Ohio Administrative Code|Rule 5160-1-06.5 | Home and community based services (HCBS) waivers: assisted living.

                                                

(A) The Ohio department of aging (ODA) is responsible for the
daily administration of the assisted living HCBS waiver. ODA will administer
this waiver pursuant to an interagency agreement with the Ohio department of
medicaid (ODM), in accordance with section 5162.35 of the Revised
Code.

(B) The assisted living HCBS waiver is an alternative to nursing
facility placement for persons age twenty-one and over who require an
intermediate level of care or a skilled level of care as set forth in rule
5160-3-08 of the Administrative Code and are enrolled in the
waiver.

(1) The assisted living HCBS
waiver's services and program eligibility criteria are set forth in
Chapter 5160-33 of the Administrative Code.

(2) The maximum allowable reimbursement
rates for assisted living HCBS waiver program services are listed in appendix A
to this rule.

(3) Assisted living HCBS reimbursement
shall be provided in accordance with rule 5160-1-60 of the Administrative
Code.

(4) The billing maximum for the community
transition service listed in appendix A to this rule represents the cumulative
maximum for the items purchased or deposits made through the community
transition service as set forth in rule 173-39-02.17 of the Administrative
Code.


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