Ohio Code 5165.513 – Entering operator duties under provider agreement
(A) A provider that enters into a provider agreement with the department of medicaid under section 5165.511 or 5165.512 of the Revised Code shall do all of the following:
Terms Used In Ohio Code 5165.513
- Contract: A legal written agreement that becomes binding when signed.
- Exiting operator: means any of the following:
(1) An operator that will cease to be the operator of a nursing facility on the effective date of a change of operator;
(2) An operator that will cease to be the operator of a nursing facility on the effective date of a facility closure;
(3) An operator of a nursing facility that is undergoing or has undergone a voluntary withdrawal of participation;
(4) An operator of a nursing facility that is undergoing or has undergone an involuntary termination. See Ohio Code 5165.01
- Provider: means an operator with a provider agreement. See Ohio Code 5165.01
- Provider agreement: means a provider agreement, as defined in section 5164. See Ohio Code 5165.01
- state: means the state of Ohio. See Ohio Code 1.59
(1) Comply with all applicable federal statutes and regulations;
(2) Comply with section 5165.07 of the Revised Code and all other applicable state statutes and rules;
(3) Subject to division (B) of this section, comply with all the terms and conditions of the exiting operator‘s provider agreement, including, but not limited to, all of the following:
(a) Any plan of correction;
(b) Compliance with health and safety standards;
(c) Compliance with the ownership and financial interest disclosure requirements of 42 C.F.R. § 455.104, 455.105, and 1002.3;
(d) Compliance with the civil rights requirements of 45 C.F.R. § parts 80, 84, and 90;
(e) Compliance with additional requirements imposed by the department;
(f) Any sanctions relating to remedies for violation of the provider agreement, including deficiencies, compliance periods, accountability periods, monetary penalties, notification for correction of contract violations, and history of deficiencies.
(B) Division (A)(3) of this section does not prohibit a nursing facility provider from excluding one or more parts of the nursing facility from the provider agreement pursuant to division (B)(1) of section 5165.08 of the Revised Code.