Ohio Administrative Code Search

... enrollment via the ODM-produced Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliant 834 daily and monthly enrollment files of new members, continuing members and terminating members. (5) The MCO and SPBM shall not be required to provide coverage until MCO or SPBM enrollment is confirmed via the ODM-produced HIPAA compliant 834 daily or monthly enrollment files except as...

...nation of benefits, including: (a) Insurance company name; (b) Insurance company billing address for claims; (c) Member's group number; (d) Member's policy number; and (e) Policy holder name. (6) The MCE must require providers who are submitting TPL claims to the MCE to request information regarding third party benefits from the member or his/her authorized representative. If the member or the m...

...nation of benefits, including: (a) Insurance company name; (b) Insurance company billing address for claims; (c) Member's group number; (d) Member's policy number; and (e) Policy holder name. (6) The MCE must require providers who are submitting TPL claims to the MCE to request information regarding third party benefits from the member or his/her authorized representative. If the member or the m...

...ty income or social security disability insurance determination or has a score of two or greater on at least one of the items in the "mental health needs" or "risk behaviors" sections or a score of three on at least one of the items in the "life domain function" section of the adult needs and strengths assessment (ANSA) administered by an individual with a bachelor's degree or higher and with ...

... and Privacy Act (FERPA) and Health Insurance Portability and Accountability Act (HIPAA). The school services plan of care does not supplant any state or federal processes or timelines related to identifying and serving students with disabilities. (22) The 504 plan: means as defined in rule 3301-13-01 of the Administrative Code. (23) Eligible provider: means as defined in rule 5160-1-17 of ...

..., under the state children's health insurance program (SCHIP), under Title XXI of the Act, that are allowable in accordance with applicable implementing federal, state, and local statutes, regulations, and policies, and the state plan approved by the secretary of health and human services and in effect at the time of the submission of this claim; and the expenditures included in the claim are base...

...ers, and in compliance with the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on February 1, 2016), confidentiality of alcohol and drug abuse patient records as set forth in 42 C.F.R part 2 (as in effect on February 1, 2016) and the medicaid safeguarding information requirements set forth in 42 C.F.R. parts ...

...ers, and in compliance with the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on October 1, 2020), confidentiality of alcohol and drug abuse patient records as set forth in 42 C.F.R part 2 (as in effect on October 1, 2020) and the medicaid safeguarding information requirements set forth in 42 C.F.R. parts 43...

...ers, and in compliance with the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (October 1, 2023), confidentiality of alcohol and drug abuse patient records as set forth in 42 C.F.R part 2 (October 1, 2023) and the medicaid safeguarding information requirements set forth in 42 C.F.R. parts 431.300 to 431.307 (October 1, 202...

...es (HCBS) settings; (iv) "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on July 1, 2017); (v) 42 C.F.R. part 2 (as in effect on July 1, 2017), confidentiality of alcohol and drug abuse patient records; and (vi) Incident management as described in rule 5160-43-06 of the Administrative Code. ...

...es (HCBS) settings; (iv) "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on October 1, 2020); (v) 42 C.F.R. part 2 (as in effect on October 1, 2020), confidentiality of alcohol and drug abuse patient records; and (vi) Incident management as described in rule 5160-44-05 of the Administrative ...

...es (HCBS) settings; (iv) "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (October 1, 2023); (v) 42 C.F.R. part 2 (October 1, 2023), confidentiality of alcohol and drug abuse patient records; and (vi) Incident management as described in rule 5160-44-05 of the Administrative Code. (f) Be supervised by clinical s...

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on February 1, 2016), confidentiality of alcohol and drug abuse patient records set forth in 42 C.F.R part 2 (as in effect on February 1, 2016), and the medicaid safeguarding information requirements set forth in 42 C.F.R. parts 431.30...

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on October 1, 2020), confidentiality of alcohol and drug abuse patient records set forth in 42 C.F.R part 2 (as in effect on October 1, 2020), and the medicaid safeguarding information requirements set forth in 42 C.F.R. parts 431.300 ...

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (October 1, 2023), confidentiality of alcohol and drug abuse patient records set forth in 42 C.F.R part 2 (October 1, 2023), and the medicaid safeguarding information requirements set forth in 42 C.F.R. parts 431.300 to 431.307 (October 1, 2023), ...

...d supports provided through private insurance, medicare, medicaid state plan, and waiver services. (g) Address any risk factors and measures in place to minimize them, when needed. (h) Include back-up plans that meet the needs of the individual. (i) Reflect that the setting chosen by the individual is integrated in, and supports the full access of individuals receiving medicaid HCBS to the...

... request, furnish proof of licensure, insurance, and bonding for services from applicable jurisdictions. (8) Maintain, and upon request, furnish a list of the chemicals and substances used for each proposal. (9) Furnish to the individual, ODM, ODA, or their designee a warranty that covers the workmanship and materials involved in performing the service, as applicable. (10) Provide documen...

...bing work. (8) Proof of licensure, insurance, and bonding for services from applicable jurisdictions. (9) Proof of all necessary post-inspections and post-inspection reports required by law, a HOA, or both to verify whether each episode of service meets federal, state, and local laws or HOA requirements. Proof will be obtained prior to billing, (10) All of the documents required in paragra...

...aintain and furnish proof of licensure, insurance and bonding for general contracting services of applicable jurisdictions to ODM, ODA or their designee upon request. (g) Obtain final written approval from the individual and ODM, ODA or their designee after completion of the home modification service. (2) The provider shall obtain and maintain evidence of compliance with: (a) The written conse...

...designee upon request. (h) Licensure, insurance, and bonding for general contracting services of applicable jurisdictions to ODM, ODA or their designee upon request. (i) All permits and pre-job inspections required by law, home owners' association, or both. (j) All necessary post-inspections and post-inspection reports required by law, a HOA, or both to verify whether each episode of service ...

...ignificant phone numbers and health insurance identification numbers of the individual. (b) Information regarding medical diagnosis (es), treatment(s) and preferences. (c) The individual's medication profile and medication administration record, as applicable. (d) The individual's treatment administration record, as applicable. (e) The name and contact information for the individual's primary ...

...ignificant phone numbers and health insurance identification numbers of the individual. (b) Information regarding medical diagnosis (es), treatment(s) and preferences. (c) The individual's medication profile and medication administration record, as applicable. (d) The individual's treatment administration record, as applicable. (e) The name and contact information for the individual's primary ...

...ignificant phone numbers and health insurance identification numbers of the individual. (b) Information regarding medical diagnoses, treatment and preferences. (c) The individual's medication profile and medication administration record, as applicable. (d) The individual's treatment administration record, as applicable. (e) The name of and contact information for the individual's primary c...

...ity, race, phone numbers and health insurance identification numbers of the individual. (b) Information regarding medical diagnoses, treatment and preferences. (c) The individual's medication profile and medication administration record, as applicable. (d) The individual's treatment administration record, as applicable. (e) The name of and contact information for the individual's primary care ...

...d state laws, including the "Health Insurance Portability and Accountability Act of 1996" (HIPAA) regulations set forth in 45 C.F.R. parts 160 and 164 (as in effect on October 1, 2020), and the medicaid safeguarding information requirements set forth in 42 C.F.R. 431.300 to 431.306 (as in effect on October 1, 2020), along with sections 5160.45 to 5160.481 of the Revised Code. (13) Ensure that th...