5111.97 Ohio access success project.
5111.97 Ohio access success project.
(A) As used in this section and in section 5111.971 of the Revised Code, “nursing facility” has the same meaning as in section 5111.20 of the Revised Code.
(B) To the extent funds are available, the director of job and family services may establish the Ohio access success project to help medicaid recipients make the transition from residing in a nursing facility to residing in a community setting. The program may be established as a separate non-medicaid program or integrated into a new or existing program of medicaid-funded home and community-based services authorized by a waiver approved by the United States department of health and human services. The director shall permit any recipient of medicaid-funded nursing facility services to apply for participation in the program, but may limit the number of program participants.If an application is received before the applicant has been a recipient of medicaid-funded nursing facility services for six months, the director shall ensure that an assessment is conducted as soon as practicable to determine whether the applicant is eligible for participation in the program. To the maximum extent possible, the assessment and eligibility determination shall be completed not later than the date that occurs six months after the applicant became a recipient of medicaid-funded nursing facility services.
(C) To be eligible for benefits under the project, a medicaid recipient must satisfy all of the following requirements:
(1) Be a recipient of medicaid-funded nursing facility services, at the time of applying for the benefits;
(2) Need the level of care provided by nursing facilities;
(3) For participation in a non-medicaid program, receive services to remain in the community with a projected cost not exceeding eighty per cent of the average monthly medicaid cost of a medicaid recipient in a nursing facility;
(4) For participation in a program established as part of a medicaid-funded home and community-based services waiver program, meet waiver enrollment criteria.
(D) If the director establishes the Ohio access success project, the benefits provided under the project may include payment of all of the following:
(1) The first month’s rent in a community setting;
(2) Rental deposits;
(3) Utility deposits;
(4) Moving expenses;
(5) Other expenses not covered by the medicaid program that facilitate a medicaid recipient’s move from a nursing facility to a community setting.
(E) If the project is established as a non-medicaid program, no participant may receive more than two thousand dollars worth of benefits under the project.
(F) The director may submit a request to the United States secretary of health and human services pursuant to section 1915 of the “Social Security Act,” 79 Stat. 286 (1965), 42 U.S.C. 1396n, as amended, to create a medicaid home and community-based services waiver program to serve individuals who meet the criteria for participation in the Ohio access success project. The director may adopt rules under Chapter 119. of the Revised Code for the administration and operation of the program.
Effective Date: 10-01-2005