Ohio Administrative Code Search
Rule |
---|
Rule 5160-58-02 | MyCare Ohio plans: eligibility and enrollment.
... identity, sexual orientation, age, disability, national origin, veteran's status, military status, genetic information, ancestry, ethnicity, mental ability, behavior, mental or physical disability, use of services, claims experience, appeals, medical history, evidence of insurability, geographic location within the service area, health status or need for health services. The MCOP will not use any... |
Rule 5160-58-02.1 | MyCare Ohio plans: termination of enrollment.
... identity, sexual orientation, age, disability, national origin, veteran's status, military status, genetic information, ancestry, ethnicity, mental ability, behavior, mental or physical disability, use of services, claims experience, appeals, medical history, evidence of insurability, geographic location within the service area, health status or need for health services. Plans may not use a p... |
Rule 5160-58-02.1 | MyCare Ohio plans: termination of enrollment.
... identity, sexual orientation, age, disability, national origin, veteran's status, military status, genetic information, ancestry, ethnicity, mental ability, behavior, mental or physical disability, use of services, claims experience, appeals, medical history, evidence of insurability, geographic location within the service area, health status or need for health services. MCOPs may not use a p... |
Rule 5160-58-02.1 | MyCare Ohio plans: termination of enrollment.
... identity, sexual orientation, age, disability, national origin, veteran's status, military status, genetic information, ancestry, ethnicity, mental ability, behavior, mental or physical disability, use of services, claims experience, appeals, medical history, evidence of insurability, geographic location within the service area, health status or need for health services. MCOPs may not use a polic... |
Rule 5160-59-05.2 | OhioRISE home and community-based services waiver: transitional services and supports.
...ty for individuals with an intellectual disability (ICF/IID) as defined in section 5124.01 of the Revised Code; (iii) An inpatient psychiatric hospital as defined in 42 CFR 440.160 (October 1, 2021); (iv) A residential facility as defined in rule 5122-30-03 of the Administrative Code; or (v) A qualified residential treatment program (QRTP) as described in rule 5101:2-9-42 of the Administrative Code. (b) Within t... |
Rule 5160:1-1-01 | Medicaid: definitions.
...de: (i) Coverage only for accident, or disability income insurance. (ii) Liability insurance, including general liability insurance and automobile liability insurance, or coverage issued as a supplement to liability insurance. (iii) Workers' compensation or similar insurance. (iv) Automobile medical payment insurance. (v) Credit-only insurance. (vi) Coverage for on-site medical clinics. (vii) Other similar ins... |
Rule 5160:1-1-01 | Medicaid: definitions.
...(i) Coverage only for accident or disability income insurance; or (ii) Liability insurance, including general liability insurance and automobile liability insurance, or coverage issued as a supplement to liability insurance; or (iii) Workers' compensation or similar insurance; or (iv) Automobile medical payment insurance; or (v) Credit insurance which pays off existing debts in... |
Rule 5160:1-1-01 | Medicaid: definitions.
...(i) Coverage only for accident or disability income insurance; or (ii) Liability insurance, including general liability insurance and automobile liability insurance, or coverage issued as a supplement to liability insurance; or (iii) Workers' compensation or similar insurance; or (iv) Automobile medical payment insurance; or (v) Credit insurance which pays off existing debts in... |
Rule 5160:1-1-03 | Medicaid: restrictions on payment for services.
...ion of health, or lessening of illness, disability, or pain. (C) As required by 42 C.F.R. 435.1009 (as in effect October 1, 2020), medicaid will not pay for services provided to: (1) An individual who is an inmate of a public institution; or (2) An individual who is a patient in an institution for mental diseases (IMD), as defined in rule 5160:1-1-01 of the Administrative Code, who is age twent... |
Rule 5160:1-1-05 | Medicaid: asset verification system (AVS).
...ance on the basis of age, blindness, or disability, including a determination regarding medical assistance for long-term care services. This rule applies to a determination of eligibility for medical assistance for any covered group subject to: (1) A resource limit; and/or (2) Provisions related to the transfer of assets. (B) Definitions. (1) "Financial institution" means any office of an institution engaged in t... |
Rule 5160:1-2-01 | Medicaid: administrative agency responsibilities.
...cost to an individual living with a disability in accordance with the Americans with Disabilities Act of 1990 (ADA) (Pub. L. No. 101-336) and section 504 of the Rehabilitation Act of 1973 (Pub. L. No. 93-112). (2) Distribute voter information and registration materials as required by 42 C.F.R. 431.307 (as in effect October 1, 2019). (3) Coordinate with the special supplemental nutrition prog... |
Rule 5160:1-2-10 | Medicaid: conditions of eligibility and verifications.
...ny annuities, pensions, retirement, and disability benefits for which the individual is eligible, unless the individual can show good cause for not doing so, in accordance with 42 C.F.R. 435.608 (as in effect October 1, 2020). (a) "Good cause," for the purposes of paragraph (B)(4) of this rule, means that to obtain a benefit, the individual would incur any significant disadvantage or detriment, i... |
Rule 5160:1-2-11 | Medicaid: United States (U.S.) citizenship documentation.
... (iii) Receiving social security disability insurance (SSDI); or (iv) Receiving adoption or foster care assistance under Title IV-E of the Social Security Act (as in effect October 1, 2019); or (v) In foster care and receiving child welfare services under Title IV-B of the Social Security Act (as in effect October 1, 2019). (d) Other individuals on such other basis as the secretary ... |
Rule 5160:1-2-11 | Medicaid: United States (U.S.) citizenship documentation.
... (iii) Receiving social security disability insurance (SSDI); or (iv) Receiving adoption or foster care assistance under Title IV-E of the Social Security Act (as in effect October 1, 2022); or (v) In foster care and receiving child welfare services under Title IV-B of the Social Security Act (as in effect October 1, 2022); or (vi) Receiving federal kinship guardianship assista... |
Rule 5160:1-3-01 | Medicaid: coverage for the aged, blind, or disabled.
...iduals who meet the aged, blind, or disability status as set forth in section 1902 of the Social Security Act (as in effect on February 1, 2016). The provisions of Chapter 5160:1-3 of the Administrative Code establish eligibility criteria, standards, and procedures that apply to individuals enrolling in an aged, blind or disability categorical coverage group. (B) The rules of this chapter are org... |
Rule 5160:1-3-01 | Medicaid: coverage for the aged, blind, or disabled.
...ndividuals who meet the aged, blind, or disability status requirements as set forth in section 1902 of the Social Security Act (as in effect October 1, 2022). The provisions of Chapter 5160:1-3 of the Administrative Code establish eligibility criteria, standards, and procedures that apply to individuals enrolling in an aged, blind, or disabled categorical coverage group. (B) The rules of this cha... |
Rule 5160:1-3-02 | Medicaid: criteria for age, blindness, or disability.
... physical factors of age, blindness, 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 ... |
Rule 5160:1-3-02.1 | Medicare premium assistance programs (MPAP).
...y-five years of age; and (ii) Has lost disability benefits under Title II of the Social Security Act (as in effect October 1, 2019) solely due to earnings in excess of the substantial gainful activity (SGA) level established by the SSA; and (iii) Is paying a premium for part A coverage; and (iv) Has provided no document or communication from the SSA indicating another basis for part A... |
Rule 5160:1-3-02.4 | Medicaid: coverage for the categorically needy.
...(2) Determinations of blindness and disability must be in accordance with SSA policy; (3) Have countable income, as determined under Chapter 5160:1-3 of the Administrative Code, which does not exceed the income standard described in rule 5160:1-3-03.5 of the Administrative Code; (4) Have countable resources, as determined under Chapter 5160:1-3 of the Administrative Code, which do not exceed... |
Rule 5160:1-3-02.4 | Medicaid: coverage for the categorically needy.
...(2) Determinations of blindness and disability must be in accordance with SSA policy; and (3) Have countable income, as determined under Chapter 5160:1-3 of the Administrative Code, which does not exceed the income standard described in rule 5160:1-3-03.5 of the Administrative Code; and (4) Have countable resources, as determined under Chapter 5160:1-3 of the Administrative Code, which do no... |
Rule 5160:1-3-02.6 | Medicaid: grandfathering provisions and deemed eligibility.
... met the definition of blindness or disability in effect under the former programs of AFB or AFD and meets the following criteria: (i) The individual meets all current requirements for medicaid eligibility except for blindness or disability; and (ii) The individual was eligible for medicaid in December 1973 as blind or disabled, whether or not the individual received cash assistance in Dec... |
Rule 5160:1-3-02.9 | Medicaid: disability determination process.
...process of determining blindness or disability for medical assistance eligibility 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 ... |
Rule 5160:1-3-03.1 | Medicaid: income.
...ted to: (1) Retirement, survivors, disability insurance (RSDI); (2) Prouty benefits; (3) Railroad retirement; (4) Veterans benefits; (5) Other public/private retirement benefits; (E) The following items are not considered income, in accordance with 20 C.F.R. 416.1103 (as in effect October 1, 2019). This list is not all inclusive: (1) A personal service performed for an individua... |
Rule 5160:1-3-03.2 | Medicaid: income exclusions.
...of age or marital status, for any disability resulting from spina bifida suffered by such children; and (ii) Certain Korea service veterans' natural children, regardless of age or marital status, for any disability resulting from spina bifida suffered by such children; and (iii) The natural children, regardless of age or marital status, with certain birth defects born to a ... |
Rule 5160:1-3-03.3 | Medicaid: deeming of income.
...le spouse or ineligible parent receives disability benefits under title II of the act; (24) Interest earned on excluded burial funds and appreciation in the value of excluded burial arrangements which are left to accumulate and become part of separate burial funds, and interest accrued on and left to accumulate as part of the value of agreements representing the purchase of excluded burial spaces... |