Department of Aging - Certification of Community-Based Long-Term Care Service Providers - ODA provider certification: community transition.


Published: 2019-07-01

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(A) "Community transition" means the service defined in rule 5160-44-26 of the Administrative Code.

(B) Requirements for an ODA-certified provider of community transition:

(1) General requirements: The provider shall comply with the requirements for every ODA-certified agency provider in rule 173-39-02 of the Administrative Code.

(2) Requirements specific to community transition: The provider shall comply with the requirements in rule 5160-44-26 of the Administrative Code.

(3) If a conflict exists between a requirement in rule 173-39-02 of the Administrative Code and a requirement in rule 5160-44-26 of the Administrative Code, the provider shall comply with the requirement in rule 173-39-02 of the Administrative Code.

(C) Units and rates:

(1) One unit of community transition is one completed job per individual per enrollment in the PASSPORT program or the assisted living program and includes includes any of the expenses listed under paragraph (A)(1) of rule 5160-44-26 of the Administrative Code.

(2) The rate per job is subject to the maximum-allowable rate established in appendix A to rule 5160-1-06.1 of the Administrative Code, appendix A to rule 5160-1-06.5 of the Administrative Code, and paragraph (C)(2) of rule 5160-44-26 of the Administrative Code.

(3) Rules 5160-31-07 and 5160-33-07 of the Administrative Code require the unit rate to be negotiated between the provider and ODA's designee. The negotiated rate shall include any expenses listed under paragraph (A)(1) of rule 5160-44-26 of the Administrative Code. The provider shall not bill ODA's designee for any amount in excess of the negotiated rate, unless ODA's designee approves a revised rate.