Rules In Effect

Download List of Currently Effective Rules
Chapter 5123:1-1    Community Capital Assistance Funds
Community capital assistance funds - non-residential capital facilities
Appendix - Construction Project Payment Schedule
Distribution of community assistance funds for the acquisition of housing
5123:1-1-04Community capital assistance funds for the development of licensed residential facilities
Community capital assistance funds - residential accessibility and renovation projects
Chapter 5123:1-5    Trusts; Assistance to County Boards of Developmental Disabilities
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    Access to Confidential Information

5123:1-6-01

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

Access to Confidential Personal Information Policy

Chapter 5123:1-8    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 System
Protective services system for guardianship, trusteeship, protectorship, or conservatorship
Chapter 5123:2-1 / 5123-4   County Boards of Developmental Disabilities
Administration and operation of county boards of developmental disabilities
Locally-funded transportation
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​
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
Licensed residential facilities - room and board
Chapter 5123:2-5 / 5123-5    Certification Standards for Employees of County Boards of Developmental Disabilities
Adult services certification standards
Service and support administration certification standards
Superintendent certification standards
5123-5-04

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

5123:2-5-05
Early intervention services certification standards
Investigative agent certification standards
5123-5-08Certification standards for business managers of county boards of developmental disabilities
Chapter 5123:2-6    Performance of Health-Related Activities and Administration of 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 developmental disabilities personnel to activate a vagus nerve stimulator, use an epinephrine auto-injector, and administer topical over-the-counter medication for the purpose of cleaning, protecting, or comforting the skin, hair, nails, teeth, or oral surfaces
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 / 5123-7    Intermediate Care Facilities for Individuals with Intellectual Disabilities
​Intermediate care facilities for individuals with intellectual disabilities - 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 for individuals with intellectual disabilities - relationship of other covered medicaid services​
Intermediate care facilities for individuals with intellectual disabilities - cost report​ and chart of accounts
Appendix - Chart of Accounts
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 - leased staff services​
Intermediate care facilities - capital asset and depreciation guidelines
Appendix - Estimated Useful Lives of Capital Assets​
Intermediate care facilities for individuals with intellectual disabilities - resident assessment classification system based on administration of the individual assessment form​
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 for individuals with intellectual disabilities - costs of ownership payment
Intermediate care facilities for individuals with intellectual disabilities - nonextensive renovation​
Intermediate care facilities for individuals with intellectual disabilities - request for rate reconsideration​
Intermediate care facilities for individuals with intellectual disabilities - ventilator services
Intermediate care facilities for individuals with intellectual disabilities - exception review process for individual assessment form data
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
5123-7-33Intermediate care facilities for individuals with intellectual disabilities - resident assessment classification system based on administration of the Ohio developmental disabilities profile
Appendix - Point Values Assigned to Responses to Questions on the Ohio Developmental Disabilities Profile by Domain
Chapter 5123-8    Developmental Disabilities Level of Care
5123-8-01​​Developmental disabilities level of care
Chapter 5123:2-9 / 5123-9    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
5123:2-9-03Home and community-based services waivers - overtime and limit on number of hours in a work week an independent provider may provide services
5123-9-04Home and community-based services waivers - waiting list
Appendix - Ohio Assessment for Immediate Need and Current Need
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
5123-9-12Home and community-based services waivers - assistive technology under the individual options, level one, and self-empowered life funding waivers
Appendix - Billing Units, Service Codes, and Payment Rates for Assistive Technology

5123-9-13
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
5123-9-20Home 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 Codes, and Payment Rates for Environmental Accessibility Adaptations
Home and community-based services waivers - transportation under the individual options, level one, and self-empowered life funding 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 - 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 Codes for Homemaker/Personal Care Daily Billing Unit
5123-9-32Home and community-based services waivers - participant-directed homemaker/personal care under the individual options, level one, and self-empowered life funding waivers
Appendix - Billing Unit, Service Codes, and Payment Rates for Participant-Directed Homemaker/Personal Care
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 Unit, Service Codes, and Payment Rates for Residential Respite
Home and community-based services waivers - remote support under the individual options, level one, and self-empowered life funding waivers
Appendix - Billing Units, Service Codes, and Payment Rates for Remote Support
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
5123:2-9-37Home and community-based services waivers - waiver nursing delegation under the individual options, level one, and self-empowered life funding waivers
Appendix - Billing Units, Procedure Codes, and Payment Rates for Waiver Nursing Delegation
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 Unit, Service Codes, and Payment Rates for Clinical/Therapeutic Intervention ​
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 Unit, Service Codes, and Payment Rate for Participant/Family Stability Assistance​
Home and community-based services waivers - support brokerage under the self-empowered life funding waiver
Appendix - Billing Unit, Service Codes, and Payment Rates for Support Brokerage​
5123-9-48Home and community-based services waivers - community transition under the individual options waiver
Appendix - Billing Unit, Service Code, and Payment Rate for Community Transition
​ ​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 for Nursing Facilities
Preadmission screening and resident review for nursing facility applicants and nursing facility residents with developmental disabilities
Chapter 5123:2-17 / 5123-17    Resolution of Complaints; Major Unusual Incidents and Unusual Incidents; 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