Ohio Administrative Code Search

...(A) This rule describes the treatment of life estates for the purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Date of signature" is the date on which an individual with authority to transfer the physical property actually signed the life estate instrument. (2) "Individual," for the purpose of this rule, has the same meaning as in rule 5160:1-1-01 of the Administrative Code. (3) "...

...(A) This rule describes the deeming of resources from an ineligible spouse to an eligible spouse or from parent(s) to an eligible child who are living in the same household when determining eligibility for 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 he...

...(A) This rule describes the deeming of resources from an ineligible spouse to an eligible spouse or from ineligible parent(s) to an eligible child who are living in the same household when determining eligibility for medical assistance. (B) Definitions. For the purposes of this rule: (1) "Child" means an individual under age eighteen who lives in the household with one or both parents and is neither married nor th...

...(A) This rule describes household composition and income calculations under 42 C.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...

...(A) RSS provides cash assistance to aged, blind, or disabled adults who are eligible for medical assistance and who have increased needs due to a medical condition which is not severe enough to require institutionalization. The RSS cash payment is used together with the individual's income to help prevent institutionalization and to deinstitutionalize those aged, blind, or disabled adults who have...

...(A) RSS provides cash assistance to aged, blind, or disabled adults who are eligible for medical assistance and who have increased needs due to a medical condition which is not severe enough to require institutionalization. The RSS cash payment is used together with the individual's income to help prevent institutionalization and to deinstitutionalize those aged, blind, or disabled adults who have...

...(A) RSS provides cash assistance to aged, blind, or disabled adults who are eligible for medical assistance and who have increased needs due to a medical condition which is not severe enough to require institutionalization. The RSS cash payment is used together with the individual's income to help prevent institutionalization and to deinstitutionalize those aged, blind, or disabled adults who have...

...(A) This rule contains definitions generally used for BCCP. (B) Definitions. (1) "Breast and Cervical Cancer Project (BCCP) medicaid" means the category of medicaid for qualified individuals in need of treatment for breast or cervical cancer, including pre-cancerous conditions and early stage cancer. BCCP medicaid is administered by the Ohio department of medicaid (ODM) in coordination with the ...

...(A) This rule contains definitions generally used for BCCP. (B) Definitions. (1) "Breast and Cervical Cancer Project (BCCP) medicaid" means the category of medicaid for qualified individuals in need of treatment for breast or cervical cancer, including pre-cancerous conditions and early stage cancer. BCCP medicaid is administered by the Ohio department of medicaid (ODM) in coordination with the ...

...(A) This rule describes the eligibility criteria for BCCP medicaid. (B) An individual shall meet all of the following criteria 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 e...

...(A) This rule describes the eligibility criteria for BCCP medicaid. (B) An individual shall meet all of the following criteria 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 e...

...(A) This rule describes the application and renewal process for the breast and cervical cancer project (BCCP). (B) The BCCP medicaid application 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,...

...(A) This rule governs the eligibility requirements for the medical assistance 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. ...

...(A) This rule governs the eligibility requirements for the medical assistance 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. ...

...(A) This rule governs the eligibility requirements for the medical assistance programs authorized under sections 1902(a)(10)(A)(ii)(XV) and (XVI) of the Social Security Act (as in effect October 1, 2025). 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 ...

...(A) This rule governs the eligibility requirements for the medical assistance 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) ...

...(A) This rule governs the eligibility requirements for the medical assistance program authorized under section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act (as in effect October 1, 2025). 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) "Countable income," ...

...(A) This rule governs the eligibility requirements for the medical assistance 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) ...

...(A) This rule describes a time-limited medical assistance program, funded through the office of refugee resettlement (ORR), that provides a medical screening through contracted refugee health screening providers and other medical services. There is no resource limit for an individual described in this rule. (B) Definitions. (1) "Countable income," for the purpose of this rule, has the same meani...

...(A) This rule describes a time-limited medical assistance program, funded through the office of refugee resettlement (ORR), that provides a medical screening through contracted refugee health screening providers and other medical services. There is no resource limit for an individual described in this rule. (B) Definitions. (1) "Countable income," for the purpose of this rule, has the same meani...

...(A) This rule describes a time-limited medical assistance program, funded through the office of refugee resettlement (ORR), that provides a medical screening through contracted refugee health screening providers and other medical services. There is no resource limit for an individual described in this rule. (B) Definitions. (1) "Countable income," for the purpose of this rule, has the same meaning as in rule 5160:1...

...(A) In accordance with 42 U.S.C. 1396b(v), this rule describes eligibility criteria for coverage of the treatment of an emergency medical condition for certain individuals who do not meet the medicaid citizenship or satisfactory immigration status requirements described in rule 5160:1-2-11 or 5160:1-2-12 of the Administrative Code. (B) Definition. "Emergency medical condition," for the purpos...

...(A) This rule sets forth the eligibility criteria for a state plan home and community-based services (HCBS) benefit authorized under section 1915(i) of the Social Security Act (as in effect on October 1, 2017). Section 1915(i) of the act allows states the flexibility to provide HCBS to individuals who require less than an institutional level of care (LOC) and who would, therefore, not be eligible ...

...(A) This rule sets forth the eligibility criteria for a state plan home and community-based services (HCBS) benefit authorized under section 1915(i) of the Social Security Act (as in effect October 1, 2024). Section 1915(i) allows states the flexibility to provide HCBS to individuals who require less than an institutional level of care (LOC) and who would, therefore, not be eligible for HCBS under...

...(A) This rule describes the eligibility requirements for state-funded medical assistance for a non-citizen victim of a severe form of human trafficking. Eligibility for this program shall be determined for applications for medical assistance filed on or after the effective date of this rule. (B) For purposes of this rule the following definitions apply unless otherwise stated. (1) "Labor traffic...