Intermediate Care Facility for Individuals with Intellectual Disabilities Services | Midpage

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Ohio Revised Code

Chapter 5124

Intermediate Care Facility for Individuals with Intellectual Disabilities Services

5124.01Definitions 5124.02Assumption of powers and duties regarding medicaid program's coverage of ICF/IID services 5124.03Rules 5124.05Scope of coverage 5124.06Eligibility to enter into provider agreements 5124.07Department provider agreements; contents 5124.071Agreements with more than one ICF/IID 5124.072Revalidation of agreements 5124.08Provider agreements with ICF/IID providers 5124.081Resident's cause of action for breach 5124.10Cost reports 5124.101Cost reports for downsized or partially converted provider 5124.102Fines paid excluded from reports 5124.103Form of cost reports 5124.104Duties of department 5124.105Addendum for disputed costs 5124.106Failure to timely file report; consequences 5124.107Amendments to reports 5124.108Desk review 5124.109Audits 5124.15Amount of payments 5124.151Initial rates for services provided by a new ICF/IID 5124.152Payment rate for service provided by outlier ICF/IID or unit 5124.153Payment rate for services provided to resident who meets criteria for admission to outlier ICF/IID or unit 5124.154Computing rate for services provided by developmental centers 5124.17ICF/IID's per medicaid day capital component rate 5124.19ICF/IID's per medicaid day direct care costs component rate 5124.191Definition of ICF/IID resident; assessment of residents 5124.192Acuity groups for purpose of assigning case-mix scores 5124.193Quarterly determination of case-mix scores 5124.194Changes to instructions, guidelines, or methodology 5124.21Per medicaid day indirect care costs component rate 5124.23Per medicaid day other protected costs component rate 5124.24Determination of per medicaid day quality incentive payment 5124.25Payment of medicaid rate add-on for outlier services provided for ventilator-dependent residents 5124.26Payment of medicaid rate add-on for outlier ICF/IID services 5124.29Limiting compensation of owners, their relatives, administrators, and resident meals outside facility 5124.30Costs of goods furnished by related party 5124.31Adjustment of payment rates 5124.32Reduction in rate not permitted 5124.33No payment for day of discharge 5124.34Payment for reserving beds 5124.35Timing of payments after involuntary termination 5124.37Timing of payments; calculations 5124.38Process for reconsideration of rates 5124.40Adjustment of rates 5124.41Redetermination of rates 5124.42Additional penalties 5124.43Determination of interest rate 5124.44Deductions 5124.45Deposits to general revenue fund 5124.46Adjudications under the administrative procedure act 5124.50Notice of facility closure or voluntary termination 5124.51Notice of change of operator 5124.511Agreements with entering operators effective on date of change of operator 5124.512Agreements with entering operators effective at a later date 5124.513Entering operator duties under provider agreement 5124.514Exiting operator deemed operator pending change 5124.515Provider agreement with operator not complying with prior agreement 5124.516Medicaid reimbursement adjustments; change of operator 5124.517Determination that a change of operator has or has not occurred; effect 5124.52Overpayment amounts determined following notice of closure, etc 5124.521Withholding from medicaid payment due exiting operator 5124.522Cost report by exiting operator; waiver 5124.523Failure to file cost report; payments deemed overpayments 5124.524Final payment withheld pending receipt of cost reports 5124.525Determination of debt of exiting operator; summary report 5124.526Release of amount withheld less amounts owed 5124.527Release of amount withheld on postponement of change of operator 5124.528Disposition of amounts withheld from payment due an exiting operator 5124.53Adoption of rules for implementation of sections 5124.50 to 5124.53 5124.60Conversion of beds to home and community-based services 5124.61Conversion of beds in acquired ICF/IID 5124.62Request for federal approval of conversion of beds 5124.65Reconversion of beds to ICF/IID use 5124.68Admission as resident in an ICF/IID with medicaid-certified capacity exceeding eight 5124.69Informational pamphlet 5124.70Maximum number of residents per sleeping room 5124.75Conversion of ICF/IID beds to OhioRISE program 5124.99Penalty for violation of cost reporting provisions