173.391 Requirements for provider certification - disciplinary action.
173.391 Requirements for provider certification - disciplinary action.
(A) The department of aging or its designee shall do all of the following in accordance with Chapter 119. of the Revised Code:
(1) Certify a person or government entity to provide community-based long-term care services under a program the department administers if the person or government entity satisfies the requirements for certification established by rules adopted under division (B) of this section;
(2) When required to do so by rules adopted under division (B) of this section, take one or more of the following disciplinary actions against a person or government entity issued a certificate under division (A)(1) of this section:
(a) Issue a written warning;
(b) Require the submission of a plan of correction;
(c) Suspend referrals;
(d) Remove clients;
(e) Impose a fiscal sanction such as a civil monetary penalty or an order that unearned funds be repaid;
(f) Revoke the certificate;
(g) Impose another sanction.
(3) Hold hearings when there is a dispute between the department or its designee and a person or government entity concerning actions the department or its designee takes or does not take under division (A)(1) or (2)(c) to (g) of this section.
(B) The director of aging shall adopt rules in accordance with Chapter 119. of the Revised Code establishing certification requirements and standards for determining which type of disciplinary action to take under division (A)(2) of this section in individual situations. The rules shall establish procedures for all of the following:
(1) Ensuring that community-based long-term care agencies comply with section 173.394 of the Revised Code;
(2) Evaluating the services provided to ensure that they are provided in a quality manner advantageous to the individual receiving the services;
(3) Determining when to take disciplinary action under division (A)(2) of this section and which disciplinary action to take.
(C) The procedures established in rules adopted under division (B)(2) of this section shall require that all of the following be considered as part of an evaluation:
(1) The service provider’s experience and financial responsibility;
(2) The service provider’s ability to comply with standards for the community-based long-term care services that the provider provides under a program the department administers;
(3) The service provider’s ability to meet the needs of the individuals served;
(4) Any other factor the director considers relevant.
(D) The rules adopted under division (B)(3) of this section shall specify that the reasons disciplinary action may be taken under division (A)(2) of this section include good cause, including misfeasance, malfeasance, nonfeasance, confirmed abuse or neglect, financial irresponsibility, or other conduct the director determines is injurious to the health or safety of individuals being served.
Effective Date: 09-29-2005; 06-30-2006