Ohio § 5124.153 Payment rate for services provided to resident who meets criteria for admission to outlier ICF/IID or unit

Ohio Statutes

§ 5124.153 — Payment rate for services provided to resident who meets criteria for admission to outlier ICF/IID or unit

Ohio § 5124.153

Title 51Public Welfare

Ch. 5124Intermediate Care Facility for Individuals with Intellectual Disabilities Services

This text of Ohio § 5124.153 (Payment rate for services provided to resident who meets criteria for admission to outlier ICF/IID or unit) is published on Counsel Stack Legal Research, covering Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ohio Rev. Code Ann. § 5124.153 (2026).

Text

(A)To the extent, if any, provided for in rules authorized by this section, the total per medicaid day payment rate determined under section5124.15of the Revised Code shall not be paid for ICF/IID services that an ICF/IID not designated as an outlier ICF/IID or unit provides to a resident who meets the criteria for admission to a designated outlier ICF/IID or unit, as specified in rules authorized by section5124.152of the Revised Code. Instead, the provider of an ICF/IID providing ICF/IID services to such a resident shall be paid each fiscal year a total per medicaid day payment rate that the department shall prospectively determine in accordance with a methodology established in rules authorized by this section.

(B)The director of developmental disabilities may adopt rules u

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(A) To the extent, if any, provided for in rules authorized by this section, the total per medicaid day payment rate determined under section5124.15of the Revised Code shall not be paid for ICF/IID services that an ICF/IID not designated as an outlier ICF/IID or unit provides to a resident who meets the criteria for admission to a designated outlier ICF/IID or unit, as specified in rules authorized by section5124.152of the Revised Code. Instead, the provider of an ICF/IID providing ICF/IID services to such a resident shall be paid each fiscal year a total per medicaid day payment rate that the department shall prospectively determine in accordance with a methodology established in rules authorized by this section.

(B) The director of developmental disabilities may adopt rules under section5124.03of the Revised Code to implement this section. The rules may require that an ICF/IID receive authorization from the department before admitting or retaining a resident who meets the criteria for admission to a designated outlier ICF/IID or unit. If the director adopts such rules, the rules shall specify the criteria and procedures the department will apply when granting the authorization.