Ohio Administrative Code Search

...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...

...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, 2024), 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...

...y-five years of age; and (ii) Has lost disability benefits under Title II of the Social Security Act (as in effect October 1, 2023) 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...

...(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...

...(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...

... 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...

... met the definition of blindness or disability in effect under the former programs of AFB or AFD and meets all of the following criteria: (i) The individual meets all current requirements for medicaid eligibility except for blindness or disability; (ii) The individual was eligible for medicaid in December 1973 as blind or disabled, whether or not the individual received cash assistance in ...

...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 ...

...process of determining blindness or disability for non-citizen emergency medical assistance (NCEMA), medicaid buy-in for workers with disabilities (MBIWD), retroactive coverage for a deceased individual, or the specialized recovery services (SRS) program. (B) Definitions. (1) "Administrative agency," for the purpose of this rule, means the county department of job and family services (CDJFS)...

...process of determining blindness or disability for non-citizen emergency medical assistance (NCEMA), medicaid buy-in for workers with disabilities (MBIWD), Ohio workability, retroactive coverage for a deceased individual, or the specialized recovery services (SRS) program. (B) Definitions. (1) "Administrative agency," for the purpose of this rule, means the county department of job and famil...

...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...

...ted to: (1) Retirement, survivors, disability insurance (RSDI); or (2) Prouty benefits; or (3) Railroad retirement; or (4) Veterans benefits; or (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, 2023). This list is not all-inclusive: (1) A personal service performed for ...

...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 ...