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- Section 5160-3-01.1 - [Rescinded]
- 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- Section 5160-3-07 - [Rescinded] Intermediate care for individuals with mental retardation and developmental disabilities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- Section 5160-3-15.3 - [Rescinded] Level of care review process for intermediate care facilities for the mentally retarded
- Section 5160-3-15.5 - [Rescinded] ICF-MR Level of care determination process for home and community based medicaid waivers administered by the Ohio department of mental retardation and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- Section 5160-3-16 - [Rescinded] Resident rights for nursing facilities (NFs)
- Section 5160-3-16.1 - [Rescinded] Nursing facilities (NFs): resource assessment notice
- Section 5160-3-16.2 - [Rescinded] 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 - [Rescinded] Nursing facilities (NFs): payment methodology for the provision of outlier services
- Section 5160-3-17.1 - [Rescinded] Outlier services in nursing facilities for individuals with severe maladaptive behaviors due to traumatic brain injury (NF-TBI services)
- Section 5160-3-17.2 - [Rescinded] Pediatric outlier services in nursing facilities (NF-PED services)
- Section 5160-3-17.3 - [Rescinded] 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 - [Rescinded] 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 - [Rescinded] Nursing facilities (NFs): medicaid cost report
- Section 5160-3-42.2 - [Rescinded] 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 - [Rescinded] 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 - [Rescinded] 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)