Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly As used in this chapter: (A) “Affiliated operator” means an operator affiliated with either of the following: (1) The exiting operator for whom the affiliated operator is to assume liability for the entire amount of the exiting operator’s debt under the medicaid […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) Except as provided in division (B) of this section, whenever “skilled nursing facility,” “intermediate care facility,” or “dual skilled nursing and intermediate care facility” is referred to or designated in any statute, rule, contract, provider agreement, or other document pertaining to […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director shall adopt rules as necessary to implement this chapter. The rules shall be adopted in accordance with Chapter 119. of the Revised Code.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) As used in this section: (1) “Dementia” includes Alzheimer’s disease or a related disorder. (2) “Serious mental illness” means “serious mental illness,” as defined by the United States department of health and human services in regulations adopted under the “Social Security […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly An individual who applies for admission to or resides in a nursing facility may appeal if adversely affected by a determination made by the department of mental health and addiction services under section 5119.40 of the Revised Code or by the department […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) As used in this section, “representative” means a person acting on behalf of an applicant for or recipient of medicaid. A representative may be a family member, attorney, hospital social worker, or any other person chosen to act on behalf of […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly Subject to section 5165.072 of the Revised Code, an operator is eligible to enter into a provider agreement for a nursing facility if all of the following apply: (A) The nursing facility is certified by the director of health for participation in […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) Except as provided in section 5165.072 of the Revised Code, the department of medicaid shall enter into a provider agreement with a nursing facility operator who applies, and is eligible, for the provider agreement. (B) A provider agreement shall require the […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly A nursing facility operator may enter into provider agreements for more than one nursing facility.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid shall not revalidate a nursing facility provider agreement if the provider fails to maintain eligibility for the provider agreement as provided in section 5165.06 of the Revised Code.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid shall terminate the provider agreement with a nursing facility provider that does not comply with the requirements of section 3721.071 of the Revised Code for the installation of fire extinguishing and fire alarm systems.
Effective: January 1, 2015 Latest Legislation: Senate Bill 276 – 130th General Assembly (A) As used in this section: “Bed need” means the number of long-term care beds a county needs as determined by the director of health pursuant to division (B)(3) of section 3702.593 of the Revised Code. “Bed need excess” means that a […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly A nursing facility resident has a cause of action against a nursing facility provider for breach of the provider agreement obligations or other duties imposed by section 5165.08 of the Revised Code. The action may be commenced by the resident, or on […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) Except as provided in division (B) of this section, the operator of a nursing facility that elects to have the nursing facility participate in the medicaid program shall qualify all of the nursing facility’s medicaid-certified beds in the medicare program. The […]
Effective: September 15, 2014 Latest Legislation: House Bill 483 – 130th General Assembly (A) Except as provided in division (C) of this section, each nursing facility provider shall file with the department of medicaid an annual cost report for each of the provider’s nursing facilities that participate in the medicaid program. The cost report for […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly A nursing facility provider filing the nursing facility’s cost report with the department of medicaid under section 5165.10 or 5165.522 of the Revised Code shall report as a nonreimbursable expense the cost of the nursing facility’s franchise permit fee.
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) Subject to division (D) of this section, the department of medicaid shall fine the provider of a nursing facility if the report of an audit conducted under section 5165.109 of the Revised Code regarding a cost report for the nursing facility […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly No nursing facility provider shall report fines paid under sections 5165.60 to 5165.89 or section 5165.99 of the Revised Code in a cost report filed under section 5165.10 or 5165.522 of the Revised Code.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly Cost reports shall be completed using the form prescribed under section 5165.104 of the Revised Code and in accordance with the guidelines established under that section.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid shall do all of the following: (A) Prescribe the form to be used for completing a cost report and a uniform chart of accounts for the purpose of reporting costs on the form; (B) Distribute a paper copy […]
