Rules In Effect

Download List of Currently Effective Rules
Chapter 5123:1-1    Construction Assistance Funds
Distribution of state construction assistance funds for community adult facilities and early childhood and family centers
Distribution of community assistance funds for the acquisition of housing
5123:1-1-04Community capital assistance funds for the development of licensed residential facilities
Distribution of funds for residential accessibility and renovation projects
Chapter 5123:1-5    Fiscal
Trusts for supplemental services
Assistance to enable a county board to pay the nonfederal share of medicaid expenditures for home and community-based services
Chapter 5123:1-6    Information Systems

5123:1-6-01

​Access to confidential personal information maintained by the Ohio department of developmental disabilities

Chapter 5123:1-8    Ohio Developmental Disabilities Council

5123:1-8-01

​Conducting meetings of the Ohio developmental disabilities council via interactive videoconference or teleconference

Chapter 5123:1-15    Protective Services
Protective services system for guardianship, trusteeship, protectorship, or conservatorship
Chapter 5123:2-1    County Boards of Developmental Disabilities
Administration and operation of county boards of developmental disabilities
Locally-funded transportation
Waiting lists
Service and support administration
Resolution of complaints involving county boards of developmental disabilities and appeals of adverse action proposed or initiated by county boards of developmental disabilities
Appendix - Complaint or Appeal of Adverse Action Explanation Form
In-service training for members of county boards of developmental disabilities
Chapter 5123:2-2    Provider Standards
Provider certification
Background investigations for employment​
Related Form - Attestation and Agreement to Notify Employer
Quality assurance
Compliance reviews of certified providers​
Employment first
Behavioral support strategies that include restrictive measures
5123:2-2-07Personal funds of the individual
Chapter 5123:2-3    Licensed Residential Facilities
Licensed residential facilities - administration and operation
Licensed residential facilities - physical environment standards, fire safety, and emergency response planning
Licensed residential facilities - person-centered planning
Licensed residential facilities - provision of services and maintenance of service records
Licensed residential facilities - admission, termination of services, and transfer
Licensed residential facilities - compliance reviews, issuance of licenses, and adverse actions
5123:2-3-07Licensed residential facilities - immediate removal of residents
Licensed residential facilities - development and renovation
Licensed residential facilities - standards for evaluating potential receivers
Licensed residential facilities - procedures to waive rule requirements
Calculation of room and board payment for an individual residing in a residential facility
Chapter 5123:2-5    Certification of County Board Employees
Adult services certification standards
Service and support administration certification standards
Superintendent certification standards
5123:2-5-04

Denial, suspension, and revocation of adult services and service and support administration registration and certification

5123:2-5-05
Early intervention services certification standards
Investigative agent certification standards
Chapter 5123:2-6    Performance of Health-Related Activities and Administration of Prescribed Medication
Definitions of terms used in Chapter 5123:2-6 of the Administrative Code
Self-administration or assistance with self-administration of prescribed medication
Authorization of developmental disabilities personnel to perform health-related activities and administer prescribed medication
Qualifications, training, and certification of registered nurse instructors and registered nurse trainers
Qualifications and training of registered nurses who train developmental disabilities personnel and developmental disabilities personnel who administer prescribed medication to individuals residing at a residential facility with seventeen or more beds while on a field trip
Qualifications, training, and certification of developmental disabilities personnel who perform health-related activities and administer prescribed medication
General provisions and compliance for performance of health-related activities and administration of prescribed medication
Chapter 5123:2-7    Intermediate Care Facilities for Individuals with Intellectual Disabilities
​Intermediate care facilities - definitions
​Intermediate care facilities - provider agreements
​Intermediate care facilities - institutions eligible to participate in medicaid
Intermediate care facilities - payment during the Ohio office of medical assistance administrative appeals process for termination of a provider agreement​
Intermediate care facilities - payment during the state survey agency's administrative appeals process for termination or non-renewal of medicaid certification​
Intermediate care facilities - resource assessment notice​
Intermediate care facilities for individuals with intellectual disabilities - bed-hold days​
Intermediate care facilities - personal needs allowance accounts and other resident funds​
Intermediate care facilities - outlier services for behavioral redirection and medical monitoring​
Intermediate care facilities for individuals with intellectual disabilities - relationship of other covered medicaid services​
Intermediate care facilities for individuals with intellectual disabilities - cost report​
Intermediate care facilities - rate recalculations, interest on overpayments, penalties, repayment of overpayments, and deposit of repayment of overpayments​
Intermediate care facilities - debt estimation, debt summary report, and successor liability agreements for change of operator, facility closure, voluntary termination, involuntary termination, or voluntary withdrawal​
Intermediate care facilities for individuals with intellectual disabilities - claim submission, payment, and adjustment process​
Intermediate care facilities - chart of accounts
Appendix - Chart of Accounts​
Intermediate care facilities - leased staff services​
Intermediate care facilities - capital asset and depreciation guidelines
Appendix - Estimated Useful Lives of Capital Assets​
Intermediate care facilities - resident assessment classification and case mix payment system​
Intermediate care facilities - compensation cost limits, reasonable costs for compensation, and compensation disallowances if any for owners and relatives of owners​
Intermediate care facilities - compensation cost limits, reasonable costs for compensation, and compensation disallowances if any for administrators​
Intermediate care facilities - method for establishing the other protected costs component of the prospective rate​
Intermediate care facilities - cost of ownership, efficiency incentive, and reporting of accumulated depreciation​
Intermediate care facilities - nonextensive renovation​
Intermediate care facilities - active treatment day programming​
Intermediate care facilities - prospective rate reconsideration on the basis of possible calculation errors​
Intermediate care facilities - prospective rate reconsideration on the basis of extreme hardship upon admission of a resident from a state-operated developmental center​
Intermediate care facilities for individuals with intellectual disabilities - pediatric ventilator services
Intermediate care facilities - exception review process
5123:2-7-31Intermediate care facilities for individuals with intellectual disabilities - recoupment of downsizing incentive
5123:2-7-32Intermediate care facilities for individuals with intellectual disabilities - administration of the Ohio developmental disabilities profile
Chapter 5123:2-8    Level of Care
5123:2-8-01​​Developmental disabilities level of care
Chapter 5123:2-9    Home and Community-Based Services Waivers
Home and community-based services waivers - enrollment, denial of enrollment, disenrollment, and reenrollment
5123:2-9-02Home and community-based services waivers - ensuring the suitability of services and service settings
Home and community-based services waivers - documentation and payment for services under the individual options and level one waivers
Appendix A - Ohio Developmental Disabilities Profile Funding Ranges by Cost-of-Doing Business Categories
Appendix B - Cost-of-Doing-Business Categories​
Home and community-based services waivers - request for prior authorization for individuals enrolled in the individual options waiver
Home and community-based services waivers - free choice of providers
5123:2-9-13
Home and community-based services waivers - career planning under the individual options, level one, and self-empowered life funding waivers​
Appendix - Billing Units, Service Codes, and Payment Rates for Career Planning
Home and community-based services waivers - vocational habilitation under the individual options, level one, and self-empowered life funding waivers​
Appendix A - Billing Units, Service Codes, and Payment Rates for Vocational Habilitation
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - individual employment support under the individual options, level one, and self-empowered life funding waivers​
Appendix - Billing Unit, Service Codes, and Payment Rates for Individual Employment Support
Home and community-based services waivers - group employment support under the individual options, level one, and self-empowered life funding waivers 
Appendix A - Billing Units, Service Codes, and Payment Rates for Group Employment Support
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - adult day support under the individual options, level one, and self-empowered life funding waivers
Appendix A - Billing Units, Service Codes, and Payment Rates for Adult Day Support 
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - non-medical transportation under the individual options, level one, and self-empowered life funding waivers
Appendix A - Billing Units, Service Codes, and Payment Rates for Non-Medical Transportation 
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - general requirements for adult day support, career planning, group employment support, individual employment support, non-medical transportation, and vocational habilitation
Appendix A - Cost-of-Doing-Business Categories
Appendix B - Budget Limitations
5123:2-9-20Home and community-based services waivers - money management under the individual options and level one waivers
Appendix A - Billing Unit, Service Codes, and Payment Rates for Money Management
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - informal respite under the level one waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Informal Respite
Home and community-based services waivers - community respite under the individual options, level one, and self-empowered life funding waivers
Appendix A - Billing Units, Service Codes, and Payment Rates for Community Respite
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - environmental accessibility adaptations under the individual options and level one waivers
Appendix - Billing Unit, Service Code, and Payment Rates for Environmental Accessibility Adaptations
Home and community-based services waivers - transportation under the individual options and level one waivers
Appendix - Billing Unit, Service Codes, and Payment Rates for Transportation
Home and community-based services waivers - specialized medical equipment and supplies under the individual options and level one waivers
Appendix - Billing Unit, Service Codes, and Payment Rates for Specialized Medical Equipment and Supplies
Home and community-based services waivers - personal emergency response systems under the level one waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Personal Emergency Response Systems
Home and community-based services waivers - emergency assistance under the level one waiver
Appendix - Service Codes for Services Provided as Emergency Assistance Under the Level One Waiver
Home and community-based services waivers - nutrition services under the individual options waiver
Appendix A - Billing Unit, Service Code, and Payment Rates for Nutrition Services
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - home-delivered meals under the individual options and level one waivers
Appendix - Billing Unit, Service Code, and Payment Rate for Home-Delivered Meals
Home and community-based services waivers - homemaker/personal care under the individual options and level one waivers
Appendix A - Billing Units, Service Codes, and Payment Rates for Homemaker/Personal Care
Application of Appendix A
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - homemaker/personal care daily billing unit for sites where individuals enrolled in the individual options waiver share services
Appendix - Service Code for Homemaker/Personal Care Daily Billing Unit
Home and community-based services waivers - shared living under the individual options waiver
Appendix A - Billing Unit, Service Codes, and Payment Rates for Shared Living
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - residential respite under the individual options, level one, and self-empowered life funding waivers
Appendix - Billing Units, Service Codes, and Payment Rates for Residential Respite
Home and community-based services waivers - remote monitoring and remote monitoring equipment under the individual options, level one, and self-empowered life funding waivers
Appendix - Billing Units, Service Codes, and Payment Rates for Remote Monitoring and Remote Monitoring Equipment
Home and community-based services waivers - interpreter services under the individual options waiver
Appendix A - Billing Unit, Service Code, and Payment Rates for Interpreter Services
Appendix B - Cost-of-Doing-Business Categories
Home and community-based services waivers - social work under the individual options waiver
Appendix A - Billing Unit, Service Code, and Payment Rates for Social Work
Appendix B - Cost-of-Doing-Business Categories
5123:2-9-39Home and community-based services waivers - waiver nursing services under the individual options waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Waiver Nursing Services

Home and community-based services waivers - administration of the self-empowered life funding waiver​
Home and community-based services waivers - clinical/therapeutic intervention under the self-empowered life funding waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Clinical/Therapeutic Intervention ​
Home and community-based services waivers - community inclusion under the self-empowered life funding waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Community Inclusion​
Home and community-based services waivers - functional behavioral assessment under the self-empowered life funding waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Functional Behavioral Assessment​
Home and community-based services waivers - participant-directed goods and services under the self-empowered life funding waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Participant-Directed Goods and Services​
Home and community-based services waivers - participant/family stability assistance under the self-empowered life funding waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Participant/Family Stability Assistance​
Home and community-based services waivers - support brokerage under the self-empowered life funding waiver
Appendix - Billing Units, Service Codes, and Payment Rates for Support Brokerage​
​ ​Chapter 5123:2-10    Early Intervention Services
5123:2-10-01Early Intervention Services - System of Payments
Appendix - Physical and Mental Conditions With a High Probability of Resulting in a Developmental Delay
Chapter 5123:2-14    Preadmission Screening and Resident Review
Preadmission screening and resident review for nursing facility applicants and nursing facility residents with developmental disabilities
Chapter 5123:2-17    Resolution of Complaints, Major Unusual Incidents, and Abuser Registry
Administrative resolution of complaints involving the Ohio department of developmental disabilities
Addressing major unusual incidents and unusual incidents to ensure health, welfare, and continuous quality improvement
Appendix A - Administrative Investigation Procedure for Major Unusual Incidents in Category A
Appendix B - Administrative Investigation Procedure for Major Unusual Incidents in Category B
Appendix C - Administrative Investigation Procedure for Major Unusual Incidents in Category C
Abuser registry