Rule 5160-46-02 | Ohio home care waiver program: eligibility and enrollment

What this rule requires your agency to do

• 1The individual must sign an agreement confirming they were informed of service alternatives, provider choice, and institutional vs. community options; if unable to sign at enrollment, must sign no later than the next in-person visit.(Rule 5160-46-02 | Ohio home care waiver program: eligibility and enrollment)
• 2The individual must participate in an in-person initial comprehensive assessment and cooperate with an in-person eligibility comprehensive assessment at least annually (more often on significant change).(Rule 5160-46-02 | Ohio home care waiver program: eligibility and enrollment)
• 3The individual cost limit for waiver services may not exceed fourteen thousand seven hundred dollars per month (excluding specified services) absent ODM approval.(Rule 5160-46-02 | Ohio home care waiver program: eligibility and enrollment)
• 4Individuals must be disenrolled no later than one hundred twenty calendar days following their sixtieth birthday, with an offered transition to the PASSPORT waiver if eligible.(Rule 5160-46-02 | Ohio home care waiver program: eligibility and enrollment)
• 5The individual must reside in a qualifying home and community-based setting that is not a hospital, NF, ICF-IID, residential care facility, or other group living arrangement subject to licensure.(Rule 5160-46-02 | Ohio home care waiver program: eligibility and enrollment)
• 6Enrollees must be between birth through age fifty-nine years, Medicaid-eligible, and determined to have a nursing-facility-based level of care.(Rule 5160-46-02 | Ohio home care waiver program: eligibility and enrollment)
• 7The individual must have and receive at least one waiver service monthly (or meet the alternative continuous-nursing/monthly-monitoring criteria) that is otherwise unavailable through another source.(Rule 5160-46-02 | Ohio home care waiver program: eligibility and enrollment)