Chapter 5124. INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES SERVICES  


Section 5124.01. Definitions
Section 5124.02. [Renumbered from 5111.226] Assumption of powers and duties regarding medicaid program's coverage of ICF/IID services
Section 5124.03. Rules
Section 5124.05. Scope of coverage
Section 5124.06. Eligibility to enter into provider agreements
Section 5124.07. Department provider agreements; contents
Section 5124.071. Agreements with more than one ICF/IID
Section 5124.072. Revalidation of agreements
Section 5124.08. Provider agreements with ICF/IID providers
Section 5124.081. Resident's cause of action for breach
Section 5124.10. Cost reports
Section 5124.101. Cost reports for downsized or partially converted provider
Section 5124.102. Fines paid excluded from reports
Section 5124.103. Form of cost reports
Section 5124.104. Duties of department
Section 5124.105. Addendum for disputed costs
Section 5124.106. Failure to timely file report; consequences
Section 5124.107. Amendments to reports
Section 5124.108. Desk review
Section 5124.109. Audits
Section 5124.15. Amount of payments
Section 5124.151. Initial rates for services provided by a new ICF/IID
Section 5124.152. Payment rate for service provided by outlier ICF/IID or unit
Section 5124.153. Payment rate for services provided to resident who meets criteria for admission to outlier ICF/IID or unit
Section 5124.154. [Renumbered from 5111.291] Computing rate for services provided by developmental centers
Section 5124.155. Payment rate for ICF/IID services for recipient placed in chronic behaviors and typical adaptive needs classification or the typical adaptive needs and non-significant behaviors classification
Section 5124.17. ICF/IID's per medicaid day payment rate for reasonable capital costs
Section 5124.19. ICF/IID's per medicaid day payment rate for direct care costs
Section 5124.191. Compilation of assessment data for residents
Section 5124.192. Case-mix scores
Section 5124.193. Exception reviews of resident assessment data
Section 5124.194. [Renumbered from 5111.233] Day programming
Section 5124.21. Per medicaid day payment rate for indirect care costs
Section 5124.23. [Renumbered from 5111.235] Per medicaid day payment rate for other protected costs
Section 5124.25. Payment of medicaid rate add-on for outlier services provided for ventilator-dependent residents
Section 5124.28. Rules for payment limits
Section 5124.29. [Renumbered from 5111.263] Limiting compensation of owners, their relatives, administrators, and resident meals outside facility
Section 5124.30. Costs of goods furnished by related party
Section 5124.31. Adjustment of payment rates
Section 5124.32. Reduction in rate not permitted
Section 5124.33. No payment for day of discharge
Section 5124.34. [Renumbered from 5111.33] Payment for reserving beds
Section 5124.35. Timing of payments after involuntary termination
Section 5124.37. Timing of payments; calculations
Section 5124.38. Process for reconsideration of rates
Section 5124.40. Adjustment of rates
Section 5124.41. Redetermination of rates
Section 5124.42. Additional penalties
Section 5124.43. Determination of interest rate
Section 5124.44. Deductions
Section 5124.45. Deposits to general revenue fund
Section 5124.46. Adjudications under the administrative procedure act
Section 5124.50. Notice of facility closure or voluntary termination
Section 5124.51. Notice of change of operator
Section 5124.511. Agreements with entering operators effective on date of change of operator
Section 5124.512. Agreements with entering operators effective at a later date
Section 5124.513. Entering operator duties under provider agreement
Section 5124.514. Exiting operator deemed operator pending change
Section 5124.515. Provider agreement with operator not complying with prior agreement
Section 5124.516. Medicaid reimbursement adjustments; change of operator
Section 5124.517. Determination that a change of operator has or has not occurred; effect
Section 5124.52. Overpayment amounts determined following notice of closure, etc
Section 5124.521. Withholding from medicaid payment due exiting operator
Section 5124.522. Cost report by exiting operator; waiver
Section 5124.523. Failure to file cost report; payments deemed overpayments
Section 5124.524. Final payment withheld pending receipt of cost reports
Section 5124.525. Determination of debt of exiting operator; summary report
Section 5124.526. Release of amount withheld less amounts owed
Section 5124.527. Release of amount withheld on postponement of change of operator
Section 5124.528. Disposition of amounts withheld from payment due an exiting operator
Section 5124.53. Adoption of rules for implementation of sections 5124.50 to 5124.53
Section 5124.60. Conversion of beds to home and community-based services
Section 5124.61. Conversion of beds in acquired ICF/IID
Section 5124.62. Request for federal approval of conversion of beds
Section 5124.63. [Repealed]
Section 5124.64. [Repealed]
Section 5124.65. [Renumbered from 5111.879] Reconversion of beds to ICF/IID use
Section 5124.67. [Repealed Effective 7/1/2018] Reduction in number of ICF/IID beds
Section 5124.68. Admission as resident in an ICF/IID in peer group 1
Section 5124.69. Informational pamphlet
Section 5124.70. Maximum number of residents per sleeping room
Section 5124.99. Penalty for violation of cost reporting provisions