Schedule of fees

(a) Initial and Provisional Long Term Long-Term Care Administrator License - $200.00 (1) This licensure fee applies to all original licensures, registrations/registration renewals and certifications. (2) The initial license will expire on December 31st of the year it was effective. (b) Renewal fees (1) NHA Tier 1 Long-Term Care License - $200.00 per year; (2) Certified Assistant - $75.00 per year; (3) Tier 2 RC/AL License - $175.00 per year; (4) RC License - $100.00 per year; (5) Tier 2 ADC License - $100.00 per year; (6) Tier 2 ICF/IID-16 License - $100.00 per year (c) Late Fee - $100.00 for each calendar week, or portion thereof. ,a licensee fails to timely meet the requirements of a deadline or due date established or agreed to, in writing, by the Board. (d) Pre-Licensing File Origination and Maintenance fee - $100.00 (e) Provisional License (per application) - $200.00 (f) Name Change on "Certificate of License" (per request) - $25.00 (documentation of a legal name change shall be required, such as a marriage certificate or other legal document) (g) Endorsement Licensure Questionnaire (per request) - $50.00 (h) Replacement "Certificate of License" (due to loss or damage) - $25.00 (i) (e) State Standards Review (per person) - $100.00 (j) (f) State Standards Examination Packet - $50.00 (k) (g) State Standards Examination administered by the Department - $100.00 per examinee (when administered by OSBELTCA) (l) (h) State Standards Examination, unscheduled examination - $500.00 per examinee (when administered by OSBELTCA) (m) (i) Board Department-Sponsored Educational Workshop (per day) - up to $1,000 per attendee. (n) Photocopies (per page) - $0.25 (o) Rules and Regulations (paper copy), per page - $0.25 16 (p) (j) Administrator-In-Training Administrator in Training (AIT) Program: Internship Permit (per intern/trainee applicant) - 350.00 $350.00 (q) (k) Continuing Education Program Approval Program Application Fee (per credit hour) - $55.00 (r) Mailing List on Plain Paper (per page) - $0.25 (s) Electronic Mailing List - $10.00 (t) (l) Returned Check Fee or Fee related to Non- Sufficient Non-Sufficient Funds (NSF) to cover an Electronic Funds Transfer (EFT) - $30.00 (u) Late Fee for Failure to Provide Current Contact and/or Employment Information - $75.00 (v) (m) Fee for Administrator University Training - Not to exceed $200.00 per day (w) (n) Convenience Fee for Online Licensure Renewal - Determined by Intermediary A convenience fee may be charged by the online processing vendor in an amount determined by the processor. (o) (x) Review by Board Staff in order to determine whether or not an individual applicant is eligible for licensure or certification relative Conduct a background check to the identify barrier offenses listed in OAC 490:10-1-2.1 or other eligibility criteria - $200.00 $50.25 (y) (p) License Application processing fee - $100.00 (valid for one year). (z) Temporary licensure fee - $200.00 (wherein the Executive Director may issue a temporary license, upon request by the applicant and with all requirements being met, expiring at the next Board meeting date when the Board would issue a license, enabling one who is qualified to work while waiting for the next Board meeting). SUBCHAPTER 9. CONTINUING EDUCATION