratory, portable x-ray supplier, and independent diagnostic testing facilities.
- Hearing Meeting: 4/1/2004
Radiology procedures that are subject to the clinical laboratory improvement amendments (CLIA) requirements.
- Hearing Meeting: 3/27/2006
Notification of rule and program changes.
- Hearing Meeting: 8/1/2009
Reimbursement: home health services.
- Hearing Meeting: 10/1/2011
Reimbursement: private duty nursing services.
- Hearing Meeting: 10/1/2011
Medicaid fraud, waste, and abuse.
- Hearing Meeting: 10/8/2009
Transportation: definitions.
- Hearing Meeting: 3/27/2006
Medical transportation services: provider participation and documentation requirements.
- Hearing Meeting: 3/27/2006
Medical transportation services: eligible providers.
- Hearing Meeting: 10/29/2009
Medical transportation: covered services and limitations.
- Hearing Meeting: 3/27/2006
Medical transportation services: reimbursement.
- Hearing Meeting: 7/1/2008
Medical transportation services: ambulette services provided by ground ambulance vehicles.
- Hearing Meeting: 1/1/2006
Medicaid payment.
- Hearing Meeting: 9/1/2013
Rural health clinics (RHCs): definitions and eligibility.
- Hearing Meeting: 7/1/2006
Rural health clinics (RHCs): covered services.
- Hearing Meeting: 7/1/2006
Rural health clinics (RHCs): limitations and noncovered services.
- Hearing Meeting: 7/1/2006
Rural health clinics (RHCs): supplemental payments.
- Hearing Meeting: 7/1/2006
Rural health clinics (RHCs): prospective payment system (PPS).
- Hearing Meeting: 7/1/2006
Coordinated services program.
- Hearing Meeting: 1/1/2012
General provisions: hospital services.
- Hearing Meeting: 12/6/2010
Appeals and reconsideration of departmental determinations regarding hospital inpatient and outpatient services.
- Hearing Meeting: 5/1/2007
Utilization control.
- Hearing Meeting: 5/1/2007
Data policies for disproportionate share and indigent care adjustments for hospital services.
- Hearing Meeting: 12/25/2010
Assessment rates.
- Hearing Meeting: 12/28/2011
Payment policies for disproportionate share and indigent care adjustments for hospital services.
- Hearing Meeting: 12/25/2010
Medicaid covered reproductive health services: preconception care services.
- Hearing Meeting: 7/1/2009
Reproductive health services: pregnancy prevention/contraceptive management services.
- Hearing Meeting: 1/1/2012
Medicaid reproductive health services: temporary pregnancy prevention/contraceptive management services.
- Hearing Meeting: 7/1/2009
Limited family planning benefit.
- Hearing Meeting: 3/28/2013
Medicaid covered reproductive health services: infertility services.
- Hearing Meeting: 7/1/2009
Ambulatory surgery center eligible providers.
- Hearing Meeting: 5/10/2007
Covered ambulatory surgery center (ASC) services.
- Hearing Meeting: 7/1/2009
Reimbursement of facility services in an ambulatory surgery center (ASC).
- Hearing Meeting: 7/1/2009
Reimbursement for services provided in an outpatient hospital setting.
- Hearing Meeting: 3/28/2013
Cost reports.
- Hearing Meeting: 11/14/2011
Audits.
- Hearing Meeting: 9/4/2005
Hospital franchise fee program.
- Hearing Meeting: 7/29/2013
Non-emergency transportation (NET): general provisions.
- Hearing Meeting: 1/1/2006
Non-emergency transportation (NET): administration.
- Hearing Meeting: 1/1/2006
Non-emergency transportation (NET): accessing NET.
- Hearing Meeting: 6/1/2008
Managed health care programs: eligibility, membership, and automatic renewal of membership.
- Hearing Meeting: 7/1/2013
Managed health care programs: termination of membership.
- Hearing Meeting: 7/1/2013
Managed health care programs: covered services.
- Hearing Meeting: 7/1/2013
Managed health care programs: provider panel and subcontracting requirements.
- Hearing Meeting: 8/1/2011
Managed health care programs: MCP grievance system.
- Hearing Meeting: 1/1/2012
Managed health care programs: third party recovery.
- Hearing Meeting: 8/1/2011
Managed health care programs: member co-payments.
- Hearing Meeting: 10/1/2011
Coverage and limitations of medicaid community mental health services.
- Hearing Meeting: 10/1/2012
Reimbursement for community mental health medicaid services.
- Hearing Meeting: 10/1/2012
Federally qualified health centers (FQHCs): eligibility and enrollment as a medicaid provider.
- Hearing Meeting: 7/1/2006
Federally qualified health centers (FQHCs): covered services.
- Hearing Meeting: 7/1/2006
Federally qualified health centers (FQHCs): coverage and limitations policies.
- Hearing Meeting: 7/1/2006
Federally qualified health centers (FQHCs): billable services.
- Hearing Meeting: 7/1/2006
Federally qualified health centers (FQHCs): supplemental payments.
- Hearing Meeting: 7/1/2006
Federally qualified health centers (FQHCs): general provisions of the prospective payment system (PPS).
- Hearing Meeting: 7/1/2006
Federally qualified health center (FQHC): alternate payment method (APM).
- Hearing Meeting: 10/1/2012
Federally qualified health centers (FQHCs): prospective payment system (PPS) rate review for change in scope of service.
- Hearing Meeting: 7/1/2006
Federally qualified health centers (FQHCs): prospective payment system cost report.
- Hearing Meeting: 7/1/2006
Federally qualified health centers (FQHCs): billing for FQHC services.
- Hearing Meeting: 7/1/2006
Eligible providers.
- Hearing Meeting: 7/1/2009
Coverage and limitation policies for outpatient health facility services.
- Hearing Meeting: 5/1/2005
Billable services.
- Hearing Meeting: 7/1/2009
Reimbursement.
- Hearing Meeting: 5/1/2005
Coverage and limitation policies for alcohol and other drug treatment services.
- Hearing Meeting: 10/1/2012
Definitions.
- Hearing Meeting: 10/1/2010
Provider agreements for nursing facilities (NFs).
- Hearing Meeting: 1/10/2013
Length and type of long-term care provider agreements.
- Hearing Meeting: 1/10/2013
Termination, denial, and non-renewal of long term care provider agreements.
- Hearing Meeting: 1/10/2013
Institutions eligible to participate in medicaid as nursing facilities (NFs).
- Hearing Meeting: 1/10/2013
Mandatory dual participation by nursing facilities (NFs) in the medicare program.
- Hearing Meeting: 2/15/2011
Emergency management and resident relocation plan for nursing facilities (NFs).
- Hearing Meeting: 1/10/2013
Level of care definitions.
- Hearing Meeting: 3/19/2012
Criteria for the protective level of care.
- Hearing Meeting: 3/19/2012
Criteria for nursing facility-based level of care.
- Hearing Meeting: 3/19/2012
Eligibility for enrollment in the PASSPORT HCBS waiver program.
- Hearing Meeting: 3/17/2011
PASSPORT HCBS waiver program covered services.
- Hearing Meeting: 3/17/2011
PASSPORT HCBS waiver program rate setting.
- Hearing Meeting: 9/29/2011
Adult assessment and determination process for nursing facility-based level of care programs.
- Hearing Meeting: 3/19/2012
Definitions for the choices home and community-based services (HCBS) waiver program.
- Hearing Meeting: 9/29/2011
Eligibility for enrollment for the choices home and community-based services (HCBS) waiver program.
- Hearing Meeting: 9/29/2011
Provider conditions of participation for the choices home and community based services (HCBS) waiver program.
- Hearing Meeting: 9/29/2011
Choices home and community based services (HCBS) waiver covered services.
- Hearing Meeting: 9/29/2011
Enrollment process for choices home and community based services (HCBS) waiver program.
- Hearing Meeting: 9/29/2011
Choices home and community based services (HCBS) waiver rate setting.
- Hearing Meeting: 9/29/2011
Procedure for terminating the franchise permit fee (FPF) for nursing facilities (NFs), nursing homes (NHs), and long term care hospital beds.
- Hearing Meeting: 1/10/2013
Eligibility for the assisted living home and community based services (HCBS) waiver program.
- Hearing Meeting: 9/29/2011
Debt estimation methodology for change of operator, facility closure, voluntary termination, involuntary termination, or voluntary withdrawal for nursing facilities (NFs).
- Hearing Meeting: 1/10/2013
Debt estimate and debt summary report procedure for change of operator, facility closure, voluntary termination, involuntary termination, or voluntary withdrawal for nursing facilities (NFs).
- Hearing Meeting: 1/10/2013
Successor liability agreements for operators of nursing facilities (NFs).
- Hearing Meeting: 1/10/2013
Nursing facility (NF) case mix assessment instrument: minimum data set version 3.0 (MDS 3.0).
- Hearing Meeting: 10/1/2010
Resource utilization groups, version III (RUG III): the nursing facility case mix payment system.
- Hearing Meeting: 10/1/2010
Calculation of quarterly, semiannual and annual nursing facility (NF) average case mix scores.
- Hearing Meeting: 10/1/2010
Exception review process for nursing facilities (NFs).
- Hearing Meeting: 10/1/2010
Nursing facilities (NFs): quality indicators and per medicaid day quality payment rate.
- Hearing Meeting: 3/9/2012
Scope of coverage.
- Hearing Meeting: 7/1/2009
Site differential payments and place of service.
- Hearing Meeting: 8/2/2011
Teaching physician services.
- Hearing Meeting: 2/12/2006
Covered obstetrical services.
- Hearing Meeting: 7/1/2003
Payment for prenatal visits.
- Hearing Meeting: 7/1/2008
Pregnancy related services.
- Hearing Meeting: 7/1/2003
Diagnostic and therapeutic procedures.
- Hearing Meeting: 8/2/2011
Assistance to enable a county board of developmental disabilities to pay non-federal share of medicaid expenditures for home and community-based services.
- Hearing Meeting: 9/1/2010
Medicaid home and community-based services program - transitions developmental disabilities waiver.
- Hearing Meeting: 1/1/2013
Transitions developmental disabilities - payment standards.
- Hearing Meeting: 1/1/2013
Dialysis.
- Hearing Meeting: 3/31/2009
Cardiovascular diagnostic and therapeutic services.
- Hearing Meeting: 8/2/2011
Gastroenterology, otorhinolaryngology, endocrinology, neurology, photodynamic therapy and special dermatology services.
- Hearing Meeting: 12/6/2010
Pulmonary services.
- Hearing Meeting: 8/2/2011
Allergy services.
- Hearing Meeting: 3/28/2013
Chemotherapy treatment.
- Hearing Meeting: 8/2/2011
Anesthesia services.
- Hearing Meeting: 11/20/2007
Anesthesia for neuraxial analgesia for obstetrical services.
- Hearing Meeting: 10/1/2006
Anesthesia conversion factors.
- Hearing Meeting: 1/1/2010
Surgical services.
- Hearing Meeting: 3/28/2013
Noncovered services.
- Hearing Meeting: 7/1/2009
Services provided for the diagnosis and treatment of mental and emotional disorders.
- Hearing Meeting: 3/28/2013
Coverage of fluoride varnish by non-dental providers.
- Hearing Meeting: 3/28/2013
ODJFS-administered waiver program: provider enrollment process.
- Hearing Meeting: 4/1/2011
Ohio home care waiver program: eligibility and enrollment.
- Hearing Meeting: 7/1/2006
Ohio home care waiver: definitions of the covered services and provider requirements and specifications.
- Hearing Meeting: 10/25/2010
Ohio home care waiver program: reimbursement rates and billing procedures.
- Hearing Meeting: 10/1/2011
Ohio home care waiver program: home care attendant services reimbursement rates and billing procedures.
- Hearing Meeting: 10/1/2011
Medicaid coverage of targeted case management services provided to individuals with intellectual disabilities.
- Hearing Meeting: 7/1/2011
Non-medicaid-funded Ohio access success project.
- Hearing Meeting: 10/1/2011
Transitions carve-out waiver program: eligibility and enrollment.
- Hearing Meeting: 7/1/2011
Transitions carve-out waiver: definitions of the covered services and provider requirements and specifications.
- Hearing Meeting: 10/25/2010
Transitions carve-out waiver program: home care attendant services.
- Hearing Meeting: 7/1/2010
Transitions carve-out waiver program: reimbursement rates and billing procedures.
- Hearing Meeting: 10/1/2011
Transitions carve-out waiver program: home care attendant services reimbursement rates and billing procedures.
- Hearing Meeting: 10/1/2011
Dental services.
- Hearing Meeting: 8/2/2011
Dental program: covered diagnostic services and limitations.
- Hearing Meeting: 1/1/2010
Dental program: covered tests and laboratory examinations and limitations.
- Hearing Meeting: 1/1/2006
Dental program: covered preventive services and limitations.
- Hearing Meeting: 3/28/2013
Dental program: covered restorative services and limitations.
- Hearing Meeting: 7/1/2008
Dental program: covered endodontic services and limitations.
- Hearing Meeting: 3/30/2011
Dental program: covered periodontic services and limitations.
- Hearing Meeting: 3/31/2009
Dental program: covered removable prosthodontic services and limitations.
- Hearing Meeting: 7/1/2008
Dental program: covered oral surgery services and limitations.
- Hearing Meeting: 3/30/2011
Dental program: covered orthodontic services and limitations.
- Hearing Meeting: 8/2/2011
Dental program: other covered services and limitations.
- Hearing Meeting: 7/1/2008
Eligible vision care providers and vision co-payment provisions.
- Hearing Meeting: 1/1/2006
Scope of coverage.
- Hearing Meeting: 3/5/2009
Vision care limitations.
- Hearing Meeting: 3/5/2009
Covered vision services.
- Hearing Meeting: 1/1/2006
Covered services and materials not purchased under the vision volume purchase contract.
- Hearing Meeting: 11/4/2010
Spectacle fitting services.
- Hearing Meeting: 1/1/2006
Eligible providers of podiatric services.
- Hearing Meeting: 11/4/2010
Podiatric medicine: scope of coverage.
- Hearing Meeting: 11/4/2010
Covered podiatric services and associated limitations.
- Hearing Meeting: 11/4/2010
Podiatric medicine: noncovered services.
- Hearing Meeting: 11/4/2010
Mental health services.
- Hearing Meeting: 3/28/2013
Covered chiropractic physician services and limitations.
- Hearing Meeting: 1/1/2008
Advanced practice nurses.
- Hearing Meeting: 1/1/2008
Advanced practice nurses: eligible Ohio medicaid providers.
- Hearing Meeting: 8/2/2011
Advanced practice nurses practice arrangements and reimbursement.
- Hearing Meeting: 1/1/2008
Advanced practice nurses: coverage and limitations.
- Hearing Meeting: 1/1/2008
Eligible providers of certified registered nurse anesthetist (CRNA) services.
- Hearing Meeting: 1/1/2008
Coverage, limitations, and reimbursement of anesthesia services provided by certified registered nurse anesthesists (CRNAs).
- Hearing Meeting: 9/1/2005
Anesthesiologist assistant (AA) services: eligible providers and coverage and limitations.
- Hearing Meeting: 9/1/2005
Advanced practice nurses: modifiers.
- Hearing Meeting: 1/1/2010
Reimbursement.
- Hearing Meeting: 7/1/2011
Ohio department of medicaid (ODM) list of drugs covered without prior authorization.
- Hearing Meeting: 1/1/2013
Pharmacy services: limited family planning benefit.
- Hearing Meeting: 1/1/2012
Organization.
- Hearing Meeting: 10/9/2013
Appearance and practice before the board.
- Hearing Meeting: 10/9/2013
Entry of apperance, change of address, and withdrawal of counsel.
- Hearing Meeting: 10/9/2013
Nothice of appeal.
- Hearing Meeting: 10/9/2013
Service.
- Hearing Meeting: 10/9/2013
Consolidation.
- Hearing Meeting: 10/9/2013
Discovery.
- Hearing Meeting: 10/9/2013
Motions.
- Hearing Meeting: 10/9/2013
Subpoenas.
- Hearing Meeting: 10/9/2013
Hearings.
- Hearing Meeting: 10/9/2013
Briefs.
- Hearing Meeting: 10/9/2013
Voluntary dismissals, joint remands, and stipulations.
- Hearing Meeting: 10/9/2013
Failure to prosecute an appeal.
- Hearing Meeting: 10/9/2013

3. Rescission

Deemed certification.
- Hearing Meeting: 9/30/2013
"Step Up To Quality" (SUTQ): program standards.
- Hearing Meeting: 10/1/2013
"Step Up To Quality" (SUTQ): eligibility for registration.
- Hearing Meeting: 10/1/2013
"Step Up To Quality" (SUTQ): desk reviews, verification visits and star rating awards.
- Hearing Meeting: 10/1/2013
Case management schedules and special case management procedures.
- Hearing Meeting: 10/9/2013
Small claims docket.
- Hearing Meeting: 10/9/2013
Statutory transcripts.
- Hearing Meeting: 10/9/2013
Mediation.
- Hearing Meeting: 10/9/2013
Filings.
- Hearing Meeting: 10/9/2013
Non-adjudicatory meetings of the board of tax appeals.
- Hearing Meeting: 10/9/2013
Notice of meetings of the board of tax appeals.
- Hearing Meeting: 10/9/2013

Weekly Report - 16/09/2013 to 20/09/2013

1. New

2. Amendment

3. Rescission

Classification