PocketLaw
Home
Catalog
Law Online
Teams
Our Free Mobile App
| Medicaid Coverage of Nursing Facility Services
Law
Ohio Revised Code
| Public Welfare
| Medicaid Coverage of Nursing Facility Services
Checkout our iOS App for a better way to browser and research.
Section
5165.01
| Definitions.
Section
5165.02
| Rules.
Section
5165.03
| Admission of Mentally Ill Person to Nursing Facility.
Section
5165.04
| Assessment to Determine Level of Care.
Section
5165.06
| Nursing Facility Eligibility.
Section
5165.07
| Provider Agreement Requirements.
Section
5165.08
| Nursing Facilities' Provider Agreement Terms.
Section
5165.011
| Nursing Facility References.
Section
5165.031
| Hearing.
Section
5165.071
| Facility Operator May Contract With More Than One Provider.
Section
5165.072
| Revalidation.
Section
5165.073
| Termination for Non-Compliance With Installation of Fire Extinguishing and Fire Alarm Systems.
Section
5165.081
| Action Against Facility for Breach of Provider Agreement or Other Duties.
Section
5165.082
| Qualification of Beds.
Section
5165.10
| Annual Cost Report.
Section
5165.15
| Calculation of Payments to Nursing Facility Providers.
Section
5165.16
| Per Medicaid Day Payment Rate for Ancillary and Support Costs; Peer Groups.
Section
5165.17
| Per Medicaid Day Payment Rate for Reasonable Capital Costs.
Section
5165.19
| Per Medicaid Day Payment Rate for Direct Care Costs.
Section
5165.21
| Per Medicaid Day Payment Rate for Tax Costs.
Section
5165.23
| Critical Access Incentive Payments to Qualified Facilities.
Section
5165.26
| Nursing Facility's per Medicaid Day Quality Incentive Payment Rate.
Section
5165.28
| Rate for Added, Replaced, or Renovated Beds.
Section
5165.29
| Cost of Operating Rights for Relocated Beds Not Allowable Cost.
Section
5165.30
| Related Party Costs to Pass Through.
Section
5165.32
| Reduction in Rate Not Permitted.
Section
5165.33
| No Payment for Discharge Date.
Section
5165.34
| Payments Made to Reserve Bed During Temporary Absence.
Section
5165.35
| Payments Made to Facility for Services Provided After Involuntary Termination.
Section
5165.36
| Rebasing.
Section
5165.37
| Calculating Rates and Making Payments.
Section
5165.38
| Reconsideration of Rate.
Section
5165.40
| Adjustment of Rates.
Section
5165.41
| Redetermination of Rates.
Section
5165.42
| Additional Penalties.
Section
5165.43
| Determination of Interest Rate.
Section
5165.44
| Deductions.
Section
5165.45
| Deposits to General Revenue Fund.
Section
5165.46
| Administrative Adjudication.
Section
5165.47
| Claim for Medicaid Payment for Service Provided to Nursing Facility Resident.
Section
5165.48
| Nursing Facility Not Required to Submit Medicaid Claim for Medicare Cost-Sharing Expenses Under Certain Circumstances.
Section
5165.49
| Post-Payment Reviews of Nursing Facility Medicaid Claims.
Section
5165.50
| Notice of Facility Closure or Withdrawal of Participation.
Section
5165.51
| Notice of Change of Operator.
Section
5165.52
| Overpayment Amounts Determined Following Notice of Closure, Etc.
Section
5165.53
| Adoption of Rules Regarding Change in Operators.
Section
5165.60
| Definitions for Sections 5165.60 to 5165.89.
Section
5165.61
| Adoption of Rules.
Section
5165.62
| Enforcement of Provisions.
Section
5165.63
| Contracts With State Agencies for Enforcement.
Section
5165.64
| Annual Standard Surveys.
Section
5165.65
| Exit Interview With Administrator.
Section
5165.66
| Citations for Failure to Comply With One or More Certification Requirements.
Section
5165.67
| Survey Results.
Section
5165.68
| Statement of Deficiencies.
Section
5165.69
| Plan of Correction.
Section
5165.70
| On-Site Monitoring.
Section
5165.71
| Deficiencies Not Substantially Corrected.
Section
5165.72
| Uncorrected Deficiencies Constituting Severity Level Four Findings.
Section
5165.73
| Uncorrected Deficiencies Constituting Severity Level Three and Scope Level Three or Four Findings.
Section
5165.74
| Uncorrected Deficiencies Constituting Severity Level One or Two or Severity Level Three, Scope Level Two Finding.
Section
5165.75
| Imposing Remedies and Fines.
Section
5165.76
| Fine Collected if Termination Order Does Not Take Effect.
Section
5165.77
| Emergency Remedies.
Section
5165.78
| Appointment of Temporary Resident Safety Assurance Manager.
Section
5165.79
| Terminating Provider Agreements.
Section
5165.80
| Transfer of Residents to Other Appropriate Care Settings.
Section
5165.81
| Qualifications of Temporary Manager of Nursing Facility.
Section
5165.82
| Residents to Whom Denial of Medicaid Payments Applies.
Section
5165.83
| Fines.
Section
5165.84
| Order Denying Payment When Deficiency Is Not Corrected Within Time Limits.
Section
5165.85
| Termination of Participation for Failure to Correct Deficiency Within Six Months.
Section
5165.86
| Delivery of Notices.
Section
5165.87
| Appeals.
Section
5165.88
| Confidentiality.
Section
5165.89
| Hearing on Transfer or Discharge of Resident Who Medicaid or Medicare Beneficiary.
Section
5165.101
| Cost of Franchise Permit Fee Not Reimbursable Expense.
Section
5165.102
| Fines Excluded From Cost Report.
Section
5165.103
| Completion of Cost Reports.
Section
5165.104
| Form of Cost Reports; Guidelines.
Section
5165.105
| Addendum for Disputed Costs.
Section
5165.106
| Termination for Failure to File Report.
Section
5165.107
| Amendments to Cost Reports.
Section
5165.108
| Desk Review of Cost Report.
Section
5165.109
| Audit.
Section
5165.151
| Initial Rates for New Nursing Facilities.
Section
5165.152
| Payments for Services Provided to Low Resource Utilization Residents.
Section
5165.153
| Rates for Outlier Facilities or Units.
Section
5165.154
| Calculating Prospective Rates for Facilities With Residents Whose Care Costs Are Not Adequately Measured.
Section
5165.155
| Amount of Payments for Dual Eligible Individuals.
Section
5165.156
| Centers of Excellence Component.
Section
5165.157
| Alternative Purchasing Model for Nursing Facility Services.
Section
5165.191
| Resident Assessment Data.
Section
5165.192
| Case-Mix Scores for Nursing Facilities.
Section
5165.193
| Exception Review of Assessment Data.
Section
5165.261
Section 5165.261
Section
5165.501
| Compliance With Social Security Act Required.
Section
5165.511
| Agreements With Entering Operators Effective on Date of Change of Operator.
Section
5165.512
| Agreements With Entering Operators Effective on a Later Date.
Section
5165.513
| Entering Operator Duties Under Provider Agreement.
Section
5165.514
| Exiting Operator Deemed Operator Pending Change.
Section
5165.515
| Provider Agreement With Operator Not Complying With Prior Agreement.
Section
5165.516
| Medicaid Reimbursement Adjustments; Change of Operator.
Section
5165.517
| Determination of Change of Operator for Purposes of Licensure Not Controlling.
Section
5165.521
| Withholding Amounts Owed From Medicaid Payments to Exiting Operator.
Section
5165.522
| Cost Report by Exiting Operator; Waiver.
Section
5165.523
| Failure to File Cost Report; Payments Deemed Overpayments.
Section
5165.524
| Final Payment Withheld Pending Receipt of Cost Reports.
Section
5165.525
| Determination of Debt of Exiting Operator; Summary Report.
Section
5165.526
| Release of Amount Withheld Less Amounts Owed.
Section
5165.527
| Release of Amount Withheld on Postponement of Change of Operator.
Section
5165.528
| Disposition of Amounts Withheld From Payment Due an Exiting Operator.
Section
5165.771
| Special Focus Facility Program.
Section
5165.1010
| Nursing Facility Fines.