Ohio Administrative Code|Rule 173-44-04 | Unified waiting list for the assisted living, PACE, and PASSPORT programs.

                                                
(A) The United States centers for
		  medicare and medicaid services limits the number of slots available for
		  enrollment in the medicaid-funded components of the assisted living and
		  PASSPORT programs which may cause a waiting list. A lack of capacity in PACE
		  may also cause a waiting list. ODA has authority to operate and manage
		  enrollment into those programs, including the ability to establish a waiting
		  list. (This rule does not apply to the state-funded components of the assisted
		  living or PASSPORT programs.)
(B) Waiting list:
(1) If ODA's
			 designee determines an individual meets all non-financial eligibility
			 requirements for the program to which the individual applied, but a slot is not
			 available for enrollment in the program, ODA's designee shall place the
			 individual on the unified waiting list established under section 173.55 of the
			 Revised Code according to the latter of the date the individual applied for the
			 program to which the individual applied or the date the individual met all
			 non-financial eligibility requirements for the program to which the individual
			 applied. The following rules present the non-financial eligibility
			 requirements:
(a) Assisted living: See rule 5160-33-03 of the Administrative
				Code.
(b) PACE: See rule 173-50-02 of the Administrative
				Code.
(c) PASSPORT: See rule 5160-31-03 of the Administrative
				Code.
(2) With the exception of
			 the circumstances specified in paragraph (A) of this rule, ODA's designee
			 shall offer enrollment to any individual on the unified waiting list for the
			 assisted living, PACE, or PASSPORT programs who meets all of the eligibility
			 requirements for the program to which the individual applied, in compliance
			 with the enrollment rule for the program to which the individual applied,
			 according to the chronological order that ODA's designee placed him or her
			 on the waiting list.
(a) The following rules present the eligibility
				requirements:
(i) Assisted living: See
				  rule 5160-33-03 of the Administrative Code.
(ii) PACE: See rule 173-50-02 of the Administrative
				  Code.
(iii) PASSPORT: See rule 5160-31-03 of the Administrative
				  Code.
(b) The following rules present the enrollment
				process:
(i) Assisted living: See
				  rules 173-38-03 and 5160-33-04 of the Administrative Code.
(ii) PACE: See rule 173-50-03 of the Administrative
				  Code.
(iii) PASSPORT: See rules 173-42-03 and 5160-31-04 of the
				  Administrative Code.
(3) ODA's designee
			 shall offer enrollment to an individual on the unified waiting list for the
			 assisted living, PACE, or PASSPORT programs if the individual meets all of the
			 eligibility requirements for the program to which the individual applied
			 according to the chronological order ODA's designee placed the individual
			 on the unified waiting list, unless prohibited by rule 173-38-03, 173-50-03, or
			 173-42-03 of the Administrative Code.
(4) If ODA's
			 designee offers enrollment to an individual from the unified waiting list, but
			 the individual declines enrollment, the individual may remain on the unified
			 waiting list and ODA's designee shall offer enrollment to the next
			 individual on the list according to the order this rule
			 establishes.
(5) If a slot is
			 available in the program to which an eligible individual applied, ODA's
			 designee or the PACE organization shall not place the individual on the unified
			 waiting list.
(C) Definitions for this
		  rule:
"Assisted living program" (program)
		  means the medicaid-funded component of the assisted living program created
		  under section 173.54 of the Revised Code but not the state-funded component of
		  the assisted living program created under section 173.543 of the Revised Code.
		  The program provides individuals in the program with the assisted living
		  service under rule 173-39-02.16 of the Administrative Code and, in some cases,
		  the community transition service under rule 173-39-02.17 of the Administrative
		  Code, if the individuals reside in a residential care facility and would
		  otherwise receive services in a nursing facility if the medicaid-funded
		  component of the program were not available.
"Nursing facility" has the same meaning
		  as in section 5165.01 of the Revised Code.
"ODA" means "the Ohio department
		  of aging."
"ODA's designee" has the same
		  meaning as in rule 173-39-01 of the Administrative Code.
"PACE" means "the program of
		  all-inclusive care for the elderly."
"PASSPORT program" (PASSPORT) means the
		  medicaid-funded component of the PASSPORT program created under section 173.52
		  of the Revised Code, but not the state-funded component of the PASSPORT program
		  created under section 173.522 of the Revised Code.