Ohio Code 5123.1610 – Termination or refusal of provider agreement for supported living
(A) All of the following apply if the department of medicaid, pursuant to section 5164.38 of the Revised Code, refuses to enter into, terminates, or refuses to revalidate a provider agreement that authorizes a person or government entity to provide supported living under the medicaid program:
Terms Used In Ohio Code 5123.1610
- Person: includes an individual, corporation, business trust, estate, trust, partnership, and association. See Ohio Code 1.59
(1) In the case of a refusal to enter into a provider agreement, the person or government entity’s application to provide medicaid-funded supported living under a supported living certificate is automatically denied on the date the department of medicaid refuses to enter into the provider agreement.
(2) In the case of a terminated provider agreement, the person or government entity’s authority to provide medicaid-funded supported living under a supported living certificate is automatically revoked on the date that the provider agreement is terminated.
(3) In the case of a provider agreement that expires because the department of medicaid refuses to revalidate it, the person or government entity’s authority to provide medicaid-funded supported living under a supported living certificate is automatically revoked on the date that the provider agreement expires, unless the expiration date of the provider agreement is the same as the expiration date of the supported living certificate, in which case the director of developmental disabilities shall refuse to renew the person or government entity’s authority to provide medicaid-funded supported living under the certificate.
(B) The director of developmental disabilities is not required to issue an adjudication order in accordance with Chapter 119 of the Revised Code to do any of the following pursuant to this section:
(1) Deny a person or government entity’s application to provide medicaid-funded supported living;
(2) Revoke a person or government entity’s authority to provide medicaid-funded supported living;
(3) Refuse to renew a person or government entity’s authority to provide medicaid-funded supported living.
(C) This section does not affect a person or government entity’s opportunity or authority to do either of the following:
(1) Apply to provide nonmedicaid-funded supported living under a supported living certificate;
(2) Provide nonmedicaid-funded supported living under a supported living certificate.
Last updated May 6, 2021 at 5:17 PM