Rule 5160-44-32 | HCBS medicaid waiver program provider and direct care worker relationships

What this rule requires your agency to do

• 1A direct care worker may not provide care to a person other than the authorized individual(s) during Medicaid-billed hours, nor receive payment from any source for other activity during authorized hours.(Rule 5160-44-32 | HCBS medicaid waiver program provider and direct care worker relationships)
• 2A parent (or combination of parents) of a minor child may be paid for a maximum of forty hours per week of care, and a spouse a maximum of forty hours per week, not exceeding assessed need, absent a granted exception.(Rule 5160-44-32 | HCBS medicaid waiver program provider and direct care worker relationships)
• 3The PCSP must document that the conditions permitting a parent, spouse, or relative to serve as a direct care worker are met.(Rule 5160-44-32 | HCBS medicaid waiver program provider and direct care worker relationships)
• 4Paid care by a relative with legal decision-making authority is limited to forty hours per week per relative, not exceeding assessed need, absent an exception.(Rule 5160-44-32 | HCBS medicaid waiver program provider and direct care worker relationships)
• 5A direct care worker may not verify service provision on behalf of the individual.(Rule 5160-44-32 | HCBS medicaid waiver program provider and direct care worker relationships)
• 6HCBS services provided by a parent of a minor child or spouse must meet extraordinary-care requirements determined through the ODM 10372 'Ohio Extraordinary Care Instrument'.(Rule 5160-44-32 | HCBS medicaid waiver program provider and direct care worker relationships)
• 7The individual must agree to and cooperate with monthly care management contacts, with no more than sixty calendar days between in-person visits.(Rule 5160-44-32 | HCBS medicaid waiver program provider and direct care worker relationships)
• 8A parent of a minor child or a spouse may only provide paid HCBS waiver services when no other willing and able provider is available and the department determines the individual's health and safety can be ensured.(Rule 5160-44-32 | HCBS medicaid waiver program provider and direct care worker relationships)