Ohio Revised Code (Last Updated: January 27, 2016) |
Title 51. LI PUBLIC WELFARE |
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 5124.17. 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 |