Ohio Administrative Code Search
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Rule 5160:1-3-05.8 | Medicaid: lump-sum payments.
...ome (SSI) or retirement, survivors, disability insurance (RSDI) are unearned income in the month received and excluded as countable resources for nine months following the month of receipt. The source, amount, and the date of receipt of the retroactive payment must be verified and the information recorded in the case record. (1) As long as the funds from the retroactive payment are not spent,... |
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Rule 5160:1-3-05.14 | Medicaid: resource 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 ... |
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Rule 5160:1-4-01 | MAGI-based medicaid: household composition and income.
... on the basis of age, blindness, or disability, or which only cover an individual's medicare premium or cost-sharing. (B) Definition. "Person" for the purpose of this rule, means someone in the family or household of an individual applying for or receiving medical assistance. (C) Determining household composition and family size. (1) For the tax year in which the eligibility determination i... |
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Rule 5160:1-5-03 | Medicaid: medicaid buy-in for workers with disabilities (MBIWD).
...ndividual with a medically improved disability" means an individual who is a recipient of MBIWD in the basic covered group but who no longer meets the disability criterion as defined in paragraph (C)(1)(b) of this rule. (10) "Medicaid buy-in for workers with disabilities (MBIWD)" means the component of the medicaid program established under sections 5163.09 to 5163.098 of the Revised Code and inc... |
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Rule 5160:1-5-03 | Medicaid: medicaid buy-in for workers with disabilities (MBIWD).
...ndividual with a medically improved disability" means an individual who is a recipient of MBIWD in the basic covered group but who no longer meets the disability criterion as defined in paragraph (C)(1)(b) of this rule. (10) "Medicaid buy-in for workers with disabilities (MBIWD)" means the component of the medicaid program established under sections 5163.09 to 5163.098 of the Revised Code and inc... |
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Rule 5160:1-5-03 | Medicaid: medicaid buy-in for workers with disabilities (MBIWD).
...) "Individual with a medically improved disability" means an individual who is a recipient of MBIWD in the basic covered group but who no longer meets the disability criterion as defined in paragraph (C)(1)(b) of this rule. (7) "Medicaid buy-in for workers with disabilities (MBIWD)" means the component of the medicaid program established under sections 5163.09 to 5163.098 of the Revised Code and includes the basic c... |
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Rule 5160:1-5-04 | Medicaid: Ohio workability.
...ar 2025. (13) "Social security disability insurance (SSDI)" means the program established under Title II of the Social Security Act (as in effect October 1, 2024). (14) "Supplemental security income (SSI)" means the program established under Title XVI of the Social Security Act (as in effect October 1, 2024). (15) "Work" or "working," for the purpose of this rule, means employment or ... |
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Rule 5160:1-5-04 | Medicaid: Ohio workability.
...ar 2025. (13) "Social security disability insurance (SSDI)" means the program established under Title II of the Social Security Act (as in effect October 1, 2024). (14) "Supplemental security income (SSI)" means the program established under Title XVI of the Social Security Act (as in effect October 1, 2024). (15) "Work" or "working," for the purpose of this rule, means employment or ... |
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Rule 5160:1-5-04 | Medicaid: Ohio workability.
...lendar year 2025. (7) "Social security disability insurance (SSDI)" means the program established under Title II of the Social Security Act (as in effect October 1, 2025). (8) "Supplemental security income (SSI)" means the program established under Title XVI of the Social Security Act (as in effect October 1, 2025). (9) "Work" or "working," for the purpose of this rule, means employment or self-employment from whi... |
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Rule 5160:1-5-06 | Medicaid: non-citizen emergency medical assistance (NCEMA).
...itting medical documentation to the disability determination area (DDA) and enter the payment coverage dates as described in paragraph (D)(2) of this rule into the electronic eligibility system. (2) Submit medical documentation to the DDA for a determination of the covered dates of service when the time period for labor and delivery exceeds the time frames described in paragraph (D)(2) of th... |
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Rule 5160:1-5-07 | Medicaid: specialized recovery services (SRS) program.
...etermined to meet the definition of disability used by the social security administration (SSA) for purposes of supplemental security income (SSI) or social security disability insurance (SSDI) benefits. (a) A disability determination is not required for individuals over the age of sixty-five years old who are active on the solid organ or soft tissue waiting list, or who have certain diagnosed ch... |
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Rule 5160:1-5-07 | Medicaid: specialized recovery services (SRS) program.
...etermined to meet the definition of disability used by the social security administration (SSA) for purposes of supplemental security income (SSI) or social security disability insurance (SSDI) benefits. (a) A disability determination is not required for individuals over sixty-five years of age who are active on the solid organ or soft tissue waiting list, or who have certain diagnosed chronic co... |
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Rule 5160:1-6-03.1 | Medicaid: determining financial eligibility for medical assistance using the special income level.
...ir age or marital status, for any disability resulting from spina bifida suffered by such children under provision 421 of Pub. L. No. 104-204 (38 U.S.C. 1805(d); as in effect October 1, 2019); (ii) Certain Korea service veterans' natural children regardless of their age or marital status, for any disability resulting from spina bifida suffered by such children under provision 102 ... |
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Rule 5160:1-6-03.1 | Medicaid: determining financial eligibility for medical assistance using the special income level.
...of age or marital status, for any disability resulting from spina bifida suffered by such children; (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 woman who s... |
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Rule 5160:1-6-03.1 | Medicaid: determining financial eligibility for medical assistance using the special income level.
...of age or marital status, for any disability resulting from spina bifida suffered by such children; (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 woman who s... |
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Rule 5160:1-6-06 | Medicaid: transfer of assets.
...cal assistance: (i) Traumatic onset of disability or blindness (e.g., due to traffic accident); or (ii) Diagnosis of a previously undetected disabling condition. (f) Supporting documentation may include, but is not limited to, a contract, realtor agreements, sworn statements, third party statements, medical records, financial records, court records, and relevant correspondence. (3) If the institutionalized indivi... |
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Rule 5160:1-6-06 | Medicaid: transfer of assets.
...sistance: (i) Traumatic onset of disability or blindness (e.g., due to traffic accident); or (ii) Diagnosis of a previously undetected disabling condition. (f) Supporting documentation may include, but is not limited to, a contract, realtor agreements, sworn statements, third party statements, medical records, financial records, court records, and relevant correspondence. (3) When the ... |
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Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.
...ss of or age or marital status, for any disability resulting from spina bifida suffered by such children under provision 421 of Pub. L. No. 104-204 (38 U.S.C. 1805(d); as in effect October 1, 2016); (ii) Certain Korea service veterans' natural children regardless of their age or marital status, for any disability resulting from spina bifida suffered by such children under provision 102 of the Veterans Benefits Act o... |
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Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.
...of age or marital status, for any disability resulting from spina bifida suffered by such children; (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 woman who ... |
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Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.
...of age or marital status, for any disability resulting from spina bifida suffered by such children; (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 woman who ... |
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Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.
...dless of age or marital status, for any disability resulting from spina bifida suffered by such children; (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 woman who served in Vietnam. (j) Vetera... |
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Rule 5160:1-6-07.1 | Medicaid: post-eligibility treatment of income for individuals receiving services through a home and community-based services (HCBS) waiver or the program of all-inclusive care for the elderly (PACE).
...ss of or age or marital status, for any disability resulting from spina bifida suffered by such children under provision 421 of Pub. L. No. 104-204 (38 U.S.C. 1805(d); as in effect October 1, 2016); (ii) Certain Korea service veterans' natural children regardless of their age or marital status, for any disability resulting from spina bifida suffered by such children under provision 102 of the Veterans Benefits Act o... |
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Rule 5160:1-6-07.1 | Medicaid: post-eligibility treatment of income for individuals receiving services through a home and community-based services (HCBS) waiver or the program of all-inclusive care for the elderly (PACE).
...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... |
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Rule 5160:1-6-07.1 | Medicaid: post-eligibility treatment of income for individuals receiving services through a home and community-based services (HCBS) waiver or the program of all-inclusive care for the elderly (PACE).
...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... |
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Rule 5180:3-13-66.1 | Comprehensive health care for children in placement.
...as or is at risk of a developmental disability or delay. (5) Every child entering substitute care receives immunizations appropriate to their age and health history. If a child's record of previous immunizations is unavailable at the time of the comprehensive physical exam, and it is reasonable to assume that the child has received immunizations, immunizations may be postponed until an immuni... |