Ohio Administrative Code Search

...o have an intellectual or developmental disability according to section 5126.01 of the Revised Code. (D) Reimbursable activities. (1) Medicaid services listed in paragraph (D) of this rule are reimbursable only if provided to or on behalf of a medicaid eligible individual as defined in paragraph (C) of this rule and by qualified providers as defined in paragraph (E) of this rule. Payment for TCM...

...igion, gender, 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 plan will not use any discriminatory ...

... 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...

... 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...

... 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...

... 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...

...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...

...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, 2023); (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...

...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...

...(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...

...(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...

...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...

...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, 2023), medicaid will not pay for services provided to: (1) An individual who is an inmate of a public institution, except as outlined in paragraph (D) of this rule; or (2) An individual who is a patient in an institution for mental diseases (IMD), as defined in rule 5160:1...

...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...

...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 ...

...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...

...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, 2022). (3) Coordinate with the special supplemental nutrition prog...

...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...

... (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 ...

... (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...

...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...

...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...

... 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 ...

... physical factors of age, blindness, or 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 Admi...

...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...