Ohio · Statutes
Chapter 5165 — Medicaid Coverage of Nursing Facility Services
116 sections
116 sections
- Ohio Rev. Code § 5165.01§ 5165.01. Definitions
- Ohio Rev. Code § 5165.02§ 5165.02. Rules
- Ohio Rev. Code § 5165.03§ 5165.03. Admission of mentally ill person to nursing facility
- Ohio Rev. Code § 5165.04§ 5165.04. Assessment to determine level of care
- Ohio Rev. Code § 5165.06§ 5165.06. Nursing facility eligibility
- Ohio Rev. Code § 5165.07§ 5165.07. Provider agreement requirements
- Ohio Rev. Code § 5165.08§ 5165.08. Nursing facilities' provider agreement terms
- Ohio Rev. Code § 5165.10§ 5165.10. Annual cost report
- Ohio Rev. Code § 5165.011§ 5165.011. Nursing facility references
- Ohio Rev. Code § 5165.15§ 5165.15. Calculation of payments to nursing facility providers
- Ohio Rev. Code § 5165.16§ 5165.16. Per medicaid day payment rate for ancillary and support costs; peer groups
- Ohio Rev. Code § 5165.17§ 5165.17. Per medicaid day payment rate for reasonable capital costs
- Ohio Rev. Code § 5165.19§ 5165.19. Per medicaid day payment rate for direct care costs
- Ohio Rev. Code § 5165.21§ 5165.21. Per medicaid day payment rate for tax costs
- Ohio Rev. Code § 5165.23§ 5165.23. Critical access incentive payments to qualified facilities
- Ohio Rev. Code § 5165.26§ 5165.26. Nursing facility's per medicaid day quality incentive payment rate
- Ohio Rev. Code § 5165.28§ 5165.28. Rate for added, replaced, or renovated beds
- Ohio Rev. Code § 5165.29§ 5165.29. Cost of operating rights for relocated beds not allowable cost
- Ohio Rev. Code § 5165.30§ 5165.30. Related party costs to pass through
- Ohio Rev. Code § 5165.031§ 5165.031. Hearing
- Ohio Rev. Code § 5165.32§ 5165.32. Reduction in rate not permitted
- Ohio Rev. Code § 5165.33§ 5165.33. No payment for discharge date
- Ohio Rev. Code § 5165.34§ 5165.34. Payments made to reserve bed during temporary absence
- Ohio Rev. Code § 5165.35§ 5165.35. Payments made to facility for services provided after involuntary termination
- Ohio Rev. Code § 5165.36§ 5165.36. Rebasing
- Ohio Rev. Code § 5165.37§ 5165.37. Calculating rates and making payments
- Ohio Rev. Code § 5165.38§ 5165.38. Reconsideration of rate
- Ohio Rev. Code § 5165.40§ 5165.40. Adjustment of rates
- Ohio Rev. Code § 5165.41§ 5165.41. Redetermination of rates
- Ohio Rev. Code § 5165.42§ 5165.42. Additional penalties
- Ohio Rev. Code § 5165.43§ 5165.43. Determination of interest rate
- Ohio Rev. Code § 5165.44§ 5165.44. Deductions
- Ohio Rev. Code § 5165.45§ 5165.45. Deposits to general revenue fund
- Ohio Rev. Code § 5165.46§ 5165.46. Administrative adjudication
- Ohio Rev. Code § 5165.47§ 5165.47. Claim for medicaid payment for service provided to nursing facility resident
- Ohio Rev. Code § 5165.48§ 5165.48. Nursing facility not required to submit Medicaid claim for Medicare cost-sharing expenses under certain circumstances
- Ohio Rev. Code § 5165.49§ 5165.49. Post-payment reviews of nursing facility Medicaid claims
- Ohio Rev. Code § 5165.50§ 5165.50. Notice of facility closure or withdrawal of participation
- Ohio Rev. Code § 5165.51§ 5165.51. Notice of change of operator
- Ohio Rev. Code § 5165.52§ 5165.52. Overpayment amounts determined following notice of closure, etc
- Ohio Rev. Code § 5165.53§ 5165.53. Adoption of rules regarding change in operators
- Ohio Rev. Code § 5165.60§ 5165.60. Definitions for sections 5165.60 to 5165.89
- Ohio Rev. Code § 5165.61§ 5165.61. Adoption of rules
- Ohio Rev. Code § 5165.62§ 5165.62. Enforcement of provisions
- Ohio Rev. Code § 5165.63§ 5165.63. Contracts with state agencies for enforcement
- Ohio Rev. Code § 5165.64§ 5165.64. Annual standard surveys
- Ohio Rev. Code § 5165.65§ 5165.65. Exit interview with administrator
- Ohio Rev. Code § 5165.66§ 5165.66. Citations for failure to comply with one or more certification requirements
- Ohio Rev. Code § 5165.67§ 5165.67. Survey results
- Ohio Rev. Code § 5165.68§ 5165.68. Statement of deficiencies
- Ohio Rev. Code § 5165.69§ 5165.69. Plan of correction
- Ohio Rev. Code § 5165.70§ 5165.70. On-site monitoring
- Ohio Rev. Code § 5165.071§ 5165.071. Facility operator may contract with more than one provider
- Ohio Rev. Code § 5165.71§ 5165.71. Deficiencies not substantially corrected
- Ohio Rev. Code § 5165.072§ 5165.072. Revalidation
- Ohio Rev. Code § 5165.72§ 5165.72. Uncorrected deficiencies constituting severity level four findings
- Ohio Rev. Code § 5165.073§ 5165.073. Termination for non-compliance with installation of fire extinguishing and fire alarm systems
- Ohio Rev. Code § 5165.73§ 5165.73. Uncorrected deficiencies constituting severity level three and scope level three or four findings
- Ohio Rev. Code § 5165.74§ 5165.74. Uncorrected deficiencies constituting severity level one or two or severity level three, scope level two finding
- Ohio Rev. Code § 5165.75§ 5165.75. Imposing remedies and fines
- Ohio Rev. Code § 5165.76§ 5165.76. Fine collected if termination order does not take effect
- Ohio Rev. Code § 5165.77§ 5165.77. Emergency remedies
- Ohio Rev. Code § 5165.78§ 5165.78. Appointment of temporary resident safety assurance manager
- Ohio Rev. Code § 5165.79§ 5165.79. Terminating provider agreements
- Ohio Rev. Code § 5165.80§ 5165.80. Transfer of residents to other appropriate care settings
- Ohio Rev. Code § 5165.081§ 5165.081. Action against facility for breach of provider agreement or other duties
- Ohio Rev. Code § 5165.81§ 5165.81. Qualifications of temporary manager of nursing facility
- Ohio Rev. Code § 5165.082§ 5165.082. Qualification of beds
- Ohio Rev. Code § 5165.82§ 5165.82. Residents to whom denial of medicaid payments applies
- Ohio Rev. Code § 5165.83§ 5165.83. Fines
- Ohio Rev. Code § 5165.84§ 5165.84. Order denying payment when deficiency is not corrected within time limits
- Ohio Rev. Code § 5165.85§ 5165.85. Termination of participation for failure to correct deficiency within six months
- Ohio Rev. Code § 5165.86§ 5165.86. Delivery of notices
- Ohio Rev. Code § 5165.87§ 5165.87. Appeals
- Ohio Rev. Code § 5165.88§ 5165.88. Confidentiality
- Ohio Rev. Code § 5165.89§ 5165.89. Hearing on transfer or discharge of resident who medicaid or medicare beneficiary
- Ohio Rev. Code § 5165.99§ 5165.99. Penalty
- Ohio Rev. Code § 5165.101§ 5165.101. Cost of franchise permit fee not reimbursable expense
- Ohio Rev. Code § 5165.102§ 5165.102. Fines excluded from cost report
- Ohio Rev. Code § 5165.103§ 5165.103. Completion of cost reports
- Ohio Rev. Code § 5165.104§ 5165.104. Form of cost reports; guidelines
- Ohio Rev. Code § 5165.105§ 5165.105. Addendum for disputed costs
- Ohio Rev. Code § 5165.106§ 5165.106. Termination for failure to file report
- Ohio Rev. Code § 5165.107§ 5165.107. Amendments to cost reports
- Ohio Rev. Code § 5165.108§ 5165.108. Desk review of cost report
- Ohio Rev. Code § 5165.109§ 5165.109. Audit
- Ohio Rev. Code § 5165.151§ 5165.151. Initial rates for new nursing facilities
- Ohio Rev. Code § 5165.152§ 5165.152. Payments for services provided to low resource utilization residents
- Ohio Rev. Code § 5165.153§ 5165.153. Rates for outlier facilities or units
- Ohio Rev. Code § 5165.154§ 5165.154. Calculating prospective rates for facilities with residents whose care costs are not adequately measured
- Ohio Rev. Code § 5165.155§ 5165.155. Amount of payments for dual eligible individuals
- Ohio Rev. Code § 5165.156§ 5165.156. Centers of excellence component
- Ohio Rev. Code § 5165.157§ 5165.157. Alternative purchasing model for nursing facility services
- Ohio Rev. Code § 5165.158§ 5165.158. Private room incentive payment
- Ohio Rev. Code § 5165.191§ 5165.191. Resident assessment data
- Ohio Rev. Code § 5165.192§ 5165.192. Case-mix scores for nursing facilities
- Ohio Rev. Code § 5165.193§ 5165.193. Exception review of assessment data
- Ohio Rev. Code § 5165.501§ 5165.501. Compliance with Social Security Act required
- Ohio Rev. Code § 5165.511§ 5165.511. Agreements with entering operators effective on date of change of operator
- Ohio Rev. Code § 5165.512§ 5165.512. Agreements with entering operators effective on a later date