Ohio Code 5166.05 – Review of plans of care and individual service plans
The department of medicaid may review and approve, modify, or deny written plans of care and individual service plans that section 5166.04 of the Revised Code requires be created for individuals determined eligible for a home and community-based services medicaid waiver component. If a state agency or political subdivision contracts with the department under section 5162.35 of the Revised Code to administer a home and community-based services medicaid waiver component and approves, modifies, or denies a written plan of care or individual service plan pursuant to the agency’s or subdivision’s administration of the component, the department may review the agency’s or subdivision’s approval, modification, or denial and order the agency or subdivision to reverse or modify the approval, modification, or denial. The state agency or political subdivision shall comply with the department’s order.
Terms Used In Ohio Code 5166.05
- Medicaid waiver component: means a component of the medicaid program authorized by a waiver granted by the United States department of health and human services under section 1115 or 1915 of the "Social Security Act" 42 U. See Ohio Code 5166.01
- state: means the state of Ohio. See Ohio Code 1.59
The department of medicaid shall be granted full and immediate access to any records the department needs to implement its duties under this section.