Ohio Administrative Code Search

...medical assistance. (B) Definitions. (1) "Child," for deeming purposes, means an individual under age eighteen who lives in the household with one or both parents and is neither married nor head of household. The deeming of parental resources applies through the month in which the eligible child becomes eighteen years old. An eligible or ineligible child's resources are never deemed to parent(s)...

....F.R. 435.603 (as in effect October 1, 2020) when determining an individual's eligibility for modified adjusted gross income (MAGI) based medical assistance. This rule does not apply to determinations for categories of medical assistance on the basis of age, blindness, or disability, or which only cover an individual's medicare premium or cost-sharing. (B) Definition. "Person" for the purpose...

... age in accordance with 42 C.F.R. 435.118 (as in effect October 1, 2020) for applications for medical assistance. (B) Definition. "Child" means an individual younger than nineteen years of age. (C) Eligibility criteria for coverage because a newborn child was born to a medicaid-eligible woman (deemed newborn). In accordance with 42 C.F.R. 435.117 (as in effect October 1, 2020), a child is automat...

...r medical assistance for individuals: (1) Who are nineteen or twenty years of age; or (2) Who aged out of foster care, are younger than twenty-six years of age, and are not otherwise eligible for a mandatory category of coverage under the medicaid state plan. An individual who is eligible for coverage both as a former foster care child and under the coverage described in section 1902(a)(10)(A)(i...

...r medical assistance for individuals: (1) Who are nineteen or twenty years of age; or (2) Who aged out of foster care, are younger than twenty-six years of age, and are not otherwise eligible for a mandatory category of coverage under the medicaid state plan. An individual who is eligible for coverage both as a former foster care child and under the coverage described in section 1902(a)(10)(A)(i...

...dividuals as described in 42 C.F.R. 435.116 (as in effect on October 1, 2016) for applications for medical assistance. (B) Eligibility criteria for coverage because an individual is pregnant. (1) The individual must be female and pregnant. (2) A statement from the individual, a physician, or managed care plan is sufficient verification of pregnancy, unless the administrative agency has information contradicting th...

...dividuals as described in 42 C.F.R. 435.116 (as in effect on October 1, 2023) for applications for medical assistance. (B) Eligibility criteria for coverage because an individual is pregnant. (1) The individual must be female and pregnant. (2) A statement from the individual, a physician, or managed care organization (MCO) is sufficient verification of pregnancy, unless the administrative agenc...

...ldren as described in 42 C.F.R. 435.110 (as in effect October 1, 2019), transitional medical assistance as described in section 1925 of the Social Security Act (as in effect October 1, 2019), and extended medical assistance as described in section 1931 of the Social Security Act (as in effect October 1, 2019). (B) Eligibility criteria for coverage because an individual is a parent or caretake...

...ldren as described in 42 C.F.R. 435.110 (as in effect October 1, 2023), transitional medical assistance as described in section 1925 of the Social Security Act (as in effect October 1, 2023), and extended medical assistance as described in section 1931 of the Social Security Act (as in effect October 1, 2023). (B) Eligibility criteria for coverage because an individual is a parent or caretake...

...ndividuals who are in receipt of: (1) Adoption or foster care assistance under Title IV-E of the Social Security Act (as in effect October 1, 2022); or (2) State foster care assistance; or (3) State adoption assistance subsidies; or (4) State adoption assistance in accordance with 42 C.F.R. 435.227 (as in effect October 1, 2022). (B) Individual or authorized representative respons...

...ndividuals who are in receipt of: (1) Adoption or foster care assistance under Title IV-E of the Social Security Act (as in effect October 1, 2019); or (2) State foster care assistance; or (3) State adoption assistance subsidies; or (4) State adoption assistance in accordance with 42 C.F.R. 435.227 (as in effect October 1, 2019). (B) Individual or authorized representative respons...

...ndividuals who are in receipt of: (1) Adoption or foster care assistance under Title IV-E of the Social Security Act (as in effect October 1, 2023); or (2) State foster care assistance; or (3) State adoption assistance subsidies; or (4) State adoption assistance in accordance with 42 C.F.R. 435.227 (as in effect October 1, 2023). (B) Individual or authorized representative respons...

...living arrangement. (B) Definitions. (1) "Countable income," for the purpose of this rule, means income remaining after exclusions. (2) "Income standard," for the purpose of this rule, means the aggregate of the allowable fee standard and the personal needs allowance as defined in rule 5122-36-05 of the Administrative Code. (3) "Individual," for the purpose of this rule, means a person who is ...

...living arrangement. (B) Definitions. (1) "Countable income," for the purpose of this rule, means income remaining after exclusions. (2) "Income standard," for the purpose of this rule, means the aggregate of the allowable fee standard and the personal needs allowance as defined in rule 5122-36-05 of the Administrative Code. (3) "Individual," for the purpose of this rule, means a person who is ...

...living arrangement. (B) Definitions. (1) "Countable income," for the purpose of this rule, means income remaining after exclusions. (2) "Income standard," for the purpose of this rule, means the aggregate of the allowable fee standard and the personal needs allowance as defined in rule 5122-36-05 of the Administrative Code. (3) "Individual," for the purpose of this rule, means a person who is ...

...cer project. (B) The rules in Chapter 5160:1-5 of the Administrative Code set forth the eligibility requirements for participation in the breast and cervical cancer project. The Breast and Cervical Cancer Prevention and Treatment Act of 2000 (BCCPTA), in accordance with Pub. L. No. 106-354 and 42 U.S.C. 1396a(a)(10)(A)(ii) (as in effect on October 1, 2016), authorizes an optional category of medi...

...nd cervical cancer project. (B) Rules 5160:1-5-02 to 5160:1-5-02.4 of the Administrative Code set forth the eligibility requirements for participation in the breast and cervical cancer project. The Breast and Cervical Cancer Prevention and Treatment Act of 2000 (BCCPTA), in accordance with Pub. L. No. 106-354 and 42 U.S.C. 1396a(a)(10)(A)(ii) (as in effect October 1, 2024), authorizes an optional...

...ria to be eligible for BCCP medicaid: (1) Be screened for breast or cervical cancer under the national breast and cervical cancer early detection program (NBCCEDP). (a) An individual is not required to obtain screening for both breast and cervical cancer as a condition of eligibility for participation in the NBCCEDCP. (b) Individuals screened for breast or cervical cancer under the NBCCEDP in a...

...ria to be eligible for BCCP medicaid: (1) Be screened for breast or cervical cancer under the national breast and cervical cancer early detection program (NBCCEDP). (a) An individual is not required to obtain screening for both breast and cervical cancer as a condition of eligibility for participation in the NBCCEDP. (b) Individuals screened for breast or cervical cancer under the NBCCEDP in a ...

...cation and renewal process shall: (1) Be coordinated between Ohio department of medicaid (ODM), Ohio department of health (ODH) BCCP, and ODH BCCP designated local agencies and/or subgrantees, (2) Be coordinated with ODH BCCP case management services, and (3) Support the goals of the Breast and Cervical Cancer Prevention and Treatment Act of 2000 (BCCPTA), identified in rule 5160:1-5-02 of ...

...cation and renewal process shall: (1) Be coordinated between the Ohio department of medicaid (ODM), Ohio department of health (ODH) BCCP, and ODH BCCP designated local agencies and/or subgrantees, (2) Be coordinated with ODH BCCP case management services, and (3) Support the goals of the Breast and Cervical Cancer Prevention and Treatment Act of 2000 (BCCPTA) (Pub. L. No. 106-354), identifi...

... programs authorized under sections 1902(a)(10)(A)(ii)(XV) and (XVI) of the Social Security Act (as in effect October 1, 2019). Medicaid buy-in for workers with disabilities (MBIWD) enables certain individuals to increase their income and resources without the risk of losing medical assistance coverage. (B) Definitions. (1) "Basic covered group" means the individuals meeting all criteria in para...

... programs authorized under sections 1902(a)(10)(A)(ii)(XV) and (XVI) of the Social Security Act (as in effect October 1, 2024). Medicaid buy-in for workers with disabilities (MBIWD) enables certain individuals to increase their income and resources without the risk of losing medical assistance coverage. (B) Definitions. (1) "Basic covered group" means the individuals meeting all criteria in para...

...ce program authorized under section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act (as in effect October 1, 2024). Ohio workability enables certain working disabled individuals aged sixty-five or older to increase their income and resources without the risk of losing medical assistance coverage. (B) Definitions. (1) "Blind work expense (BWE)" has the same meaning as in rule 5160:1-3-03.2 of...

...ce program authorized under section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act (as in effect October 1, 2024). Ohio workability enables certain working disabled individuals aged sixty-five or older to increase their income and resources without the risk of losing medical assistance coverage. (B) Definitions. (1) "Blind work expense (BWE)" has the same meaning as in rule 5160:1-3-03.2 of...