5123-9-06 Providers of home and community-based services shall maintain the records necessary and in such form to disclose fully the extent of home and community based services provided, for a period of six years from the date of receipt of payment or until an initiated audit is resolved, whichever is longer. The records shall be made available upon request to the department, the Ohio department of Medicaid, the centers for Medicare and Medicaid services, and/or the auditor of state. Providers who fail to produce the records requested within thirty calendar days following the request shall be subject to denial, suspension, or revocation of certification and/or loss of their Medicaid provider agreement. 

Disclaimer: These are not official documents, and there is no requirement that providers use these particular documents, nor is there any guarantee that this form will be in compliance with later rules. It remains the responsibility of the provider to be familiar with all applicable rules, including those covering service delivery and documentation. Use of these forms for documentation is not a guarantee of payment, and services must be provided before claims are submitted for reimbursement. We make every effort to ensure the information on this page is accurate and up to date, however changes occur often at the state level. While we are diligent in keeping our website up to date, please see dodd.ohio.gov for the latest information.