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Ohio Laws and Rules
(A) This rule defines how the administrative agency shall compute income for purposes of determining medicaid eligibility under the healthy start covered group.
(B) Definitions.
(1) “Administrative agency” is the county department of job and family services (CDJFS), Ohio department of job and family services (ODJFS) or other entity that determines eligibility for a medical assistance program.
(2) “Assistance group” is defined in accordance with rule 5101:1-38-01.2 of the Administrative Code.
(C) Administrative agency responsibilities.
(1) The administrative agency shall determine medicaid eligibility in accordance with the eligibility rules contained in Chapters 5101:1-37 to 5101:1-42 of the Administrative Code.
(2) The administrative agency shall determine if the assistance group meets the income criteria for medicaid eligibility under the healthy start covered group by utilizing the following procedure:
(a) Total all gross income, earned and unearned, of the assistance group, in accordance with Chapter 5101:1-40 of the Administrative Code; then
(b) Exclude all appropriate income exemptions in accordance with Chapter 5101:1-40 of the Administrative Code; then,
(c) Subtract all appropriate income disregards in accordance with Chapter 5101:1-40 of the Administrative Code.
(d) The remainder is the countable income.
(i) The assistance group meets the healthy start income criterion if the assistance group’s countable income is equal to or less than the appropriate healthy start standard, as stated in rule 5101:1-40-26 of the Administrative Code.
(ii) The assistance group does not meet the healthy start income criterion if the assistance group’s countable income is greater than the appropriate healthy start standard, as stated in rule 5101:1-40-26 of the Administrative Code.
HISTORY: Eff 10-3-86; 1-1-88 (Emer.); 3-28-88; 1-1-89 (Emer.); 3-6-89; 4-5-89 (Emer.); 6-18-89; 10-1-90; 4-4-98; 2-3-00; Replaces: 5101:1-40-08.1, eff. 1-1-05
Rule promulgated under: RC 111.15
Rule authorized by: RC 5111.01, 5111.013
Rule amplifies: 5111.01, 5111.012, 5111.013
R.C. 119.032 review dates: 12/01/2009