Ohio Administrative Code Search

...obtain reimbursement from the provider, insurance companies, or others, any reimbursement received from the provider, insurance companies, or other funeral home; (10) If applicable, the name and address of the funeral home that carried out the contract and provided services or merchandise or both following the loss; (11) If applicable, proof of payment for the new preneed funeral contract; (12...

...any prescription. The acceptance of insurance, including medicaid or medicare or any required copayments, co-insurance or contact lens evaluation fees is considered the payment of professional fees. Failure to release a copy of the prescription to the patient as required constitutes a violation of section 4725.28 of the Revised Code. A licensed optometrist does not have to release an expired ...

... Code; (3) Medical records: Health Insurance Portability and Accountability Act, Title II 45 CFR 160, 42 USC 1320; (4) Confidential information obtained during an investigation. Division (C) of section 4725.23 of the Revised Code; (5) The Family Education Right to Privacy Act (FERPA), 20 U.S.C. 1232 g; and (6) Ohio Public Records Act. Section 149.43 of the Revised Code. (P) For personal ...

...1/25/2013) from the federal "Health Insurance Portability and Accountability Act of 1996 (HIPAA)." (6) Substance abuse treatment records: section 5119.27 of the Revised Code and 42 U.S.C. 290dd-2 (7/20/2016). (7) Records of dangerous drugs and controlled substances: section 3719.13 of the Revised Code. (8) Security or infrastructure records: division (B) of section 149.433 of the Revise...

...1/25/2013) from the federal "Health Insurance Portability and Accountability Act of 1996 (HIPAA)." (6) Substance abuse treatment records: section 5119.27 of the Revised Code and 42 U.S.C. 290dd-2 (3/27/2020). (7) Records of dangerous drugs and controlled substances: section 3719.13 of the Revised Code. (8) Security or infrastructure records: division (B) of section 149.433 of the Revise...

...us drugs. (e) Entering demographic and insurance information into an electronic system to process prescription claims. (f) Place dangerous drugs dispensed by a pharmacist into shipping containers or packages for delivery if the terminal distributor of dangerous drugs complies with all the following: (i) Uses barcode scanning and patient order information to ensure the accuracy of the drugs placed...

...ing the Patient Rights and Health Insurance Portability and Accountability Act (HIPAA); (viii) Ethical and professional standards of practice; (ix) Recordkeeping and inventory control; and (x) Patient and caregiver communication, including communicating with diverse populations. (b) Didactic training may include self-directed learning experiences, including but not limited to home stu...

...ing the Patient Rights and Health Insurance Portability and Accountability Act (HIPAA); (viii) Ethical and professional standards of practice; (ix) Recordkeeping and inventory control; and (x) Patient and caregiver communication, including communicating with diverse populations. (b) Didactic training may include self-directed learning experiences, including but not limited to home stu...

...ing the Patient Rights and Health Insurance Portability and Accountability Act (HIPAA); (viii) Ethical and professional standards of practice; (ix) Recordkeeping and inventory control; and (x) Patient and caregiver communication, including communicating with diverse populations. (b) Didactic training may include self-directed learning experiences, including but not limited to home stu...

...rmation. (7) An agent of a medical insurance company who provides prescription insurance coverage to the patient upon authorization and proof of insurance by the patient or proof of payment by the insurance company for those medications whose information is requested. (8) An agent who contracts with the terminal distributor of dangerous drugs as a "business associate" in accordance with the ...

...rmation. (7) An agent of a medical insurance company who provides prescription insurance coverage to the patient upon authorization and proof of insurance by the patient or proof of payment by the insurance company for those medications whose information is requested. (8) An agent who contracts with the terminal distributor of dangerous drugs as a "business associate" in accordance with the ...

...hat an individual, pursuant to a health insurance or health care policy, contract, or plan that covers the services provided by a terminal distributor of dangerous drugs, would otherwise be required to pay for the services if the waiver is used as an enticement to a patient or group of patients to receive pharmacy services from that terminal distributor; (b) Advertising that the terminal distribu...

...hat an individual, pursuant to a health insurance or health care policy, contract, or plan that covers the services provided by a terminal distributor of dangerous drugs, would otherwise be required to pay for the services if the waiver is used as an enticement to a patient or group of patients to receive pharmacy services from that terminal distributor; (b) Advertising that the terminal distribu...

...cause of the patient's prescription insurance coverage. (d) A prescription that is for a compounded drug product. (e) A prescription that the pharmacist, using their professional judgement, determines is of questionable, doubtful, or suspicious origin. (f) A prescription that, in the pharmacist's professional judgment, if dispensed, cannot be safely provided or may negatively impact patient...

... entry, including the processing of insurance coverage. The requirements of this rule shall be limited to the entry of prescriptions dispensed in or into this state. (3) "Remote pharmacy" means either: (a) A pharmacy licensed as a terminal distributor of dangerous drugs that dispenses dangerous drugs; or (b) A pharmacy licensed as a limited category II terminal distributor of dangerous drugs wh...

...data entry, including the processing of insurance coverage. The requirements of this rule shall be limited to the entry of orders dispensed in or into this state. (3) "Remote pharmacy" means either: (a) A pharmacy licensed as a terminal distributor of dangerous drugs that dispenses dangerous drugs; or (b) A pharmacy licensed as a limited category II terminal distributor of dangerous drugs which...

...ethods of payment accepted (cash, insurance, medicaid, medicare) and in what ratios; (ii) The ratio of controlled vs. non-controlled drug orders and overall sales; (iii) Orders for reported drugs from other drug distributors made available by the United States drug enforcement administration's automation of reports and consolidated orders system; and (iv) The proportion of out-of-stat...

...ethods of payment accepted (cash, insurance, medicaid, medicare) and in what ratios; (ii) The ratio of controlled vs. non-controlled drug orders and overall sales; (iii) Orders for reported drugs from other drug distributors made available by the United States drug enforcement administration's automation of reports and consolidated orders system; and (iv) The proportion of ...

...sh), medicaid, medicare, commercial insurance, or workers' compensation; (22) Pharmacy national provider identification (NPI) number; (23) Prescriber's national provider identification (NPI) number, if prescriber does not have an NPI, then another mutually acceptable identifier; (24) Any of the following as indicated by the prescriber pursuant to agency 4729 of the Administrative Code: ...

... laws, including the federal Health Insurance Portability and Accountability Act of 1996, Public Law 104-191. (I) All medical marijuana dispensing information submitted to the drug database pursuant to this rule must be reported in an accurate and timely manner. (J) If the omission of dispensing information is discovered, the corrected information must be submitted to the board of pharmacy d...

...e of product and professional liability insurance from an insurer showing a minimum one million dollars per occurrence, three million dollars aggregate of coverage. (9) A list of the HME to be stored, repaired, leased or sold by the applicant. (10) A brief description of the HME services provided, including square footage of the facility. (11) A list of the personnel currently employed by t...

...sess product and professional liability insurance coverage in the amount of one million dollars per occurrence, three million dollars aggregate. The certificate of insurance must show that the product and professional liability insurance coverage is contained in the total aggregate amount.

...nsurer providing professional liability insurance or any other entity that seeks to indemnify the professional liability of any person holding a valid certificate issued pursuant to Chapter 4730., 4731., 4760., 4762., or 4774. of the Revised Code shall notify the board within thirty days after the final disposition of any written claim for damages where such disposition results in a payment which exceeds twenty-five ...

...er providing professional liability insurance or any other entity that seeks to indemnify the professional liability of any person holding a valid license shall notify the board within thirty days after the final disposition of any written claim for damages where such disposition results in a payment which exceeds twenty-five thousand dollars. (B) For purposes of the malpractice reporting sta...

... either expiration of medical liability insurance by lapse of the policy or conversion of the policy to extended reporting period coverage only. (D) "Terminate" means to put an end to. (E) "Resignation" as that term is used in division (D) of section 4731.228 of the Revised Code means the provision of notice by a physician to a health care entity that the physician will no longer be an employee of the health care ...