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