5101:3-3-64.1 Nursing facility (NF) payment for cost-sharing other than medicare part A.

(A) For medicaid eligible NF residents, the NF per diem rate includes medicaid payments for medicare or other third-party insurance cost-sharing, including coinsurance or deductible payments, associated with services that are included in the NF per diem.

(B) Neither the medicaid eligible NF resident nor the Ohio department of job and family services (ODJFS) is responsible for any medicare or other third-party insurance cost-sharing, including coinsurance or deductibles, associated with services that are included in the NF per diem.

Effective: 10/29/2009

R.C. 119.032 review dates: 10/29/2014

Promulgated Under: 119.03

Statutory Authority: 5111.02

Rule Amplifies: 5111.20, 5111.262

Prior Effective Dates: 7/31/09 (Emer)