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| Intermediate Care Facility for Individuals With Intellectual Disabilities Services
Law
Ohio Revised Code
| Public Welfare
| Intermediate Care Facility for Individuals With Intellectual Disabilities Services
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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
5124.08
| Provider Agreements With Icf/iid Providers.
Section
5124.071
| Agreements With More Than One Icf/iid.
Section
5124.072
| Revalidation of Agreements.
Section
5124.081
| Resident's Cause of Action for Breach.
Section
5124.10
| Cost Reports.
Section
5124.15
| Amount of Payments.
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
5124.21
| 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
5124.28
| Rules for Payment Limits.
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
5124.52
| Overpayment Amounts Determined Following Notice of Closure, Etc.
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.
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
5124.151
| 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
5124.171
| Icf/iid's per Medicaid Day Payment Rate for Reasonable Capital Costs.
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
5124.195
| Icf/iid's per Medicaid Day Payment Rate for Direct Care Costs.
Section
5124.196
| Compilation of Assessment Data for Residents.
Section
5124.197
| Case-Mix Scores.
Section
5124.198
| Exception Reviews of Resident Assessment Data.
Section
5124.199
| Retroactive Changes Prohibited.
Section
5124.211
| Per Medicaid Day Payment Rate for Indirect Care Costs.
Section
5124.231
| Per Medicaid Day Payment Rate for Other Protected Costs.
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
5124.521
| 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.