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Proposed Rules for Ohio Department of Medicaid

Rule Number
Most Recent File Date
Most Recent Action
Type
Rule Title
09/27/2017
Withdraw Proposed
Amendment
Home and community-based service waivers: PASSPORT.
04/17/2017
To Be Refiled
New
Requirements for 340B covered entities.
11/21/2017
Revised Filing
New
Electronic visit verification (EVV).
10/12/2017
Original Filing
Amendment
Medicaid payment.
10/17/2017
Original Filing
Amendment
Patient-centered medical homes (PCMH): eligible providers.
11/13/2017
Withdraw Proposed
New
Adjustments to payments for hospital services.
05/01/2015
Revised Filing
New
Children's hospitals quality outcomes program.
10/27/2017
Original Filing
Rescission
Level of care definitions.
10/27/2017
Original Filing
New
Level of care definitions.
10/31/2017
Revised Filing
New
Criteria for the protective level of care.
10/27/2017
Original Filing
Rescission
Criteria for the protective level of care.
10/31/2017
Revised Filing
Rescission
Criteria for nursing facility-based level of care.
10/27/2017
Original Filing
New
Criteria for nursing facility-based level of care for an adult.
10/27/2017
Original Filing
New
Criteria for nursing facility-based level of care for a child.
10/27/2017
Original Filing
New
Nursing facility-based level of care assessment and determination process for children.
10/27/2017
Original Filing
Rescission
Process and timeframes for a level of care determination for nursing facility-based level of care programs.
10/27/2017
Original Filing
New
Nursing facility-based level of care assessment and determination process for adults.
12/12/2017
Refiled Filing
Amendment
Advanced practice registered nurse (APRN) services.
09/28/2017
Revised Filing
New
Fee-for-time compensation arrangements (substitute physicians).
10/17/2017
Original Filing
Amendment
Spinal manipulation and related diagnostic imaging services.
10/17/2017
Original Filing
New
Acupuncture services.
10/12/2017
Original Filing
Amendment
Laboratory-related services: claim payment.
10/24/2017
Revised Filing
Amendment
Home health and private duty nursing: visit policy.
10/17/2017
Original Filing
Amendment
Registered nurse assessment and registered nurse consultation services.
10/17/2017
Revised Filing
New
Transportation: non-emergency services through a CDJFS: program integrity provisions.
10/17/2017
Original Filing
Amendment
Coordinated services program.
10/17/2017
Original Filing
Amendment
Managed health care programs: eligibility and enrollment.
10/17/2017
Original Filing
Amendment
Managed health care programs: covered services.
10/17/2017
Original Filing
Amendment
Managed health care programs: primary care and utilization management.
10/17/2017
Original Filing
Amendment
Managed health care programs: member rights.
11/21/2017
Revised Filing
New
Managed health care programs: managed care plan appeal and grievance system.
10/17/2017
Original Filing
Rescission
Managed health care programs: MCP grievance system.
10/17/2017
Original Filing
Amendment
Managed health care programs: reimbursement and financial responsibility.
10/17/2017
Original Filing
Amendment
Managed health care programs: managed care plan non-contracting providers.
09/27/2017
Withdraw Proposed
Amendment
PASSPORT HCBS waiver program covered services.
09/27/2017
Withdraw Proposed
Amendment
PASSPORT HCBS waiver program rate setting.
06/14/2017
To Be Refiled
New
Intensive behavioral services for children with autism.
10/17/2017
Original Filing
Amendment
Medicaid home and community-based services program - individual options waiver.
10/17/2017
Original Filing
Rescission
Home and community-based services waivers - request for prior authorization for individuals enrolled in the individual options waiver.
10/17/2017
Original Filing
Amendment
Medicaid home and community-based services program - self-empowered life funding waiver.
10/17/2017
Original Filing
Amendment
Medicaid home and community-based services program - level one waiver.
12/08/2017
Original Filing
Amendment
Ohio home care waiver, transitions DD waiver and transitions carve-out waiver programs: criminal records checks involving agency providers.
12/08/2017
Original Filing
Amendment
Ohio home care waiver, transitions DD waiver and transitions carve-out waiver programs: criminal records checks involving independent providers.
10/17/2017
Original Filing
Amendment
ODM-administered waiver programs: provider conditions of participation.
12/08/2017
Original Filing
Amendment
Ohio home care waiver, transitions DD waiver and transitions carve-out waiver programs: exclusionary periods for disqualifying offenses; certificates; and pardons.
10/17/2017
Original Filing
Amendment
MyCare Ohio plans: application of general managed care rules.
10/17/2017
Original Filing
Amendment
MyCare Ohio plans: termination of enrollment.
10/17/2017
Original Filing
Amendment
MyCare Ohio plans: covered services.
11/21/2017
Revised Filing
New
Appeals and grievances for "MyCare Ohio."
10/17/2017
Original Filing
Rescission
Appeals and grievances for "MyCare Ohio."


 

 

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