Ohio Administrative Code|Rule 5160-31-05 | PASSPORT HCBS waiver program covered services.

                                                
(A) The purpose of this rule is to establish the services covered
		  by the pre-admission screening system providing options and resources today
		  (PASSPORT) home and community based services (HCBS) program.
(B) The PASSPORT program benefit package is limited to the
		  following services:
(1) Adult day as set forth in rule
			 173-39-02.1 of the Administrative Code;
(2) Alternative meals as set forth in
			 rule 173-39-02.2 of the Administrative Code;
(3) Choices home care attendant as set
			 forth in rule 173-39-02.4 of the Administrative Code;
(4) Community integration
			 as set forth in rule 173-39-02.15 of the Administrative Code;
(5) Community transition as set forth in
			 rule 173-39-02.17 of the Administrative Code;
(6) Enhanced community living as set
			 forth in rule 173-39-02.20 of the Administrative Code;
(7) Homemaker as set forth in rule
			 173-39-02.8 of the Administrative Code;
(8)  Home care attendant as set forth in
			 rule 173-39-02.24 of the Administrative Code;
(9) Home delivered meals as set forth in
			 rule 173-39-02.14 of the Administrative Code;
(10) Home maintenance and
			 chore as set forth in rule 173-39-02.5 of the Adminitrative Code;
(11) Home medical equipment and supplies
			 as set forth in rule 173-39-02.7 of the Administrative Code;
(12)  , Home modification as set forth in
			 rule 173-39-02.9 of the Administrative Code;
(13) Non-emergency
			 medical transportation as set forth in rule 173-39-02.13 of the Administrative
			 Code;
(14) Non-medical transportation as set
			 forth in rule 173-39-02.18 of the Administrative Code;
(15) Nutrition consultation as set forth
			 in rule 173-39-02.10 of the Administrative Code;
(16)  Out-of-home respite as set forth in
			 rule 173-39-02.23 of the Administrative Code; 
(17) Personal care as set forth in rule
			 173-39-02.11 of the Administrative Code;
(18)  Personal emergency
			 response system as set forth in rule 173-39-02.6 of the Administrative
			 Code;
(19) Social work counseling as set forth
			 in rule 173-39-02.12 of the Administrative Code; and
(20)  Waiver nursing as set forth in rule
			 173-39-02.22 of the Administrative Code.
(C) Services shall be delivered by providers in a manner that is
		  consistent with the individual's person-centered services plan as
		  documented in the PASSPORT information management system (PIMS).
(D) In accordance with the federally approved PASSPORT
		  waiver, the services identified in this paragraph are subject to employer
		  and/or budget authority if elected by the individual. Services shall be
		  provided in accordance with the requirements in paragraph (B) of this
		  rule:
(1) The following services are subject to
			 employer authority, including the ability to hire, fire, and train
			 employees:
(a) Choices home care attendant; and
(b) Personal care.
(2) The following services are subject to
			 budget authority, including the ability to negotiate reimbursement rates paid
			 to providers furnishing services:
(a) Alternative meals;
(b) Choices home care attendant;
(c) Home medical equipment and supplies;
(d) Home maintenance and chore; and
(e)  Home modification
(E) An individual who elects to direct any of the services
		  provided in paragraph (D) of this rule shall be assessed by their case manager
		  to determine the individual's ability to direct their services as set
		  forth in rule 173-42-06 of the Administrative Code.
(1) If an individual demonstrates the
			 ability to direct their services, the case manager may initiate the orientation
			 process to familiarize the individual with the participant direction of
			 services including the role of the financial management service
			 (FMS).
(2) If an individual is unable to
			 demonstrate the ability to direct his or her care and to assume the
			 responsibilities associated with the participant direction authorities in
			 paragraph (D) of this rule, the individual may choose an authorized
			 representative to act on his or her behalf.
(3) If no authorized representative is
			 available, the case manager shall assist the individual with obtaining services
			 through ODA-certified long-term care agency providers.
(F) If an individual who is seeking to -direct his or her
		  services chooses an authorized representative to act on his or her behalf in
		  accordance with paragraph (E)(2) of this rule, the authorized representative
		  shall not simultaneously serve as the individual's authorized
		  representative and the individual's provider.