5111.981 Demonstration project to evaluate integration of care dual eligible individuals receive.

(A) As used in this section:

“Dual eligible individual” has the same meaning as in section 1915(h)(2)(B) of the “Social Security Act,” 124 Stat. 315 (2010), 42 U.S.C. 1396n(h)(2)(B).

“Medicare program” means the program created under Title XVIII of the “Social Security Act,” 79 Stat. 286 (1965), 42 U.S.C. 1395, as amended.

(B) Subject to division (C) of this section, the director of job and family services may implement a demonstration project to test and evaluate the integration of the care that dual eligible individuals receive under the medicare and medicaid programs. No provision of Title LI of the Revised Code applies to the demonstration project if that provision implements or incorporates a provision of federal law governing the medicaid program and that provision of federal law does not apply to the demonstration project.

(C) Before implementing the demonstration project 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 demonstration project. The director shall implement the demonstration project in accordance with the terms of the federal approval, including the terms regarding the duration of the demonstration project.

Added by 129th General Assembly File No. 28, HB 153, § 101.01, eff. 9/29/2011.