Ohio Administrative Code Search

..., or disability as set forth in section 1902 of the Social Security Act (as in effect on October 1, 2016). Age is determined by county departments of job and family services (CDJFS). Blindness and disability are determined by either the social security administration (SSA) or the Ohio department of medicaid (ODM) in accordance with rule 5160:1-3-02.9 of the Administrative Code. The criteria are as follows: (1) Age: ...

... disability as set forth in section 1902 of the Social Security Act (as in effect on October 1, 2024). Age is determined by county departments of job and family services (CDJFSs). Blindness and disability are determined by either the social security administration (SSA) or the Ohio department of medicaid (ODM) in accordance with rule 5160:1-3-02.9 of the Administrative Code. (B) The criteria for ...

...ciary (SLMB), qualified individuals (QI-1), and qualified disabled and working individuals (QDWI). (B) Definitions. (1) "Eligible," for the purpose of this rule, means an individual meets all the requirements to enroll in MPAP. (2) "Enrolled," for the purpose of this rule, means an individual is in receipt of benefits under a medicare health plan. (3) "Entitled" for the purpose of this rul...

...iciary (SLMB), qualified individual (QI-1), and qualified disabled and working individual (QDWI). (B) Definitions. (1) "Eligible," for the purpose of this rule, means an individual meets all the requirements to enroll in MPAP. (2) "Enrolled," for the purpose of this rule, means an individual is in receipt of benefits under a medicare health plan. (3) "Entitled," for the purpose of this rul...

...(A) This rule sets forth: (1) The eligibility criteria for benefits under the medicare part B buy-in agreement between the social security administration (SSA) and the Ohio department of medicaid (ODM), which allows ODM to pay medicare part B (supplemental medical insurance) premiums for certain medicaid-eligible individuals even if those individuals are not eligible for a medicare premium assist...

...(A) This rule sets forth: (1) The eligibility criteria for benefits under the medicare part B (part B) buy-in agreement between the social security administration (SSA) and the Ohio department of medicaid (ODM), which allows ODM to pay part B (supplemental medical insurance) premiums for certain individuals even when those individuals are not eligible for a medicare premium assistance program (MP...

...l Security Act (as in effect on October 1, 2017). Eligibility for this category shall be determined for applications for medical assistance filed on or after August 1, 2016. (B) Eligibility criteria. To be eligible for coverage under this group an individual must be receiving SSI benefits based on the social security administration's determination of eligibility for SSI payments. In addition, cer...

...cial Security Act (as in effect October 1, 2023). (B) Eligibility criteria. To be eligible for coverage under this group an individual must be receiving SSI benefits based on the social security administration's determination of eligibility for SSI payments. In addition, certain requirements specific to medical assistance must be met in order for an individual to be eligible under this group. Fai...

...urity Act (as in effect on February 1, 2016) but do not receive cash benefits under the program. Eligibility for this program shall be determined for applications for medical assistance filed on or after the effective date of this rule. (B) Eligibility criteria. To be eligible under this group, an individual must meet all of the following critiera: (1) Be aged, blind or disabled; (2) De...

... Security Act (as in effect October 1, 2022) but who do not receive cash benefits under the program. Eligibility for this program shall be determined for applications for medical assistance filed on or after the August 1, 2016 effective date of this rule. (B) Eligibility criteria. To be eligible under this group, an individual must meet all of the following critiera: (1) Be aged, blind, or ...

... receving SSI benefits under section 1619 of the Social Security Act. (B) Section 1619 of the Social Security Act (as in effect October 1, 2022) comprises two basic provisions: (1) Section 1619(a) extends special SSI cash to individuals whose earnings preclude eligibility for regular SSI cash benefits. Individuals in 1619(a) status may still receive an SSI cash benefit in addition to the indi...

...as implemented. (B) Definitions. (1) "Cash assistance," for the purpose of this rule, means the receipt of at least one of the following: Ohio works first (OWF), SSI or residential state supplement (RSS), or the former programs of aid known as aid for dependent children (ADC), aid for the aged (AFA), aid for the blind (AFB), and aid for the disabled (AFD). (2) "Essential spouse" for the...

...as implemented. (B) Definitions. (1) "Cash assistance," for the purpose of this rule, means the receipt of at least one of the following: Ohio works first (OWF), SSI, residential state supplement (RSS), or the former programs of aid known as aid for dependent children (ADC), aid for the aged (AFA), aid for the blind (AFB), and aid for the disabled (AFD). (2) "Essential spouse," for the ...

...ility purposes. (B) Definitions. (1) "Administrative agency," for the purpose of this rule, means the county department of job and family services (CDJFS). (2) "Current medical information" means medical records that originated within eighteen months of the date of initial application. (3) "Deferred" means the delay in the determination for a disability packet due to incomplete or a in...

...ices (SRS) program. (B) Definitions. (1) "Administrative agency," for the purpose of this rule, means the county department of job and family services (CDJFS). (2) "Current medical information" means medical records that originated within eighteen months of the date of initial application. (3) "Deferred" means the delay in the determination for a disability packet due to incomplete or an i...

...ices (SRS) program. (B) Definitions. (1) "Administrative agency," for the purpose of this rule, means the county department of job and family services (CDJFS). (2) "Current medical information" means medical records that originated within eighteen months of the date of initial application. (3) "Deferred" means the delay in the determination for a disability packet due to incomplete or an i...

...bes how income, as defined in rule 5160:1-1-01 of the Administrative Code, is treated for the purpose of determining eligibility for medical assistance for aged, blind, or disabled individuals. (B) Treatment of income. (1) Eligibility for medical assistance is dependent in part upon the amount of monthly income available to or received by the individual. (a) Gross income, prior to any deductio...

...bes how income, as defined in rule 5160:1-1-01 of the Administrative Code, is treated for the purpose of determining eligibility for medical assistance for an aged, blind, or disabled individual. (B) Treatment of income. (1) Eligibility for medical assistance is dependent in part upon the amount of monthly income available to or received by the individual. (a) Gross income, prior to any deduct...

...ndividual's income. (B) Definitions. (1) "Blind work expense" (BWE) means the portion of the individual's earned income used to meet any expenses reasonably attributable to the earning of the income if the individual is blind; and (a) Is under age sixty-five; or (b) Is age sixty-five or older and received SSI payments due to blindness for the month before attaining age sixty-five. (2) "Countable ...

..., eligible child, or sponsored alien. (1) When an eligible spouse resides in the same household with his or her ineligible spouse, or an eligible child under age eighteen resides in the same household with his or her ineligible parent(s), a portion of the income and resources of such spouse or parent are included in determining the eligible spouse's or eligible child's financial eligibility for m...

...sabled individuals. (B) Definitions. (1) "Income standard" means the income limit above which an individual is ineligible for a given category of medicaid for the aged, blind or disabled. (2) "Couple income standard" is equal to the current supplemental security income (SSI) benefit rate for a couple. The updated figure is published annually by the social security administration. (3) "Individual income standard" ...

...sabled individuals. (B) Definitions. (1) "Income standard" means the income limit above which an individual is ineligible for a given category of medical assistance for the aged, blind, or disabled. (2) "Couple income standard" is equal to the current supplemental security income (SSI) benefit rate for a couple. The updated figure is published annually by the social security administration. (3) "Individual income...

...ity determinations. (B) Definitions. (1) "Net rental income" means gross rent less the ordinary and necessary expenses paid in the same taxable year. Net rental income is treated as unearned income unless the individual is in the business of renting properties, in which case the income is treated as earned income from self-employment. (2) "Ordinary and necessary expenses" are those expenses nec...

...ity determinations. (B) Definitions. (1) "Net rental income" means gross rent less the ordinary and necessary expenses paid in the same taxable year. Net rental income is treated as unearned income unless the individual is in the business of renting properties, in which case the income is treated as earned income from self-employment. (2) "Ordinary and necessary expenses" are those expenses nec...

...medical assistance. (B) Definitions. (1) "Actual value" is the dollar amount that an individual paid for an item or service, or for his/her share of an item or service. (2) "Current market value" is the dollar amount for which an item would sell on the local open market. (3) "Household" is a personal place of residence in which individuals share common living quarters and function as a sin...