Ohio § 5166.23 Rules regarding payments for home and community-based services provided under medicaid component

Ohio Statutes

§ 5166.23 — Rules regarding payments for home and community-based services provided under medicaid component

Ohio § 5166.23

Title 51Public Welfare

Ch. 5166Federal Medicaid Waiver Programs

This text of Ohio § 5166.23 (Rules regarding payments for home and community-based services provided under medicaid component) 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. § 5166.23 (2026).

Text

(A)Subject to division (D) of this section, the medicaid director shall adopt rules under section5166.02of the Revised Code establishing the payment amounts or the methods by which the payment amounts are to be determined for home and community-based services specified in division (A)(1) of section5166.20of the Revised Code and provided under the components of the medicaid program that the department of developmental disabilities administers under section5166.21of the Revised Code. With respect to these rules, all of the following apply:

(1)The rules shall establish procedures for the department of developmental disabilities to follow in arranging for the initial and ongoing collection of cost information from a comprehensive, statistically valid sample of persons and governm

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(A) Subject to division (D) of this section, the medicaid director shall adopt rules under section5166.02of the Revised Code establishing the payment amounts or the methods by which the payment amounts are to be determined for home and community-based services specified in division (A)(1) of section5166.20of the Revised Code and provided under the components of the medicaid program that the department of developmental disabilities administers under section5166.21of the Revised Code. With respect to these rules, all of the following apply:

(1) The rules shall establish procedures for the department of developmental disabilities to follow in arranging for the initial and ongoing collection of cost information from a comprehensive, statistically valid sample of persons and government entities providing the services at the time the information is obtained.

(2) The rules shall establish procedures for the collection of consumer-specific information through an assessment instrument the department of developmental disabilities shall provide to the department of medicaid.

(3) With the information collected pursuant to divisions (A)(1) and (2) of this section, an analysis of that information, and other information the director determines relevant, the rules shall establish payment standards that do all of the following:

(a) Assure that payment amounts are consistent with efficiency, economy, and quality of care;

(b) Consider the intensity of consumer resource need;

(c) Recognize variations in different geographic areas regarding the resources necessary to assure the health and welfare of consumers;

(d) Recognize variations in environmental supports available to consumers.

(B) As part of the process of adopting rules authorized by this section, the director shall consult with the director of developmental disabilities, representatives of county boards of developmental disabilities, persons who provide the home and community-based services, and other persons and government entities the director identifies.

(C) The medicaid director and director of developmental disabilities shall review the rules authorized by this section at times they determine are necessary to ensure that the payment amounts or the methods by which the payment amounts are to be determined continue to meet the payment standards established under division (A)(3) of this section.

(D) This section applies to home and community-based services provided under the medicaid waiver component known as the transitions developmental disabilities waiver only to the extent, if any, provided by the contract required by section5166.21of the Revised Code regarding the component.