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Rule 5160-45-03.2 | ODM-administered waiver services: self-direction, and self-directed caregivers

OhioregulationOhio Department of Medicaid· effective 2024-10-01

What this rule requires your agency to do

  • 1Conditional employment may last up to sixty days; the FMS must review disqualifying databases and begin the criminal records check no later than five business days after conditional employment begins.(Rule 5160-45-03.2 | ODM-administered waiver services: self-direction, and self-directed caregivers)
  • 2Caregivers must use the FMS time-keeping system, including electronic visit verification per Chapter 5160-32, for all reimbursable service time.(Rule 5160-45-03.2 | ODM-administered waiver services: self-direction, and self-directed caregivers)
  • 3At enrollment, caregivers must submit proof of training/qualifications, review of applicable OAC requirements, incident-management training, and required forms including a medicaid provider agreement (ODM form 10283) and consent for screening and criminal record checks.(Rule 5160-45-03.2 | ODM-administered waiver services: self-direction, and self-directed caregivers)
  • 4Caregiver enrollment must be completed within fourteen calendar days, or one business day of an expedited enrollment request from the case manager.(Rule 5160-45-03.2 | ODM-administered waiver services: self-direction, and self-directed caregivers)
  • 5Caregivers must maintain documentation of services delivered as required for each service type.(Rule 5160-45-03.2 | ODM-administered waiver services: self-direction, and self-directed caregivers)
  • 6Before providing paid services, a self-directed caregiver must enroll with the FMS and meet the qualification requirements for the service type (personal care aide, home care attendant, or waiver nursing).(Rule 5160-45-03.2 | ODM-administered waiver services: self-direction, and self-directed caregivers)
  • 7Caregivers must at all times meet ODM's provider conditions of participation as outlined in rule 5160-44-31 (except paragraph (B)(2)(a)).(Rule 5160-45-03.2 | ODM-administered waiver services: self-direction, and self-directed caregivers)
  • 8The FMS must conduct criminal record checks at initial enrollment and at least once every five years or as requested by the individual.(Rule 5160-45-03.2 | ODM-administered waiver services: self-direction, and self-directed caregivers)

Applies to: personal care

OAC rule governing self-directed waiver services, including caregiver qualifications, enrollment documentation, criminal record checks, conditional employment, EVV timekeeping, and self-direction reviews.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.