Rule 5160-31-07 | PASSPORT HCBS waiver program rate setting

What this rule requires your agency to do

• 1Payment for PASSPORT waiver services constitutes payment in full; the provider may not bill the individual for the difference between the medicaid payment and the provider's rate or request a co-payment or similar charge.(Rule 5160-31-07 | PASSPORT HCBS waiver program rate setting)
• 2Group rates are seventy-five per cent of the rate the provider would otherwise be paid for the service.(Rule 5160-31-07 | PASSPORT HCBS waiver program rate setting)
• 3For choices home care attendant services, the individual must have a signed provider agreement in effect with each ODA-certified participant-directed individual provider before services are delivered, including the negotiated rate, time period, unit basis, and signatures.(Rule 5160-31-07 | PASSPORT HCBS waiver program rate setting)
• 4Participant-negotiated rates may not exceed the maximum allowed per unit in appendix A to rule 5160-1-06.1 and must be reviewed by ODA's designee and reflected on the person-centered service plan prior to service delivery.(Rule 5160-31-07 | PASSPORT HCBS waiver program rate setting)
• 5PASSPORT rates may not exceed the maximum allowable rates in appendix A to rule 5160-1-06.1 of the Administrative Code.(Rule 5160-31-07 | PASSPORT HCBS waiver program rate setting)