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Ohio Revised Code
Title 51
Chapter 5124
Intermediate Care Facility for Individuals with Intellectual Disabilities Services
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5124.01
Definitions.
5124.02
Assumption of powers and duties regarding medicaid program's coverage of ICF/IID services.
5124.03
Rules.
5124.05
Scope of coverage.
5124.06
Eligibility to enter into provider agreements.
5124.07
Department provider agreements; contents.
5124.071
Agreements with more than one ICF/IID.
5124.072
Revalidation of agreements.
5124.08
Provider agreements with ICF/IID providers.
5124.081
Resident's cause of action for breach.
5124.10
Cost reports.
5124.101
Cost reports for downsized or partially converted provider.
5124.102
Fines paid excluded from reports.
5124.103
Form of cost reports.
5124.104
Duties of department.
5124.105
Addendum for disputed costs.
5124.106
Failure to timely file report; consequences.
5124.107
Amendments to reports.
5124.108
Desk review.
5124.109
Audits.
5124.15
Amount of payments.
5124.151
Initial rates for services provided by a new ICF/IID.
5124.152
Payment rate for service provided by outlier ICF/IID or unit.
5124.153
Payment rate for services provided to resident who meets criteria for admission to outlier ICF/IID or unit.
5124.154
Computing rate for services provided by developmental centers.
5124.17
ICF/IID's per medicaid day capital component rate.
5124.19
ICF/IID's per medicaid day direct care costs component rate.
5124.191
Definition of ICF/IID resident; assessment of residents.
5124.192
Acuity groups for purpose of assigning case-mix scores.
5124.193
Quarterly determination of case-mix scores.
5124.194
Changes to instructions, guidelines, or methodology.
5124.21
Per medicaid day indirect care costs component rate.
5124.23
Per medicaid day other protected costs component rate.
5124.24
Determination of per medicaid day quality incentive payment.
5124.25
Payment of medicaid rate add-on for outlier services provided for ventilator-dependent residents.
5124.26
Payment of medicaid rate add-on for outlier ICF/IID services.
5124.29
Limiting compensation of owners, their relatives, administrators, and resident meals outside facility.
5124.30
Costs of goods furnished by related party.
5124.31
Adjustment of payment rates.
5124.32
Reduction in rate not permitted.
5124.33
No payment for day of discharge.
5124.34
Payment for reserving beds.
5124.35
Timing of payments after involuntary termination.
5124.37
Timing of payments; calculations.
5124.38
Process for reconsideration of rates.
5124.40
Adjustment of rates.
5124.41
Redetermination of rates.
5124.42
Additional penalties.
5124.43
Determination of interest rate.
5124.44
Deductions.
5124.45
Deposits to general revenue fund.
5124.46
Adjudications under the administrative procedure act.
5124.50
Notice of facility closure or voluntary termination.
5124.51
Notice of change of operator.
5124.511
Agreements with entering operators effective on date of change of operator.
5124.512
Agreements with entering operators effective at a later date.
5124.513
Entering operator duties under provider agreement.
5124.514
Exiting operator deemed operator pending change.
5124.515
Provider agreement with operator not complying with prior agreement.
5124.516
Medicaid reimbursement adjustments; change of operator.
5124.517
Determination that a change of operator has or has not occurred; effect.
5124.52
Overpayment amounts determined following notice of closure, etc.
5124.521
Withholding from medicaid payment due exiting operator.
5124.522
Cost report by exiting operator; waiver.
5124.523
Failure to file cost report; payments deemed overpayments.
5124.524
Final payment withheld pending receipt of cost reports.
5124.525
Determination of debt of exiting operator; summary report.
5124.526
Release of amount withheld less amounts owed.
5124.527
Release of amount withheld on postponement of change of operator.
5124.528
Disposition of amounts withheld from payment due an exiting operator.
5124.53
Adoption of rules for implementation of sections 5124.50 to 5124.53.
5124.60
Conversion of beds to home and community-based services.
5124.61
Conversion of beds in acquired ICF/IID.
5124.62
Request for federal approval of conversion of beds.
5124.65
Reconversion of beds to ICF/IID use.
5124.68
Admission as resident in an ICF/IID with medicaid-certified capacity exceeding eight.
5124.69
Informational pamphlet.
5124.70
Maximum number of residents per sleeping room.
5124.75
Conversion of ICF/IID beds to OhioRISE program.
5124.99
Penalty for violation of cost reporting provisions.