Ohio Revised Code|Chapter 5124 | Intermediate Care Facility For Individuals With Intellectual Disabilities Services

Section 5124.01 | Definitions.

Section 5124.02 | Assumption of powers and duties regarding medicaid program's coverage of ICF/IID services.

Section 5124.03 | Rules.

Section 5124.05 | Scope of coverage.

Section 5124.06 | Eligibility to enter into provider agreements.

Section 5124.07 | Department provider agreements; contents.

Section 5124.071 | Agreements with more than one ICF/IID.

Section 5124.072 | Revalidation of agreements.

Section 5124.08 | Provider agreements with ICF/IID providers.

Section 5124.081 | Resident's cause of action for breach.

Section 5124.10 | Cost reports.

Section 5124.101 | Cost reports for downsized or partially converted provider.

Section 5124.102 | Fines paid excluded from reports.

Section 5124.103 | Form of cost reports.

Section 5124.104 | Duties of department.

Section 5124.105 | Addendum for disputed costs.

Section 5124.106 | Failure to timely file report; consequences.

Section 5124.107 | Amendments to reports.

Section 5124.108 | Desk review.

Section 5124.109 | Audits.

Section 5124.15 | Amount of payments.

Section 5124.151 | Initial rates for services provided by a new ICF/IID.

Section 5124.152 | Payment rate for service provided by outlier ICF/IID or unit.

Section 5124.153 | Payment rate for services provided to resident who meets criteria for admission to outlier ICF/IID or unit.

Section 5124.154 | Computing rate for services provided by developmental centers.

Section 5124.17 | ICF/IID's per medicaid day capital component rate.

Section 5124.19 | ICF/IID's per medicaid day direct care costs component rate.

Section 5124.191 | Definition of ICF/IID resident; assessment of residents.

Section 5124.192 | Acuity groups for purpose of assigning case-mix scores.

Section 5124.193 | Quarterly determination of case-mix scores.

Section 5124.194 | Changes to instructions, guidelines, or methodology.

Section 5124.21 | Per medicaid day indirect care costs component rate.

Section 5124.23 | Per medicaid day other protected costs component rate.

Section 5124.24 | Determination of per medicaid day quality incentive payment.

Section 5124.25 | Payment of medicaid rate add-on for outlier services provided for ventilator-dependent residents.

Section 5124.26 | Payment of medicaid rate add-on for outlier ICF/IID services.

Section 5124.29 | Limiting compensation of owners, their relatives, administrators, and resident meals outside facility.

Section 5124.30 | Costs of goods furnished by related party.

Section 5124.31 | Adjustment of payment rates.

Section 5124.32 | Reduction in rate not permitted.

Section 5124.33 | No payment for day of discharge.

Section 5124.34 | Payment for reserving beds.

Section 5124.35 | Timing of payments after involuntary termination.

Section 5124.37 | Timing of payments; calculations.

Section 5124.38 | Process for reconsideration of rates.

Section 5124.39 | Recoupment in case of delay in downsizing.

Section 5124.40 | Adjustment of rates.

Section 5124.41 | Redetermination of rates.

Section 5124.42 | Additional penalties.

Section 5124.43 | Determination of interest rate.

Section 5124.44 | Deductions.

Section 5124.45 | Deposits to general revenue fund.

Section 5124.46 | Adjudications under the administrative procedure act.

Section 5124.50 | Notice of facility closure or voluntary termination.

Section 5124.51 | Notice of change of operator.

Section 5124.511 | Agreements with entering operators effective on date of change of operator.

Section 5124.512 | Agreements with entering operators effective at a later date.

Section 5124.513 | Entering operator duties under provider agreement.

Section 5124.514 | Exiting operator deemed operator pending change.

Section 5124.515 | Provider agreement with operator not complying with prior agreement.

Section 5124.516 | Medicaid reimbursement adjustments; change of operator.

Section 5124.517 | Determination that a change of operator has or has not occurred; effect.

Section 5124.52 | Overpayment amounts determined following notice of closure, etc.

Section 5124.521 | Withholding from medicaid payment due exiting operator.

Section 5124.522 | Cost report by exiting operator; waiver.

Section 5124.523 | Failure to file cost report; payments deemed overpayments.

Section 5124.524 | Final payment withheld pending receipt of cost reports.

Section 5124.525 | Determination of debt of exiting operator; summary report.

Section 5124.526 | Release of amount withheld less amounts owed.

Section 5124.527 | Release of amount withheld on postponement of change of operator.

Section 5124.528 | Disposition of amounts withheld from payment due an exiting operator.

Section 5124.53 | Adoption of rules for implementation of sections 5124.50 to 5124.53.

Section 5124.60 | Conversion of beds to home and community-based services.

Section 5124.61 | Conversion of beds in acquired ICF/IID.

Section 5124.62 | Request for federal approval of conversion of beds.

Section 5124.65 | Reconversion of beds to ICF/IID use.

Section 5124.68 | Admission as resident in an ICF/IID with medicaid-certified capacity exceeding eight.

Section 5124.69 | Informational pamphlet.

Section 5124.70 | Maximum number of residents per sleeping room.

Section 5124.99 | Penalty for violation of cost reporting provisions.