(A) As used in this section and section 5111.982 of the Revised Code:
"Dual eligible individual" has the same meaning as in the "Social Security Act," section 1915(h)(2)(B), 42 U.S.C. 1396n(h)(2)(B).
"Medicare " means the program created in the "Social Security Act," Title XVIII, 42 U.S.C. 1395et seq., as amended.
(B) Subject to division (C) of this section, the medical assistance director may implement a demonstration project called the integrated care delivery system to test and evaluate the integration of the care that dual eligible individuals receive under medicare and medicaid . No provision of Title LI of the Revised Code applies to the integrated care delivery system if that provision implements or incorporates a provision of federal law governing medicaid and that provision of federal law does not apply to the system.
(C) Before implementing the integrated care delivery system under division (B) of this section, the director shall obtain the approval of the United States secretary of health and human services in the form of a federal medicaid waiver, medicaid state plan amendment, or demonstration grant. The director is required to seek the federal approval only if the director seeks to implement the integrated care delivery system. The director shall implement the integrated care delivery system in accordance with the terms of the federal approval, including the terms regarding the duration of the system.
Amended by 129th General AssemblyFile No.194,HB 303, §1, eff. 3/20/2013.
Added by 129th General AssemblyFile No.28,HB 153, §101.01, eff. 9/29/2011.