5111.179 Contracts with managed care organizations; Implementation of coordinated services program for medicaid recipients who abuse prescription drugs.

Each contract the department of job and family services enters into with a managed care organization under section 5111.17 of the Revised Code shall require the managed care organization to implement a coordinated services program for medicaid recipients enrolled in the organization who are found to have obtained prescription drugs under the medicaid program at a frequency or in an amount that is not medically necessary. The program shall be implemented in a manner that is consistent with section 1915(a)(2) of the “Social Security Act,” 95 Stat. 810 (1981), 42 U.S.C. 1396n(a)(2), as amended, and 42 C.F.R. 431.54(e).

Added by 129th General Assembly File No. 19, HB 93, § 1, eff. 5/20/2011.

See 129th General Assembly File No. 19, HB 93, §6.