Chapter 5160:1-4 Medicaid for Families and Children

5160:1-4-02.1 Medicaid: coverage for families.

(A) This rule describes low-income families (LIF) medicaid in accordance with section 1931 of the Social Security Act . There is no resource limit for families in this covered group.

(B) Definitions.

(1) "Comply" or "compliance", for the purpose of this rule, is defined as an agreement (verbal or written) to cooperate with a work activity requirement that is listed in the self-sufficiency contract.

(2) "Deemed", for the purpose of this rule means eligible for but not receiving Ohio works first (OWF) payments due to the following:

(a) The OWF payment is less than ten dollars; or

(b) The administrative agency is recovering an OWF overpayment that results in an OWF monthly payment not being received.

(3) "OWF Sanction", for the purpose of this rule, means an adult member of an OWF assistance group who, as a result of his or her own failure, has become ineligible for OWF payments for at least six months due to a third or subsequent failure or refusal, without good cause, to comply in full with a provision of a self-sufficiency contract related to a work activity.

(C) Eligibility criteria for the LIF covered group.

(1) The family's net countable family income is no more than ninety per cent of the federal poverty level; and

(2) The family includes a child who resides with the family or is temporarily absent with the intent to return home; or

(3) A dependent child in the care of a specified relative.

(4) A family receiving or deemed to be receiving an OWF cash payment and meets all other non-financial conditions of eligibility for medicaid is eligible for LIF.

(5) If a pregnant woman is included in this covered group and it is necessary to count the fetus in the family size to make the family financially eligible, the pregnancy must be verified.

(6) An OWF sanctioned individual is not eligible for medicaid. The family members of an individual on an OWF sanction remain eligible. The sanctioned individual shall regain medicaid eligibility beginning the first day of the month in which the individual agrees to comply with the work activity.

(7) The family shall receive an additional four consecutive months of LIF when there is a collection or increased collection received of child or spousal support, regardless of the amount, that caused ineligibility for LIF. The family must have been eligible for and received LIF in the state of Ohio in at least three of the six months immediately preceding the month in which the family becomes ineligible for LIF.

(D) Individual responsibilities. An individual under an OWF sanction shall provide verbal or written compliance to the administrative agency to regain medicaid eligibility.

(E) Administrative agency responsibilities. The administrative agency shall:

(1) Compare the net countable family income to ninety per cent of the federal poverty level. Approve, deny, or terminate the family's eligibility for LIF medicaid based upon the eligibility criteria described in paragraph (C) of this rule.

(2) Terminate an individual's eligibility if the individual is under an OWF sanction.

(3) Accept and document in the electronic eligibility system the receipt of verbal or written notice of compliance from the sanctioned individual and approve medicaid eligibility.

(4) Not terminate a woman who is pregnant or in her postpartum coverage period even if she is subject to an OWF sanction.

Effective: 01/09/2012
R.C. 119.032 review dates: 07/01/2016
Promulgated Under: 111.15
Statutory Authority: 5111.01 , 5111.011
Rule Amplifies: 5111.01 , 5111.011 , 5111.0120
Prior Effective Dates: 9/3/77, 10/26/78, 5/1/79, 9/21/79, 2/21/80, 1/1/83, 6/1/84, 10/1/84 (Emer.), 12/27/84, 1/1/85 (Emer.), 2/15/85 (Emer.), 3/12/85 (Emer.), 4/1/85, 6/10/85 (Emer.), 11/30/85, 1/3/86, 8/1/86 (Emer.), 8/1/86, 9/23/86, 10/3/86, 10/8/86, 2/13/87 (Emer.), 4/25/87, 10/1/87, 11/1/87, 1/1/88 (Emer.), 1/1/88, 6/20/88, 1/1/89 (Emer.), 2/6/89, 3/6/89, 3/28/89 (Emer.), 10/1/89, 12/16/89, 1/1/90 (Emer.), 4/1/90 (Emer.), 4/1/90, 6/20/90, 6/22/90, 10/1/91, 1/1/92, 1/1/93, 3/1/94 (Emer.), 4/18/94, 9/1/94, 9/1/95, 10/31/97 (Emer.), 12/31/97 (Emer.), 1/26/98, 3/9/98, 9/1/98, 10/1/98, 10/1/99, 11/1/99 (Emer.), 2/1/00, 7/1/00, 10/1/01, 6/1/02 (Emer.), 8/30/02, 1/1/05, 1/1/06, 1/1/08, 3/1/08, 7/17/11

5160:1-4-02.2 Medicaid: coverage for children.

(A) This rule describes covered groups for children from birth until the individual reaches age nineteen in accordance with section 1902(a)(10)(A) of the Social Security Act. There is no resource limit for children described in this rule.

(B) Eligibility criteria for newborn children born to medicaid-eligible women. In accordance with section 1902(e)(4) of the Social Security Act (as in effect June 1, 2010), a child shall be automatically eligible, as of the date of birth, and shall remain eligible until the child reaches the age of one, provided the birth mother is eligible for medicaid on the date of the child's birth. This includes, but is not limited to:

(1) A birth mother whose labor and delivery services were furnished prior to the date of application and the services are eligible to be covered by medicaid in accordance with 42 C.F.R. 435.117 (as in effect October 1, 2011), and whose medicaid eligibility is based on retroactive eligibility in accordance with rule 5101:1-38-01.2 of the Administrative Code.

(2) A birth mother receiving alien emergency medical services in accordance with rule 5101:1-41-20 of the Administrative Code.

(3) A birth mother residing in a public institution who is:

(a) In a "suspended for payment but eligible for medicaid" status, and

(b) Within twelve months from the date of application or redetermination.

(4) A birth mother eligible for medicaid who is in the custody of a public children services agency (PCSA) or private children placing agency (PCPA), in receipt of adoption or foster care assistance under Title IV-E, or in receipt of state or federal adoption assistance.

(5) A newborn whose birth mother loses medicaid eligibility after the birth of the newborn.

(6) A newborn child who is no longer a member of the medicaid eligible birth mother's household any time prior to the child reaching the age of one.

(C) Eligibility criteria for children under age nineteen.

(1) If a child is younger than nineteen, unmarried, not pregnant, and living with the child's parent(s), the income of the parent(s) shall be counted.

(2) The net-countable family income shall not exceed:

(a) One hundred fifty per cent of the federal poverty level regardless of creditable insurance coverage, or

(b) Two hundred per cent of the federal poverty level only if the child is not covered by creditable insurance.

(3) A child receiving medical coverage under this covered group shall remain eligible through the end of the month in which he or she turns age nineteen and would have otherwise remained eligible in accordance with rule 5101:1-38-01.8 of the Administrative Code.

(D) Administrative agency responsibilities. The administrative agency shall:

(1) Not require a face-to-face interview.

(2) For children described in paragraph (B) of this rule:

(a) Accept verbal or written notification of the newborn's birth from any individual or entity reporting the birth.

(b) Verify, in the electronic eligibility system, the birth mother was eligible for and received medicaid on the date of the child's birth;

(c) Approve the child's eligibility for medicaid without delay and without consideration of income;

(d) Not require verification of U.S. citizenship or identity;

(e) Not require an application or a redetermination for the child prior to age one; and

(f) Complete a redetermination when the child reaches the age of one.

Effective: 01/09/2012
R.C. 119.032 review dates: 07/01/2016
Promulgated Under: 111.15
Statutory Authority: 5101.502 , 5101.512 , 5111.01 , 5111.011 , 5111.013
Rule Amplifies: 5101.502 , 5101.512 , 5111.01 , 5111.011 , 5111.013
Prior Effective Dates: 9/3/77, 10/26/78, 5/1/79, 9/21/79, 2/21/80, 6/1/84, 10/1/84 (Emer.), 12/27/84, 1/1/85 (Emer.), 2/15/85 (Emer.), 3/12/85 (Emer.), 4/1/85, 6/10/85 (Emer.), 11/30/85, 1/3/86, 8/1/86 (Emer.), 8/1/86, 9/23/86, 10/3/86, 10/8/86, 2/13/87 (Emer.), 4/25/87, 11/1/87, 1/1/88 (Emer.), 1/1/88, 6/20/88, 1/1/89 (Emer.), 2/6/89, 3/6/89, 3/28/89 (Emer.), 5/1/89 (Emer.), 7/1/89 (Emer.), 7/8/89, 9/23/89, 10/1/89 (Emer.), 12/16/89, 1/1/90 (Emer.), 4/1/90, 4/2/90, 6/22/90, 10/1/90, 4/1/91 (Emer.), 10/1/91, 11/1/91 (Emer.), 1/1/92, 5/1/92, 6/30/92, 9/1/92, 1/1/93 (Emer.), 1/1/93, 3/18/93, 3/1/94 (Emer.), 4/18/94, 6/20/94, 9/1/94, 9/1/95, 10/31/97 (Emer.), 12/31/97 (Emer.), 1/1/98 (Emer.), 1/26/98, 3/9/98, 4/4/98, 10/1/98, 11/1/99 (Emer.), 11/1/99, 11/19/99 (Emer.), 11/19/99, 1/1/00, 2/1/00, 7/1/00, 6/1/02 (Emer.), 8/30/02, 6/1/03, 9/20/03, 7/1/05, 1/1/06, 1/1/08, 7/17/11

5160:1-4-02.3 Medicaid: coverage for pregnant women.

(A) This rule describes the pregnant women covered group in accordance with section 1902(a)(10)(A) of the Social Security Act (as in effect June 1, 2010). There is no resource limit for pregnant women described in this rule.

(B) Definitions.

(1) "Medical verification of pregnancy" means a written statement signed by a doctor or nurse verifying pregnancy and includes the expected date of confinement.

(2) "Expected day of confinement" means expected date of delivery.

(3) "Parents," for the purpose of this rule, means natural or adoptive parents, step-parents, or legal guardians.

(C) Eligibility criteria for the pregnant women covered group.

(1) The individual shall be pregnant.

(2) Income.

(a) The net countable family income shall be no more than two hundred per cent of the federal poverty level.

(b) If a pregnant woman is married and living with her spouse, his income shall be counted.

(c) If a pregnant woman is younger than eighteen, unmarried, and living with her parents, the income of her parents shall be counted.

(3) An individual may have retroactive eligibility as a member of this covered group for up to three months prior to the month of application, in accordance with rule 5101:1-38-01.2 of the Administrative Code, during which she met all the eligibility criteria in paragraph (C) of this rule.

(4) To be eligible for postpartum coverage, an individual shall be eligible for medicaid on the date her pregnancy ends. This includes a birth mother whose labor and delivery services were furnished prior to the date of application and the services are eligible for coverage by medicaid in accordance with 42 C.F.R. 435.117 (as in effect September 1, 2009), and based on retroactive eligibility in accordance with rule 5101:1-38-01.2 of the Administrative Code.

(5) Family size.

(a) When determining an individual's eligibility for medicaid as a pregnant woman, the family size includes the unborn child or children.

(b) If the number of fetuses is not provided on the medical verification of pregnancy, eligibility shall be determined using the assumption that there is one fetus. If the woman is found ineligible due to excess income, she shall be given the opportunity to obtain medical verification confirming the number of fetuses.

(c) If a pregnant woman is younger than eighteen, unmarried, and living with her parents, her parents and her parents' minor children count toward family size.

(D) Individual responsibilities. The individual shall provide medical verification of pregnancy.

(E) Administrative agency responsibilities. The administrative agency shall:

(1) Verify the individual's pregnancy by obtaining from the individual her medical verification of pregnancy.

(2) Not deny eligibility because the individual has existing creditable insurance.

(3) Not terminate eligibility for a pregnant woman. Once established, eligibility shall continue throughout pregnancy and postpartum coverage period, regardless of changes in her net countable family income.

Replaces: 5101:1-40-01, 5101:1-40-08, 5101:1-40-26

Effective: 07/17/2011
R.C. 119.032 review dates: 07/01/2016
Promulgated Under: 111.15
Statutory Authority: 5111.01 , 5111.011
Rule Amplifies: 5111.01 , 5111.011 , 5111.013 , 5111.014
Prior Effective Dates: 6/1/84, 8/1/86 (Emer.), 10/3/86, 2/13/87 (Emer.), 4/25/87, 11/1/87, 1/1/88, 1/1/89 (Emer.), 2/6/89, 3/6/89, 5/1/89 (Emer.), 7/1/89 (Emer.), 7/8/89, 9/23/89, 10/1/89 (Emer.), 12/16/89, 4/2/90 (Emer.), 6/22/90, 10/1/90, 4/1/91 (Emer.), 6/20/92, 1/1/93 (Emer.), 1/1/93, 3/18/93, 6/20/94, 10/31/97 (Emer.), 1/1/98 (Emer.), 1/26/98, 4/4/98, 11/1/99 (Emer.), 11/19/99 (Emer.), 11/19/99, 1/1/00, 2/1/00, 7/1/00, 6/1/02 (Emer.), 8/30/02, 6/1/03 (Emer.), 9/20/03, 1/1/06, 1/1/08

5160:1-4-02.4 Medicaid: coverage for individuals at least age nineteen and younger than age twenty-one.

(A) This rule describes medicaid eligibility for individuals at least age nineteen and younger than age twenty-one, as described in 42 C.F.R. 435.222 and sections 1902(a)(10)(A)(ii) and 1905(a)(i) of the Social Security Act (as in effect April 1, 2011). This covered group is also known as "Ribicoff children." There is no resource limit for this covered group.

(B) Eligibility criteria for individuals at least age nineteen and younger than twenty-one.

(1) The individual must be at least nineteen and younger than twenty-one.

(2) Income.

(a) The individual's or family's net countable income must not exceed the current Ohio works first (OWF) payment standard for the appropriate family size.

(b) If the individual lives alone or with someone who is not the individual's parent or spouse, only the individual's net countable income is used in the eligibility determination.

(c) If the individual is living with a parent or spouse, the individual's countable income and the parent's or spouse's allocation of income, as described in Chapter 5101:1-40 of the Administrative Code, is used in the eligibility determination.

(3) Family size.

(a) When the individual is living with parent(s) or a spouse, the family size includes the parent(s) or spouse.

(b) When the individual is living with dependent siblings and parent(s), the family size includes the dependent siblings.

(C) Administrative agency responsibilities. The administrative agency shall:

(1) Total all gross countable income.

(2) Subtract the following disregards, if appropriate:

(a) The first ninety dollars of monthly earned income.

(b) Thirty dollars and one-third of the remaining earned income.

(i) The thirty dollar disregard is limited to twelve months.

(ii) The one-third disregard is limited to the first four consecutive months.

(c) The first fifty dollars of child support received, if applicable.

(3) Compare the net countable income to the current OWF payment standard for the appropriate family size.

(a) If the net countable income is equal to or less than the OWF payment standard, eligibility exist.

(b) If the net countable income is greater than the OWF payment standard, eligibility does not exist.

Replaces: 5101:1-40- 25.1

Effective: 10/03/2011
R.C. 119.032 review dates: 10/01/2016
Promulgated Under: 111.15
Statutory Authority: 5111.01 , 5111.011
Rule Amplifies: 5111.01 , 5111.011
Prior Effective Dates: 8/1/86 (Emer), 10/3/86, 3/1/94 (Emer), 4/18/94, 7/1/00, 1/1/06

5160:1-4-03 Medicaid: children in care and individuals younger than age twenty-one who have aged out of foster care.

(A) This rule describes medicaid eligibility requirements for children in care in Ohio and individuals who have aged out of foster care but are younger than age twenty-one.

(B) Definitions.

(1) "Administrative agency" means 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) "Authorized representative", for the purpose of this rule, means a person, eighteen years or older, who stands in place of the individual. The authorized representative may include a legal entity assisting in the application process. The administrative agency may request proper identification from the authorized representative.

(3) "Child" for the purpose of this rule, means a person younger than eighteen years of age.

(4) "Children in care" means, for the purpose of this rule, that a public children services agency (PCSA), private child placing agency (PCPA), or Title IV-E agency has permanent or temporary legal custody of a child as defined in rule 5101:2-1-01 of the Administrative Code.

(5) "Federal adoption assistance" (AA) means the Title IV-E subsidy program as defined by the Adoption Assistance and Child Welfare Act of 1980.

(6) "Foster care maintenance" (FCM) means Ohio's Title IV-E foster care maintenance program, as defined in rule 5101:2-47-02 of the Administrative Code.

(7) "Independent living services" has the same meaning as in rule 5101:2-42-19 of the Administrative Code.

(8) "Individual", for the purpose of this rule, means a person who has aged out of foster care at age eighteen and is younger than age twenty-one.

(9) "PCSA" means a public children services agency as defined in section 5153.02 of the Revised Code.

(10) "PCPA" means a private child placing agency as defined in section 5103.02 of the Revised Code.

(11) "State adoption assistance" means the state-only adoption subsidy program as described in rule 5101:2-44-03 of the Administrative Code.

(C) Eligibility criteria.

(1) A child is eligible for medicaid under this rule, regardless of family size, income, or resources, when the child is:

(a) In the custody of a PCSA or a PCPA; or

(b) In receipt of adoption or foster care assistance under Title IV-E of the Social Security Act as in effect January 1, 2008; or

(c) In receipt of state or federal adoption assistance.

(2) An individual younger than age twenty-one, who has aged out of foster care, is eligible for medicaid, regardless of family size, income, or resources, when the individual:

(a) Is at least eighteen but younger than age twenty-one; and

(b) Is in foster care under the responsibility of the state on the individual's eighteenth birthday; and

(c) Has received FCM payments or independent living services furnished by a program funded under Title IV-E of the Social Security Act of 1935 as in effect January 1, 2008, before the individual reached age eighteen.

(D) Child, individual, or authorized representative responsibilities. The child, the individual, or the authorized representative must:

(1) Sign and date the application;

(2) Cooperate in establishing eligibility which includes verifying citizenship, as described in rule 5101:1-38-02 of the Administrative Code, upon turning age eighteen and leaving care; and

(3) Report any changes in eligibility criteria.

(E) Administrative agency responsibilities. The administrative agency must:

(1) Determine medicaid eligibility in accordance with the eligibility rules as described in Chapters 5101:1-37 to 5101:1-42 of the Administrative Code;

(2) Not require a face-to-face interview for application;

(3) Redetermine eligibility every twelve months;

(4) Not terminate an individual's eligibility until a pre-termination review (PTR) of continuing medicaid eligibility has been completed in accordance with Chapter 5101:1-38 of the Administrative Code; and

(5) Issue proper notice and hearing rights as outlined in division 5101:6 of the Administrative Code.

Replaces: 5101:1-40-03, 5101:1-40- 02.3, 5101:1-40-10,

Effective: 01/01/2008
R.C. 119.032 review dates: 01/01/2013
Promulgated Under: 111.15
Statutory Authority: 5111.01 , 5111.0111
Rule Amplifies: 5111.01 , 5111.0111
Prior Effective Dates: 7/10/80, 1/1/83, 10/14/83 (Temp.), 12/22/83, 2/15/85 (Emer.), 3/12/85 (Emer.), 6/10/85, 8/1/86 (Emer.), 10/3/86, 10/1/87, 4/1/90 (Emer.), 6/1/90, 3/1/94 (Emer.), 4/18/94, 11/1/99 (Emer.), 2/1/00, 7/1/00, 2/1/02, 6/1/02 (Emer.), 8/30/02

5160:1-4-05 Medicaid: transitional medicaid.

(A) This rule describes transitional medical assistance (TMA), which is a covered group of individuals who lose eligibility due to earned income, as described in Section 1925 of the Social Security Act (as in effect on December 1, 2009).

(B) Eligibility criteria under this covered group.

(1) The individual must have received, or be deemed eligible for but not receiving, Ohio works first (OWF) or received low-income families (LIF) medicaid in the state of Ohio in at least three of the six months immediately preceding the month in which the individual becomes ineligible for medicaid.

(2) The family must have lost medicaid eligibility due to receipt of new earned income or increased earned income. Verification of income is not required and can be self-declared.

(3) Eligibility begins the month immediately following the last month the individual received medicaid. Any months of medicaid received in error, due to unreported earned income, are counted as months of transitional medical assistance.

(C) Administrative agency responsibilities. The administrative agency shall:

(1) Verify in the electronic eligibility system the individual was receiving medicaid in previous months. Approve TMA if an individual meets the requirements in paragraph (B) of this rule;

(2) Deny or terminate TMA for an individual if the individual fraudulently received OWF during any of the last six months of the family's OWF eligibility;

(3) Not consider resources;

(4) Terminate or deny TMA when:

(a) There is no longer a dependent child in the family.

(b) The family becomes eligible for another medicaid covered group.

(D) Eligibility under this covered group is for twelve months. An individual who has eligibility terminated prior to the completion of the twelfth month of TMA may potentially re-establish TMA.

(1) Individuals who lose TMA eligibility and subsequently qualify for OWF or LIF medicaid may be eligible for a new period of TMA when eligibility criteria in paragraph (B) of this rule are met. There is no limit to the amount of times an individual re-establishes eligibility for TMA.

(2) Individuals who lose TMA eligibility and subsequently qualify for OWF or LIF medicaid may be eligible for the remainder of the original TMA period when only the eligibility criterion in paragraph (B)(2) of this rule is met.

Replaces: 5101:1-40-05

Effective: 01/01/2010
R.C. 119.032 review dates: 01/01/2015
Promulgated Under: 111.15
Statutory Authority: 5111.01 , 5111.011
Rule Amplifies: 5111.01 , 5111.011 , 5111.019
Prior Effective Dates: 04/01/90 (Emer.), 06/22/90, 10/01/90, 01/01/93,
04/21/94, 10/31/97 (Emer.), 01/26/98, 06/01/02, 08/30/02, 08/04/03, 01/01/08

5160:1-4-20 Medicaid: low-income families, children, and pregnant women budgeting.

(A) This rule describes the budget methodology for income eligibility under Chapter 5101:1-40 of the Administrative Code.

(B) Definitions:

(1) "Full-time care" means at least twenty-five hours of care per week.

(2) "Part-time care" means less than twenty-five hours of care per week.

(C) The individual is income-eligible for medicaid if any of these conditions apply:

(1) The individual is eligible for, or deemed eligible for, Ohio works first (OWF) as described in Chapter 5101:1-23 of the Administrative Code.

(2) The individual meets the requirements of rule 5101:1-40-02.4 of the Administrative Code.

(3) The individual meets the requirements of paragraph (D) of this rule.

(D) If the individual is not eligible under paragraph (C)(1) or (C)(2) of this rule, determine the net countable family income.

(1) Total the individual's gross, non-exempt income.

(2) Allocate income of a step-parent, parent of a minor parent, spouse of a specified relative, or non-qualified alien parent as described in rule 5101:1-38-02.3 of the Administrative Code, who is living with the individual, but is not a member of the covered group.

(a) From the step-parent, parent of a minor parent, spouse of a specified relative, or non-qualified alien parent's income, deduct the following:

(i) The first ninety dollars of the gross earned income.

(ii) An amount equal to the allocation allowance standard, in accordance with Chapter 5101:1-23 of the Administrative Code, for the step-parent, parent of a minor parent, spouse of a specified relative, or a non-qualified alien parent and any other individuals living with but not members of the covered group, who are or could be claimed by the stepparent, parent of a minor parent, spouse of a specified relative, or non-qualified alien parent as dependents.

(iii) The amount of verifiable payments made to those who are or could be claimed by the step-parent, parent of a minor parent, spouse of a specified relative, or non-qualified alien parent, as dependents for federal personal income tax liability, but are not living in the home.

(iv) The amount of alimony or child support payments made for those not living in the home.

(b) The remaining amount of earned and unearned income is allocated to the individual as unearned income.

(3) Apply the income exemptions and disregards described in rule 5101:1-38-01.9 of the Administrative Code, and

(4) Apply the following additional exemptions:

(a) The first fifty dollars of court ordered child support received by the covered group.

(b) Court ordered child support and alimony payments made to individuals not living in the household unless already deducted in the allocation budget from paragraph (D)(2) of this rule.

(c) Earned income of a child who is a full-time student as defined by the educational facility, for up to six months per calendar year, and

(5) Disregard from the earned income of each employed covered group member:

(a) Up to ninety dollars for each employed covered group member.

(b) Out of pocket dependent care costs paid to an individual who is not a member of the covered group for a dependent child or incapacitated adult, up to but not exceeding:

(i) Two hundred dollars per infant under two years of age in full-time care.

(ii) One hundred seventy-five dollars per child over two years of age, or incapacitated adult, in full-time care.

(iii) One hundred twenty dollars per child or incapacitated adult in part-time care.

(6) Earned income disregard penalties. The disregards of earned income do not apply if:

(a) An individual terminated employment or reduced the earned income without good cause within the preceding month.

(b) An individual refused a bona fide offer of employment within the preceding month without good cause.

(c) An individual failed to timely report income in accordance with rule 5101:1-38-01.2 of the Administrative Code, without good cause.

(7) Income remaining is the net countable family income. Compare to the appropriate federal poverty level for the covered group size, as described in Chapter 5101:1-40 of the Administrative Code.

Replaces: 5101:1-40- 08.1, 5101:1-40-20, 5101:1-40- 20.3, 5101:1-40- 20.4, 5101:1-40- 20.5, 5101:1-40-22, 5101:1-40-25, 5101:1-40-26

Effective: 01/09/2012
R.C. 119.032 review dates: 01/01/2017
Promulgated Under: 111.15
Statutory Authority: 5111.01 , 5111.011
Rule Amplifies: 5111.01 , 5111.011 , 5111.012
Prior Effective Dates: 8/1/1975, 7/1/76, 11/1/1976, 5/14/1977, 12/31/77, 10/26/78, 4/5/1979, 9/21/79, 2/3/80, 10/1/1981, 5/1/82, 12/1/1982, 12/10/82, 12/29/82, 1/13/83, 3/1/1984, 10/1/1984 (Emer.), 12/27/1984, 1/1/85 (Emer.), 4/1/85, 1/2/1986, 4/1/1986, 8/1/86 (Emer.), 10/3/86, 10/1/1987 (Emer.), 12/24/1987, 1/1/88 (Emer.), 3/28/88, 4/1/88 (Emer.), 6/30/88, 10/01/88 (Emer.), 12/20/88, 1/1/89 (Emer.), 3/6/89, 4/1/89, 4/5/89 (Emer.), 5/1/89 (Emer.), 6/18/89, 7/1/1989 (Emer.), 7/8/89, 9/23/89, 10/1/89 (Emer.), 12/16/89, 1/1/1990 (Emer.), 3/2/90, 3/22/90, 4/1/90, 4/2/90 (Emer.), 4/23/90, 6/22/90, 9/1/90 (Emer.), 10/1/90, 4/1/91 (Emer.), 5/1/91, 7/12/1991 (Emer.), 9/12/91, 9/22/1991, 6/30/92, 1/1/93 (Emer.), 3/18/93, 5/1/93, 3/01/94 (Emer.), 4/18/94, 6/20/94, 9/1/1994, 11/1/94, 3/1/95, 10/30/95, 10/31/1997 (Emer.), 1/26/98, 4/4/98, 10/1/99, 11/19/99, 1/1/00, 02/03/00, 7/1/00, 1/1/03, 6/01/02 (Emer.), 8/30/02, 6/1/03 (Emer.), 9/20/03, 1/1/05, 1/1/06, 1/1/08, 3/1/08