Ohio Administrative Code
Title 5160 - Ohio Department of Medicaid
Chapter 5160-3 - Long-Term Care Facilities; Nursing Facilities; Intermediate Care Facilities for the Individuals with Intellectual Disabilities
- Section 5160-3-01 - Nursing facilities (NFs): definitions
- Section 5160-3-01.1
- Section 5160-3-02 - Nursing facilities (NFs): provider agreements
- Section 5160-3-02.1 - Nursing facilities (NFs): length and type of provider agreements
- Section 5160-3-02.2 - Nursing facilities (NFs): termination, denial, and non-revalidation of provider agreements
- Section 5160-3-02.3 - Nursing facilities (NFs): institutions eligible to participate in medicaid as NFs
- Section 5160-3-02.4 - Nursing facilities (NFs): mandatory dual participation in the medicare program
- Section 5160-3-02.7 - Nursing facilities (NFs): emergency and disaster plan, resident relocation, and required notifications
- Section 5160-3-03.2 - Nursing facilities (NFs): resident protection fund and collection of fines
- Section 5160-3-04 - Nursing facilities (NFs): payment during the Ohio department of medicaid (ODM) administrative appeals process for denial or termination of a provider agreement
- Section 5160-3-04.1 - Nursing facilities (NFs): payment during the survey agency's administrative appeals process for termination or non-renewal of medicaid certification
- Section 5160-3-05 - Level of care definitions
- Section 5160-3-06 - Criteria for the protective level of care
- Section 5160-3-06.1 - Institutions for mental diseases (IMDs)
- Section 5160-3-07 - Intermediate care for individuals with mental retardation and developmental disabilities
- Section 5160-3-08 - Criteria for nursing facility-based level of care
- Section 5160-3-14 - Process and timeframes for a level of care determination for nursing facility-based level of care programs
- Section 5160-3-15 - Preadmission screening and resident review (PASRR) definitions
- Section 5160-3-15.1 - Preadmission screening requirements for individuals seeking admission to nursing facilities
- Section 5160-3-15.2 - Resident review requirements for individuals residing in nursing facilities
- Section 5160-3-15.3 - Level of care review process for intermediate care facilities for the mentally retarded
- Section 5160-3-15.5 - ICF-MR Level of care determination process for home and community based medicaid waivers administered by the Ohio department of mental retardation and developmental disabilities
- Section 5160-3-16 - Resident rights for nursing facilities (NFs)
- Section 5160-3-16.1 - Nursing facilities (NFs): resource assessment notice
- Section 5160-3-16.2 - Advance directives for nursing facilities (NFs)
- Section 5160-3-16.3 - Nursing facilities (NFs): private rooms
- Section 5160-3-16.4 - Nursing facilities (NFs): covered days and bed-hold days
- Section 5160-3-16.5 - Nursing facilities (NFs): personal needs allowance (PNA) accounts and other resident funds
- Section 5160-3-17 - Nursing facilities (NFs): payment methodology for the provision of outlier services
- Section 5160-3-17.1 - Outlier services in nursing facilities for individuals with severe maladaptive behaviors due to traumatic brain injury (NF-TBI services)
- Section 5160-3-17.2 - Pediatric outlier services in nursing facilities (NF-PED services)
- Section 5160-3-17.3 - Out-of-state nursing facility (NF) services for individuals with traumatic brain injury (TBI)
- Section 5160-3-18 - Nursing facilities (NFs): ventilator program
- Section 5160-3-19 - Nursing facilities (NFs): relationship of NF services to other covered medicaid services
- Section 5160-3-20 - Nursing facilities (NFs) : medicaid cost report filing, disclosure requirements, and records retention
- Section 5160-3-22 - Rate recalculations, interest on overpayments, penalties, repayment of overpayments, and deposit of repayment of overpayments for nursing facilities (NFs)
- Section 5160-3-24 - Nursing facilities (NFs): prospective rate reconsideration for possible calculation errors
- Section 5160-3-30.1 - Nursing facilities (NFs) and hospital long term care units appeal of the franchise permit fee (FPF) determination or re-determination
- Section 5160-3-30.4 - Nursing facilities (NFs), nursing homes (NHs), and long term care hospital beds: procedure for terminating the franchise permit fee (FPF)
- Section 5160-3-32 - Nursing facilities (NFs): debt estimation methodology
- Section 5160-3-32.1 - Nursing facilities (NFs): debt summary report procedure
- Section 5160-3-32.2 - Nursing facilities (NFs): successor liability agreements for operators
- Section 5160-3-33 - Nursing facilities (NFs): reimbursement of NF relief payments upon sale of business or bed license
- Section 5160-3-39 - Payment and adjustment process for nursing facilities (NFs)
- Section 5160-3-39.1 - Nursing facilities (NFs): claim submission
- Section 5160-3-41 - Nursing facilities (NFs): placement into peer groups
- Section 5160-3-42 - Nursing facilities (NFs): chart of accounts
- Section 5160-3-42.1 - Nursing facilities (NFs): medicaid cost report
- Section 5160-3-42.2 - Nursing facilities (NFs): leased staff
- Section 5160-3-42.3 - Nursing facilities (NFs): capital asset and depreciation guidelines
- Section 5160-3-42.4 - Nursing facilities (NFs): non-reimbursable costs
- Section 5160-3-43 - Nursing facilities (NFs): method for establishing the total prospective rate. [Rescinded]
- Section 5160-3-43.1 - Nursing facilities (NFs): case mix assessment instrument - minimum data set version 3.0 (MDS 3.0)
- Section 5160-3-43.2 - Nursing facilities (NFs): case mix classification system - resource utilization groups (RUG)
- Section 5160-3-43.3 - Nursing facilities (NFs): calculation of case mix scores
- Section 5160-3-43.4 - Nursing facilities (NFs): exception review process
- Section 5160-3-50 - Nursing facilities (NFs): use of additional dollars as a result of rebasing of rates
- Section 5160-3-57 - Nursing facilities (NFs): tax costs payment rate
- Section 5160-3-58 - Nursing facilities (NFs): quality indicators and quality payment rate
- Section 5160-3-64 - Nursing facilities (NFs): payment for medicare part A cost sharing
- Section 5160-3-64.1 - Nursing facilities (NFs): payment for cost-sharing other than medicare part A
- Section 5160-3-65 - Nursing facilities (NFs): rates for providers with an initial date of certification on or after July 1, 2006
- Section 5160-3-65.1 - Nursing facilities (NFs): rates for providers that change provider agreements
- Section 5160-3-70 - Nursing facilities (NFs): appeals for special focus facilities (SFFs) proposed for termination from the medicaid program
- Section 5160-3-80 - Health care isolation centers
- Section 5160-3-90 - Authorization for the Ohio department of developmental disabilities (DODD) to administer the medicaid program for services provided by intermediate care facilities for individuals with intellectual disabilities (ICFs-IID)
- Section 5160-3-99 - Payment methodology for state-operated intermediate care facilities for individuals with intellectual disabilities (ICFs/IID)
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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