§ 5166.21 — Transitions developmental disabilities waiver

Ohio § 5166.21

• Jurisdiction: Ohio
• Title 51: Public Welfare
• Ch. 5166: Federal Medicaid Waiver Programs

Text

The department of medicaid shall enter into a contract with the department of developmental disabilities under section5162.35of the Revised Code with regard to one or more of the medicaid waiver components created by the department of medicaid under section5166.20of the Revised Code. The contract shall include the medicaid waiver component known as the transitions developmental disabilities waiver. The contract shall provide for the department of developmental disabilities to administer the components in accordance with the terms of the federal medicaid waivers authorizing the components. The contract shall include a schedule for the department of developmental disabilities to begin administering the transitions developmental disabilities waiver.

If the department of developmental disabilities or the department of medicaid denies an individual's application for home and community-based services provided under any of these medicaid components, the department that denied the services shall give timely notice to the individual that the individual may appeal pursuant to section5160.31of the Revised Code.

The departments of developmental disabilities and medicaid may approve, reduce, deny, or terminate a medicaid service included in the individual service plan developed for a medicaid recipient eligible for home and community-based services provided under any of these medicaid components. The departments shall consider the recommendations a county board of developmental disabilities makes under division (A)(1)(c) of section5126.055of the Revised Code. If either department approves, reduces, denies, or terminates a medicaid service, that department shall give timely notice to the medicaid recipient that the recipient may appeal pursuant to section5160.31of the Revised Code.

If supported living, as defined in section5126.01of the Revised Code, is to be provided as a medicaid service under any of these components, any person or government entity with a current, valid provider agreement and a current, valid certificate under section5123.161of the Revised Code may provide the medicaid service.

If a medicaid service is to be provided under any of these components by a residential facility, as defined in section5123.19of the Revised Code, any person or government entity with a current, valid provider agreement and a current, valid license under section5123.19of the Revised Code may provide the medicaid service.

Legislative History

Effective: October 12, 2016 | Latest Legislation: House Bill 158 - 131st General Assembly