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Rule 5160-44-22 | NF-based level of care HCBS programs: waiver nursing services
OhioregulationOhio Department of Medicaid (ODM)· effective 2024-01-01
What this rule requires your agency to do
- 1A non-agency LPN, at the direction of an RN, must conduct a visit with the directing RN at least every sixty days after the initial visit to evaluate services and LPN performance.(Rule 5160-44-22 | NF-based level of care HCBS programs: waiver nursing services)
- 2All nurses must possess an active Medicaid provider agreement or be employed by an entity that has one.(Rule 5160-44-22 | NF-based level of care HCBS programs: waiver nursing services)
- 3The nurse must document verbal physician orders in writing with date and time, sign the entry, and subsequently secure documentation signed and dated by the primary care physician.(Rule 5160-44-22 | NF-based level of care HCBS programs: waiver nursing services)
- 4All nurses providing waiver nursing services must possess a current, valid, unrestricted license with the Ohio board of nursing and provide services within their scope of practice.(Rule 5160-44-22 | NF-based level of care HCBS programs: waiver nursing services)
- 5A non-agency LPN must conduct an in-person visit with the individual and directing RN before initiating services and at least every one hundred twenty days thereafter.(Rule 5160-44-22 | NF-based level of care HCBS programs: waiver nursing services)
- 6If a provider cannot assist with an assessed need, the provider must notify ODM, ODA, or their designee in writing of the limitation before being included on the individual's PCSP.(Rule 5160-44-22 | NF-based level of care HCBS programs: waiver nursing services)
- 7Providers must maintain a clinical record at their place of business for each individual, including plans of care recertified by the primary care physician at least every sixty days.(Rule 5160-44-22 | NF-based level of care HCBS programs: waiver nursing services)
- 8Providers must maintain a record at the individual's residence reflecting at least the past sixty calendar days of documentation.(Rule 5160-44-22 | NF-based level of care HCBS programs: waiver nursing services)
Applies to: cross-cutting
Defines waiver nursing services and sets nurse licensure, provider, LPN-supervision-visit, and clinical-record requirements for waiver nursing providers.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.