Ohio Administrative Code Search

...n that is compliant with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The ODM 03397 "Authorization for the Release or Use of Protected Health Information (PHI)" shall be used when the CDJFS needs additional medical information from the individual or the individual's provider. (5) Provider recruitment. The CDJFS is required to take steps to recruit and maintain a networ...

... days of a change. (8) Obtain a Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliant signed authorization for release of information, ODM 03397 "Authorization for the Release or Use of Protected Health Information", when additional medical information is needed from the individual. (9) Maintain a listing of fee-for-service providers who have expressed a willingness to fu...

...y medicare part B (supplemental medical insurance) premiums for certain medicaid-eligible individuals even if those individuals are not eligible for a medicare premium assistance program (MPAP) set out in rule 5160:1-3-02.1 of the Administrative Code; and (2) The beginning date of payment of medicare part B (part B) benefits under this rule; and (3) The date and effect of termination of benefits...

...ODM to pay part B (supplemental medical insurance) premiums for certain individuals even when those individuals are not eligible for a medicare premium assistance program (MPAP) set forth in rule 5160:1-3-02.1 of the Administrative Code; and (2) The beginning date of payment of part B benefits under this rule; and (3) The date and effect of termination of benefits under part B buy-in. (4) The p...

...in retirement, survivors and disability insurance (RSDI) as described in 42 C.F.R. 435.134 (as in effect October 1, 2019): individuals eligible despite the October 1972 twenty per cent general increase: (i) An individual who would currently be eligible for SSI or cash assistance except for the amount of increased income resulting from the October 1972 twenty per cent general increase in RSD...

...) 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 individual is not in...

...) 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 an individu...

...served in Vietnam. (q) Austrian social insurance payments based, in whole or in part, on wage credits received under the provisions of the Austrian General Social Insurance Act, paragraphs 500 to 506 (as in effect October 1, 2020). These payments are to be documented and identifiable from countable insurance. (r) Payments made to Native Americans as listed in section IV of 20 C.F.R. 416 subpart ...

..., jewelry, household goods, tools, life insurance policies, automobiles, promissory notes, etc. (6) "Real property" means land, including buildings or immovable objects, attached permanently to the land. (7) "Resources" is defined in rule 5160:1-1-01 of the Administrative Code. (8) "Resource limit" means the maximum combined value of all resources an individual can have an ownership interest in and still qualify f...

..., jewelry, household goods, tools, life insurance policies, automobiles, promissory notes, etc. (7) "Real property" means land, including buildings or immovable objects, attached permanently to the land. (8) "Resources" is defined in rule 5160:1-1-01 of the Administrative Code. (9) "Resource limit" means the maximum combined value of all resources an individual can have an ownership interes...

...purchase price has been paid. (G) Life insurance funded burial contracts. (1) A life insurance funded burial contract involves an individual owning/purchasing a life insurance policy on his or her own life and then assigning, revocably or irrevocably, either the ownership or proceeds of the policy to a third party, generally a funeral provider. The purpose of the assignment is to fund a burial contract. (a) Assign...

...purchase price has been paid. (G) Life insurance funded burial contracts. (1) A life insurance funded burial contract involves an individual owning/purchasing a life insurance policy on his or her own life and then assigning, revocably or irrevocably, either the ownership or proceeds of the policy to a third party, generally a funeral provider. The purpose of the assignment is to fund a burial contract. (a) Assign...

...ceived as the beneficiary of a life insurance policy, including social security lump-sum death benefits. (5) Workers compensation payments when received as a lump-sum. (D) An unanticipated nonrecurring lump-sum payment is not considered unearned income in the month of receipt and is a resource in the month following the month of receipt. The following are some types of unanticipated lump-sum...

...ceived as the beneficiary of a life insurance policy, including social security lump-sum death benefits. (5) Workers compensation payments when received as a lump-sum. (D) An unanticipated nonrecurring lump-sum payment is not considered unearned income in the month of receipt and is a resource in the month following the month of receipt. The following are some types of unanticipated lump-sum...

...ar or truck dealer or an automobile insurance company. The administrative agency is not bound by this appraisal but the appraisal is to be considered in the evaluation of the vehicle. (3) Always verify the collector value of an antique or other collectible vehicle.

...(A) This rule describes how life insurance policies are treated for purposes of determining medical assistance eligibility. (B) Definitions of terms contained within life insurance policies. (1) "Accelerated life insurance payments" means some or all of the proceeds from the life insurance policy are paid out to the policy owner prior to the death of the insured. (2) "Beneficiary" means an individual or entity nam...

...(A) This rule describes how life insurance policies are treated for the purpose of determining medical assistance eligibility. (B) Definitions of terms contained within life insurance policies. (1) "Accelerated life insurance payments" means some or all of the proceeds from the life insurance policy are paid out to the policy owner prior to the death of the insured. (2) "Beneficiary" means an individual or entity ...

.... L. No. 101-426). (f) Austrian social insurance payments, based in whole or in part, on wage credits paid under paragraphs 500 to 506 of the Austrian General Social Insurance Act (as in effect October 1, 2020). (g) Payments received from the Dutch government as a result of the Netherlands' Benefit Act for victims of persecution from 1940-1945 (Dutch acronym, WUV) (Pub. L. No. 103-286). (h) Payment...

...ith children who do not have health insurance coverage and who is working with a grantee organization under section 2113 of the Social Security Act (as in effect October 1, 2020), are excluded as income under the Helping Ensure Access for Little ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act (Pub. L. No. 115-120). (6) Alimony payments. (a) Alimony payme...

...idered creditable coverage: (i) Health insurance benefits consisting of medical care (provided directly, through insurance or reimbursement, or otherwise and including items and services paid for as medical care) under any hospital or medical service policy or certificate, hospital or medical service plan contract; (ii) Health maintenance organization contract offered by a health insur...

...idered creditable coverage: (i) Health insurance benefits consisting of medical care (provided directly, through insurance or reimbursement, or otherwise, and including items and services paid for as medical care) under any hospital or medical service policy or certificate, hospital or medical service plan contract; (ii) Health maintenance organization contract offered by a health insu...

...r source, such as medicaid, private insurance, or an employer. (12) "Medical insurance premiums" means the amount paid for insurance coverage for medical items or services such as health, dental, vision, long-term care, hospital, prescriptions, etc. (13) "Medically improved covered group" means the individuals meeting all criteria in paragraph (C)(2) of this rule. (14) "Premium" means a per...

...r source, such as medicaid, private insurance, or an employer. (12) "Medical insurance premiums" means the amount paid for insurance coverage for medical items or services such as health, dental, vision, long-term care, hospital, prescriptions, etc. (13) "Medically improved covered group" means the individuals meeting all criteria in paragraph (C)(2) of this rule. (14) "Premium" means a per...

...r source, such as medicaid, private insurance, or an employer. (9) "Medical insurance premiums" means the amount paid for insurance coverage for medical items or services such as health, dental, vision, long-term care, hospital, prescriptions, etc. (10) "Ohio workability" means the component of the medicaid program established under section 5163.063 of the Revised Code. (11) "Premium" m...

...ual or family member. (9) "Medical insurance premiums" means the amount paid for insurance coverage for medical items or services such as health, dental, vision, long-term care, hospital, prescriptions, etc. (10) "Medically necessary" has the same meaning as in rule 5160-1-01 of the Administrative Code. (a) Medical insurance premiums as defined in paragraph (B)(9) of this rule are always c...