ACTION: Final DATE: 08/31/2015 10:09 AM

1 5123:2-2-01 Providercertification.(A) (B)Definitions(1)"Agencyprovider"meansan entity,includingacountyboard,thatdirectl yemploysatleastonepersoninadditiontothec hiefexecutiveofficerforthepurposeofprovi dingservicesforwhichtheentitymustbecerti fiedunderthisrule.(2)"Applicant"meansape rson,agency,orcountyboardseekingtobecome acertifiedprovider.(3)"Countyboard"means acountyboardofdevelopmentaldisabilities. (4)"Department"meanstheOhiodepartmentofd evelopmentaldisabilities.(5)"Directservi cesposition" (6)"Homeandcommunity-basedservices" (7)"Independentprovider"meansaself-emplo yedpersonwhoprovidesservicesforwhichheor shemustbecertifiedunderthisruleanddoesno temploy,eitherdirectlyorthroughcontract, anyoneelsetoprovidetheservices.(8)"Indiv idual"meansapersonwithadevelopmentaldisa bility.(9)"Provider"meansanagencyprovide roranindependentprovider.

2 (10)"Relatedparty" (C)Requirementsforindependentprovidercer tification(1)Anindependentprovidershall: (a)Beatleasteighteenyearsofage.(b)Haveav alidsocialsecuritynumberandoneofthefollo wingformsof[stylesheet: , authoring tool: i4i ras3 Jul 31, 2015 02:29, (dv: 0, p: 138938, pa: 285819, ra: 475370, d: 615118)]print date : 08/31/2015 10:10 AMACTION: FinalDATE: 08/31/2015 10:09 AMidentification:(i)StateofOhioidentific ation;(ii)Validdriver'slicense;or(iii)Ot hergovernment-issuedphotoidentification. (c)Holdahighschooldiplomaorgeneraleducat iondevelopmentcertificate,exceptfor:(i)P ersonswho,onSeptember30,2009,heldindepen dentprovidercertificationissuedbythedepa rtment;and(ii)Personswho,onSeptember30,2 009,wereemployedbyorundercontractwithana gencyprovidercertifiedbythedepartment.(d )Beabletoread,write,andunderstandEnglish atalevelsufficienttocomplywithallrequire mentssetforthinadministrativerulesgovern ingtheservicesprovided.

3 (e)Holdvalid"AmericanRedCross"orequivale ntcertificationinfirstaidwhichincludesan in-personskillsassessmentcompletedwithan approvedtrainer,exceptforprovidersofserv icesexemptedinaccordancewithparagraph(E) (1)ofthisrule.(f)Holdvalid"AmericanRedCr oss"orequivalentcertificationincardiopul monaryresuscitationwhichincludesanin-per sonskillsassessmentcompletedwithanapprov edtrainer,exceptforprovidersofservicesex emptedinaccordancewithparagraph(E)(1)oft hisrule.(g) (h)Discloseorreportinwritingtothedepartm entifheorshehasbeenoriseverformallycharg edwith,convictedof,orpleadsguiltytoanyof theoffenseslistedordescribedindivisions( A)(3)(a)to(A)(3)(e) ,conviction,orguiltyplea.(i)Undergoaback groundinvestigationinaccordancewithrule5 123:2-2-02oftheAdministrativeCodeandcons enttobeenrolledintheOhioattorneygeneral' sretainedapplicantfingerprintdatabase("R apback").

4 (j)Provideandmaintainonfilewiththedepart ment,currentUnitedStates5123:2-2-012mail andelectronicmailaddresses.(k)Meetwithar epresentativeofthecountyboardafterbeings electedtoprovideservicestoanindividualan dpriortoprovidingservices,todiscussthein dependentprovider'sresponsibilitiesandre quirementssetforthintheindividualservice plan.(l)Participateasrequestedbythedepar tmentinservicedeliverysystemdatacollecti oninitiatives.(m) :2-9oftheAdministrativeCodeforthespecifi chomeandcommunity-basedservicesprovided. (2)Priortoapplicationforinitialindepende ntprovidercertification,anapplicantshall havesuccessfullycompleted:(a)Department- providedweb-basedorientationforindepende ntproviders.(b)Eighthoursoftraininginacc ordancewithstandardsestablishedbythedepa rtmentthataddressesthefollowingtopics,ex ceptforprovidersofservicesexemptedinacco rdancewithparagraph(E)(1)ofthisrule:(i)O verviewofservingindividualswithdevelopme ntaldisabilitiesincludingimplementationo findividualserviceplans;(ii)Anindependen tprovider'sroleandresponsibilitieswithre gardtoservicesincludingperson-centeredpl anning,communityintegration,self-determi nation,andself-advocacy;(iii)Universalpr ecautionsforinfectioncontrolincludinghan dwashingandthedisposalofbodilywaste;(iv) ;and(v)Therequirementsofrule5123:2-17-02 oftheAdministrativeCodeincludingareviewo fhealthandwelfarealertsissuedbythedepart ment.

5 (3)Withinsixtydaysoffirstprovidingservic es,anindependentprovidershallsuccessfull ycompletetraininginaccordancewithstandar dsestablishedbythedepartmentin:(a)Servic edocumentation;and5123:2-2-013(b) billing forservices.(4)Commencinginthesecondyear ofcertification,anindependentprovidersha llsuccessfullycompleteannualtraininginac cordancewithstandardsestablishedbythedep artmentin:(a)Anindependentprovider'srole andresponsibilitieswithregardtoservicesi ncludingperson-centeredplanning,communit yintegration,self-determination,andself- advocacy;(b) ;and(c)Therequirementsofrule5123:2-17-02 oftheAdministrativeCodeincludingareviewo fhealthandwelfarealertsissuedbythedepart mentsincethepreviousyear'straining.(D)Re quirementsforagencyprovidercertification (1)Anagencyprovidershallemployachiefexec utiveofficerwho:(a)Isatleasttwenty-oneye arsofage.(b)Hasavalidsocialsecuritynumbe randoneofthefollowingformsofidentificati on:(i)StateofOhioidentification;(ii)Vali ddriver'slicense;or(iii)Othergovernment- issuedphotoidentification.

6 (c)Holdsahighschooldiplomaorgeneraleduca tiondevelopmentcertificate.(d)Either:(i) Holdsabachelor'sdegreefromanaccreditedco llegeoruniversity;or(ii)Hasatleastfourye arsoffull-time(orequivalentpart-time)pai dworkexperienceasasupervisorofprogramsor servicesforindividualswithdevelopmentald isabilities.(e)Isabletoread,write, :2-2-014(f)Hasatleastoneyearoffull-time( orequivalentpart-time)paidworkexperience intheprovisionofservicesforindividualswi thdevelopmentaldisabilitieswhichincluded responsibilityfor:(i)Personnelmatters;(i i)Supervisionofemployees;(iii)Programser vices;and(iv)Financialmanagement.(g)Exce ptforapersonwho,onthedayimmediatelyprior totheeffectivedateofthisrule,wasemployed byorundercontractwithanagencyproviderast hechiefexecutiveofficer,successfullycomp letes,withinthirtydaysofinitialcertifica tionorwithinthirtydaysofhireasthechiefex ecutiveofficer,department-providedweb-ba sedorientationforchiefexecutiveofficerso fagencyproviders.

7 (h)Exceptforapersonwho,onthedayimmediate lypriortotheeffectivedateofthisrule,wase mployedbyorundercontractwithanagencyprov iderasthechiefexecutiveofficer,successfu llycompletes,withinsixtydaysofinitialcer tificationorwithinsixtydaysofhireasthech iefexecutiveofficer,traininginaccordance withstandardsestablishedbythedepartmenti n:(i)Servicedocumentation;(ii)Billingfor services;(iii)Internalcomplianceprograms ;(iv) ;and(v)Therequirementsofrule5123:2-17-02 oftheAdministrativeCodeincludingareviewo fhealthandwelfarealertsissuedbythedepart ment.(i)Successfullycompletes,commencing inthesecondyearofcertificationoremployme ntasthechiefexecutiveofficer,annualtrain inginaccordancewithstandardsestablishedb ythedepartmentin:(i)Anagencyprovider'sro leandresponsibilitieswithregardtoservice sincludingperson-centeredplanning,commun ityintegration,self-determination,andsel f-advocacy;5123:2-2-015(ii) ;and(iii)Therequirementsofrule5123:2-17- 02oftheAdministrativeCodeincludingarevie wofhealthandwelfarealertsissuedbythedepa rtmentsincethepreviousyear'straining.

8 (j)Undergoesabackgroundinvestigationinac cordancewithrule5123:2-2-02oftheAdminist rativeCodeandconsentstobeenrolledintheOh ioattorneygeneral'sretainedapplicantfing erprintdatabase("Rapback").(2) ,boththechiefexecutiveofficerandthedesig natedpersonshallmeettherequirementssetfo rthinparagraph(D)(1) (3)Anagencyprovidershalldiscloseorreport inwritingtothedepartmentifthechiefexecut iveofficerorotherpersonresponsibleforadm inistrationoftheagencyproviderhasbeenori severformallychargedwith,convictedof,orp leadsguiltytoanyoftheoffenseslistedordes cribedindivisions(A)(3)(a)to(A)(3)(e) ,conviction,orguiltyplea.(4) (5)Anagencyprovidershallreportinwritingt othedepartmentwithinfourteendayswhenthec hiefexecutiveofficerorotherpersonrespons ibleforadministrationoftheagencyprovider leavestheagencyprovider' (6)Anagencyprovidershallprovidetothedepa rtmentthename,countryofbirth,dateofbirth ,andsocialsecuritynumberforanypersonowni ngafinancial5123:2-2-016interestoffivepe rcentormoreintheagencyprovider(including adirect,indirect,security,ormortgagefina ncialinterest).

9 (7) :2-9oftheAdministrativeCodeforthespecifi chomeandcommunity-basedservicesprovided. (8)Anapplicantforinitialagencyproviderce rtificationshallsubmittothedepartment:(a )Writtenpoliciesandproceduresthataddress theagencyprovider'smanagementpracticesin thefollowingareas:(i)Person-centeredplan ningandself-determination;(ii)Confidenti alityofindividuals'records;(iii)Manageme ntofindividuals'funds;(iv)Incidentreport ingandinvestigation;(v)Individuals'satis factionwithservicesdelivered;(vi)Interna lmonitoringandevaluationprocedurestoimpr oveservicesdelivered;(vii)Supervisionofs taff;(viii)Stafftrainingplan;and(ix)Annu alwrittennoticetoeachofitsemployeesandco ntractorsexplainingtheconductforwhichthe employeeorcontractororthecontractor'semp loyeesmaybeplacedontheabuserregistryands ettingforththerequirementforeachemployee ,contractor,andemployeeofacontractorwhoi sengagedinadirectservicespositiontorepor tinwritingtotheagencyprovider,ifheorshei severyformallychargedwith,convictedof,or pleadsguiltytoanyoftheoffenseslistedorde scribedindivisions(A)(3)(a)to(A)(3)(e) ,conviction,orguiltyplea.

10 (b)AcertificateofgoodstandingfromtheOhio secretaryofstatedemonstratingtheagencypr ovider'sstatusasafor-profitcorporation,n onprofitcorporation,limitedliabilitycomp any, :2-2-017(c)Anemployeridentificationnumbe rfromtheinternalrevenueservice.(d)Anempl oyeridentificationnumberfromthebureauofw orkers'compensation.(e)Acertificateofcom prehensivegeneralliabilityinsuranceinthe amountofatleastfivehundredthousanddollar s.(9)Anagencyprovidershallprovideandmain tainonfilewiththedepartment,currentUnite dStatesmailandelectronicmailaddresses.(1 0)Anagencyprovidershalldemonstratethatit hasanestablishedinternalsystemtoensureco mpliancewithrequirementsfor:(a)Providerc ertificationinaccordancewiththisrule;(b) Backgroundinvestigationsandappropriateac tionsinaccordancewithrule5123:2-2-02ofth eAdministrativeCodeforitschiefexecutiveo fficer,otherpersonresponsibleforadminist rationoftheagencyprovider(ifapplicable), andeachemployee,contractor,andemployeeof acontractorwhoisengagedinadirectservices position;and(c)Servicedelivery,servicedo cumentation,andbillingforservicesinaccor dancewithrulesinChapter5123:2-9oftheAdmi nistrativeCodeforthespecifichomeandcommu nity-basedservicesprovided.