Ohio Rev. Code § 5164.41

(A) As used in this section, "home and community-based services medicaid waiver component" has the same meaning as in section 5166.01 of the Revised Code.

(B) The department of medicaid shall establish oversight mechanisms concerning services provided by a family caregiver under a home and community-based services medicaid waiver component. Oversight may include any of the following:

(1) Quarterly audits;

(2) Enhanced check-in review;

(3) Annual recertification as a medicaid provider;

(4) Independent case manager verification;

(5) Caps on hours of compensated care absent documented medical necessity;

(6) Forensic review triggers;

(7) Background check monitoring pursuant to section 5164.341 of the Revised Code through the retained applicant fingerprint database established under section 109.5721 of the Revised Code.

(C) The department may require a family caregiver who the department considers to be high risk or who has repeatedly violated the department's requirements concerning family caregivers to provide services through a waiver agency as defined in section 5164.342 of the Revised Code, rather than as an independent provider.