{"ref":"OH-HC-BUS-03","title":"Medicaid Waiver Participation: ODA Certification and ODM Provider Requirements","category":"Business","summary":"Explains how the Agency takes part in Ohio Medicaid home and community-based programs: becoming and remaining certified by the Ohio Department of Aging for PASSPORT personal care and homemaker services, keeping its Medicaid provider agreement, meeting the ODM waiver provider conditions of participation where they apply, and tracking every program deadline on one compliance calendar.","inShort":["If you serve PASSPORT or other Medicaid clients, extra state rules apply to your work.","Provide only the services and hours in the client's approved plan.","Report abuse, incidents and big changes to your supervisor at once so the Agency can notify the state within one business day.","Your visit records must have the date, times, tasks and both identifiers.","Ask your supervisor if you are not sure whether a task is authorized."],"primaryCitation":"OAC 173-39-02","citations":["OAC 173-39-01","OAC 173-39-02(A), (B), (C)(1)","OAC 173-39-02.8(B)(2)","OAC 173-39-02.11(B)","OAC 173-39-04(B)(1)(c)","OAC 5160-1-17.2","OAC 5160-44-31","OAC 5160-46-04(A)(5)","OAC 5160-58-04","ORC 3740.03(B)(3)","OAC 3701-60-03(E), (F)"],"federalCitations":["45 CFR §80.4","45 CFR Part 162"],"surveyorAsks":["Which Medicaid programs do you serve, and under which certification or provider agreement?","Show me your commercial liability insurance and the written instructions clients use to claim for theft or damage."],"forms":[{"ref":"OH-HC-BUS-03-A","title":"Waiver Provider Compliance Calendar"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (OAC 173-39-02)","5. Which Programs the Agency May Serve","6. Becoming ODA-Certified","7. Remaining ODA-Certified","8. Medicaid Provider Agreement","9. ODM Waiver Provider Conditions","10. Compliance Calendar","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"oh-hca","state":"Ohio","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}