Section 5165.01. [Renumbered from 5111.20] Definitions

Section 5165.011. [Renumbered from 5111.201] Nursing facility references

Section 5165.02. Rules

Section 5165.03. [Renumbered from 5111.202] Admission of mentally ill person to nursing facility

Section 5165.031. [Renumbered from 5111.203] Hearing

Section 5165.04. [Renumbered from 5111.204] Assessment to determine level of care

Section 5165.06. [Renumbered from 5111.21] Nursing facility eligibility

Section 5165.07. [Renumbered from 5111.22] Provider agreement requirements

Section 5165.071. [Renumbered from 5111.223] Facility operator may contract with more than one provider

Section 5165.072. Revalidation

Section 5165.073. [Renumbered from 5111.30] Termination for non-compliance with installation of fire extinguishing and fire alarm systems

Section 5165.08. Nursing facilities' provider agreement terms

Section 5165.081. [Renumbered from 5111.32] Action against facility for breach of provider agreement or other duties

Section 5165.082. Qualification of beds

Section 5165.10. Annual cost report

Section 5165.1010. [Renumbered from 5111.271] Nursing facility fines

Section 5165.101. [Renumbered from 5111.266] Cost of franchise permit fee not reimbursable expense

Section 5165.102. Fines excluded from cost report

Section 5165.103. Completion of cost reports

Section 5165.104. Form of cost reports; guidelines

Section 5165.105. Addendum for disputed costs

Section 5165.106. Termination for failure to file report

Section 5165.107. [Renumbered from 5111.261] Amendments to cost reports

Section 5165.108. [Renumbered from 5111.27] Desk review of cost report

Section 5165.109. Audit

Section 5165.15. [Effective Until 7/1/2016] Calculation of payments to nursing facility providers; quality bonus

Section 5165.15. [Effective 7/1/2016] Calculation of payments to nursing facility providers; quality bonus

Section 5165.151. [Effective Until 7/1/2016] [Renumbered from 5111.254] Initial rates for new nursing facilities

Section 5165.151. [Effective 7/1/2016] [Renumbered from 5111.254] Initial rates for new nursing facilities

Section 5165.152. [Effective Until 7/1/2016] Payments for services provided to low resource utilization residents

Section 5165.152. [Effective 7/1/2016] Payments for services provided to low resource utilization residents

Section 5165.153. [Renumbered from 5111.258] Rates for outlier facilities or units

Section 5165.154. Calculating prospective rates for facilities with residents whose care costs are not adequately measured

Section 5165.155. [Renumbered from 5111.225] Amount of payments for dual eligible individuals

Section 5165.156. [Renumbered from 5111.259] Centers of excellence component

Section 5165.157. Alternative purchasing model for nursing facility services

Section 5165.16. [Renumbered from 5111.24] Per medicaid day payment rate for ancillary and support costs; peer groups

Section 5165.17. [Renumbered from 5111.25] Per medicaid day payment rate for reasonable capital costs

Section 5165.19. [Renumbered from 5111.231] Per medicaid day payment rate for direct care costs

Section 5165.191. Resident assessment data

Section 5165.192. [Renumbered from 5111.232] Case-mix scores for nursing facilities

Section 5165.193. Exception review of assessment data

Section 5165.21. [Renumbered from 5111.242] Per resident per medicaid day payment rate for tax costs

Section 5165.23. Critical access incentive payments to qualified facilities

Section 5165.25. [Repealed Effective 7/1/2016] Quality incentive payments for qualifying nursing facilities

Section 5165.25. [Effective 7/1/2016] Determination of per medicaid day quality payment rate

Section 5165.26. [Repealed Effective 7/1/2016] [Renumbered from 5111.245] Payment of quality bonus

Section 5165.28. [Renumbered from 5111.257] Rate for added, replaced, or renovated beds

Section 5165.29. [Renumbered from 5111.265] Cost of operating rights for relocated beds not allowable cost

Section 5165.30. [Renumbered from 5111.264] Related party costs to pass through

Section 5165.32. Reduction in rate not permitted

Section 5165.33. No payment for discharge date

Section 5165.34. [Renumbered from 5111.331] Payments made to reserve bed during temporary absence

Section 5165.35. [Renumbered from 5111.212] Payments made to facility for services provided after involuntary termination

Section 5165.37. [Renumbered from 5111.221] Calculating rates and making payments

Section 5165.38. [Renumbered from 5111.29] Reconsideration of rate

Section 5165.40. [Renumbered from 5111.28] Adjustment of rates

Section 5165.41. Redetermination of rates

Section 5165.42. Additional penalties

Section 5165.43. Determination of interest rate

Section 5165.44. Deductions

Section 5165.45. Deposits to general revenue fund

Section 5165.46. Administrative adjudication

Section 5165.47. [Renumbered from 5111.262] Claim for medicaid payment for service provided to nursing facility resident

Section 5165.48. [Renumbered from 5111.0211] Nursing facility not required to submit Medicaid claim for Medicare cost-sharing expenses under certain circumstances

Section 5165.49. Post-payment reviews of nursing facility Medicaid claims

Section 5165.50. [Renumbered from 5111.66] Notice of facility closure or withdrawal of participation

Section 5165.501. [Renumbered from 5111.661] Compliance with Social Security Act required

Section 5165.51. [Renumbered from 5111.67] Notice of change of operator

Section 5165.511. [Renumbered from 5111.671] Agreements with entering operators effective on date of change of operator

Section 5165.512. [Renumbered from 5111.672] Agreements with entering operators effective on a later date

Section 5165.513. Entering operator duties under provider agreement

Section 5165.514. [Renumbered from 5111.674] Exiting operator deemed operator pending change

Section 5165.515. Provider agreement with operator not complying with prior agreement

Section 5165.516. [Renumbered from 5111.676] Medicaid reimbursement adjustments; change of operator

Section 5165.517. [Renumbered from 5111.677] Determination of change of operator for purposes of licensure not controlling

Section 5165.52. [Renumbered from 5111.68] Overpayment amounts determined following notice of closure, etc

Section 5165.521. [Renumbered from 5111.681] Withholding amounts owed from medicaid payments to exiting operator

Section 5165.522. [Renumbered from 5111.682] Cost report by exiting operator; waiver

Section 5165.523. [Renumbered from 5111.683] Failure to file cost report; payments deemed overpayments

Section 5165.524. [Renumbered from 5111.684] Final payment withheld pending receipt of cost reports

Section 5165.525. [Renumbered from 5111.685] Determination of debt of exiting operator; summary report

Section 5165.526. [Renumbered from 5111.686] Release of amount withheld less amounts owed

Section 5165.527. [Renumbered from 5111.687] Release of amount withheld on postponement of change of operator

Section 5165.528. [Renumbered from 5111.688] Disposition of amounts withheld from payment due an exiting operator

Section 5165.53. [Renumbered from 5111.689] Adoption of rules regarding change in operators

Section 5165.60. [Renumbered from 5111.35] Definitions for sections 5165.60 to 5165.89

Section 5165.61. [Renumbered from 5111.36] Adoption of rules

Section 5165.62. [Renumbered from 5111.37] Enforcement of provisions

Section 5165.63. [Renumbered from 5111.38] Contracts with state agencies for enforcement

Section 5165.64. [Renumbered from 5111.39] Annual standard surveys

Section 5165.65. Exit interview with administrator

Section 5165.66. [Renumbered from 5111.41] Citations for failure to comply with one or more certification requirements

Section 5165.67. Survey results

Section 5165.68. Statement of deficiencies

Section 5165.69. [Renumbered from 5111.43] Plan of correction

Section 5165.70. [Renumbered from 5111.44] On-site monitoring

Section 5165.71. [Renumbered from 5111.45] Deficiencies not substantially corrected

Section 5165.72. [Renumbered from 5111.46] Uncorrected deficiencies constituting severity level four findings

Section 5165.73. [Renumbered from 5111.47] Uncorrected deficiencies constituting severity level three and scope level three or four findings

Section 5165.74. [Renumbered from 5111.48] Uncorrected deficiencies constituting severity level one or two or severity level three, scope level two finding

Section 5165.75. [Renumbered from 5111.49] Imposing remedies and fines

Section 5165.76. [Renumbered from 5111.50] Fine collected if termination order does not take effect

Section 5165.77. [Renumbered from 5111.51] Emergency remedies

Section 5165.771. Special focus facility program

Section 5165.78. [Renumbered from 5111.511] Appointment of temporary resident safety assurance manager

Section 5165.79. [Renumbered from 5111.52] Terminating provider agreements

Section 5165.80. [Renumbered from 5111.53] Transfer of residents to other appropriate care settings

Section 5165.81. [Renumbered from 5111.54] Qualifications of temporary manager of nursing facility

Section 5165.82. [Renumbered from 5111.55] Residents to whom denial of medicaid payments applies

Section 5165.83. [Renumbered from 5111.56] Fines

Section 5165.84. [Renumbered from 5111.57] Order denying payment when deficiency is not corrected within time limits

Section 5165.85. [Renumbered from 5111.58] Termination of participation for failure to correct deficiency within six months

Section 5165.86. [Renumbered from 5111.59] Delivery of notices

Section 5165.87. [Renumbered from 5111.60] Appeals

Section 5165.88. [Renumbered from 5111.61] Confidentiality

Section 5165.89. [Renumbered from 5111.63] Hearing on transfer or discharge of resident who medicaid or medicare beneficiary

Section 5165.99. Penalties