# Ohio Admin. Code 5123-7-04: Rule 5123-7-04. Intermediate care facilities for individuals with intellectual disabilities - payment during the Ohio department of medicaid administrative appeals process for termination of a provider agreement

> Ohio · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_04

## Section

- **Citation:** Ohio Admin. Code 5123-7-04
- **Heading:** Rule 5123-7-04. Intermediate care facilities for individuals with intellectual disabilities - payment during the Ohio department of medicaid administrative appeals process for termination of a provider agreement
- **Jurisdiction:** Ohio
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Ohio Administrative Code / Agency 5123 / Chapter 5123-7 / Rule 5123-7-04

## Text

119.03 (A) Purpose This rule clarifies conditions under which payment may be made to an intermediate care facility for individuals with intellectual disabilities (ICFIID) during proposed termination and upon termination of the ICFIID's provider agreement by the Ohio department of medicaid. (B) Payment during the appeals process When the Ohio department of medicaid is required to provide an adjudicatory hearing pursuant to Chapter 119. of the Revised Code, payment will continue for medicaid-covered services provided to eligible residents during the appeal of and the proposed termination of an ICFIID's provider agreement. Payment will not be made under this provision for services rendered on or after the effective date of the issuance of a final order of adjudication pursuant to Chapter 119. of the Revised Code, except as provided in paragraph (C)(1) of this rule. (C) Payment following termination of provider agreement (1) Payment may be provided up to thirty calendar days following the effective date of termination of an ICFIID's provider agreement or after an administrative hearing decision that upholds the termination action. Payment will be available if both of the following conditions are met: (a) Payment is for residents admitted to the ICFIID before the effective date of termination; and (b) The ICFIID cooperates with federal, state, and local entities in the effort to transfer residents to other facilities or community programs that can meet the residents' needs. (2) When the Ohio department of medicaid acts under instructions from the United States department of health and human services, payment ends on the termination date specified by that agency. Last updated June 30, 2025 at 7:43 AM Supplemental Information Authorized By: 5123.04 , 5124.03 Amplifies: 5123.04 , 5124.03 6/30/2030 12/16/2019

## Nearby sections

- [Ohio Admin. Code 5123-7-01 Rule 5123-7-01. Intermediate care facilities for individuals with intellectual disabilities - definitions](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_01.md)
- [Ohio Admin. Code 5123-7-02 Rule 5123-7-02. Intermediate care facilities for individuals with intellectual disabilities - provider agreement and other essential requirements](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_02.md)
- [Ohio Admin. Code 5123-7-03 Rule 5123-7-03. Intermediate care facilities for individuals with intellectual disabilities - peer group 6](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_03.md)
- [Ohio Admin. Code 5123-7-04 Rule 5123-7-04. Intermediate care facilities for individuals with intellectual disabilities - payment during the Ohio department of medicaid administrative appeals process for termination of a provider agreement](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_04.md)
- [Ohio Admin. Code 5123-7-05 Rule 5123-7-05. Intermediate care facilities for individuals with intellectual disabilities - payment during the Ohio department of health administrative appeals process for termination or non-renewal of medicaid certification](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_05.md)
- [Ohio Admin. Code 5123-7-08 Rule 5123-7-08. Intermediate care facilities for individuals with intellectual disabilities - bed-hold days](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_08.md)
- [Ohio Admin. Code 5123-7-09 Rule 5123-7-09. Intermediate care facilities for individuals with intellectual disabilities - personal needs allowance accounts](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_09.md)
- [Ohio Admin. Code 5123-7-11 Rule 5123-7-11. Intermediate care facilities for individuals with intellectual disabilities - relationship of other covered medicaid services](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_11.md)
- [Ohio Admin. Code 5123-7-12 Rule 5123-7-12. Intermediate care facilities for individuals with intellectual disabilities - cost report and chart of accounts](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_12.md)
- [Ohio Admin. Code 5123-7-14 Rule 5123-7-14. Intermediate care facilities for individuals with intellectual disabilities - debt estimation, debt summary report, and successor liability agreements for change of operator, facility closure, involuntary termination, or voluntary termination](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_14.md)
- [Ohio Admin. Code 5123-7-15 Rule 5123-7-15. Intermediate care facilities for individuals with intellectual disabilities - claim submission](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_15.md)
- [Ohio Admin. Code 5123-7-18 Rule 5123-7-18. Intermediate care facilities for individuals with intellectual disabilities - capital assets and depreciation](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_18.md)
- [Ohio Admin. Code 5123-7-21 Rule 5123-7-21. Intermediate care facilities for individuals with intellectual disabilities - compensation cost limits for owners and relatives of owners](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_21.md)
- [Ohio Admin. Code 5123-7-22 Rule 5123-7-22. Intermediate care facilities for individuals with intellectual disabilities - compensation cost limits for administrators who are not owners or relatives of owners](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_22.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5123_7_04. Check the current official text before relying on it. Not legal advice.
