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Rule 5160:1-5-03 | Medicaid: medicaid buy-in for workers with disabilities (MBIWD).

...Code. (10) "Social security disability insurance (SSDI)" means the program established under Title II of the Social Security Act (as in effect October 1, 2025). (11) "Supplemental security income (SSI)" means the program established under Title XVI of the Social Security Act (as in effect October 1, 2025). (12) "Work" or "working," for the purpose of this rule, means full- or part-time employment or self-employmen...

Rule 5160:1-5-04 | Medicaid: Ohio workability.

...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...

Rule 5160:1-5-04 | Medicaid: Ohio workability.

...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...

Rule 5160:1-5-04 | Medicaid: Ohio workability.

... 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 which state or...

Rule 5160:1-5-05 | Medicaid: refugee medical assistance (RMA).

...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...

Rule 5160:1-5-05 | Medicaid: refugee medical assistance (RMA).

...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...

Rule 5160:1-5-05 | Medicaid: refugee medical assistance (RMA).

...ividual or family member. (9) "Medical insurance premiums," for the purpose of this rule, 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," for the purpose of this rule, has the same meaning as in rule 5160-1-01 of the Administrative Code. (a) Medical insurance premiums as defined in ...

Rule 5160:1-5-07 | Medicaid: specialized recovery services (SRS) program.

...(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 chronic conditions. (b) A disability determination is not required for individuals under age sixty-five years old who are enrolled in the medi...

Rule 5160:1-5-07 | Medicaid: specialized recovery services (SRS) program.

...(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 conditions. (b) A disability determination is not required for individuals under sixty-five years of age who are diagnosed with end-stage renal di...

Rule 5160:1-6-02 | Medicaid: special resource rules when an individual is requesting or receiving medicaid payment for long-term care (LTC) services.

...luation of any qualified long-term care insurance policy as described in rule 5160:1-6-02.2 of the Administrative Code. (3) Evaluation of any entrance fee when the individual is residing in a continuing care retirement community, life care community, or a philanthropic long-term care facility as described in rule 5160:1-6-02.3 of the Administrative Code.

Rule 5160:1-6-02 | Medicaid: special resource rules when an individual is requesting or receiving medicaid payment for long-term care (LTC) services.

...ion of any qualified long-term care insurance policy as described in rule 5160:1-6-02.2 of the Administrative Code. (3) Evaluation of any entrance fee when the individual is residing in a continuing care retirement community, life care community, or a philanthropic long-term care facility as described in rule 5160:1-6-02.3 of the Administrative Code.

Rule 5160:1-6-02.2 | Medicaid: treatment of qualified long-term care insurance policies.

...at estate recovery in the amount of insurance benefit payments made to or on behalf of the individual who is a beneficiary of a QLTCP policy. (C) A QLTCP policy is one that meets all of the following requirements: (1) On the date the policy was issued, the state in which the insured resided had in place an approved state plan amendment which provides, pursuant to 42 U.S.C. 1396p(b) (as in ef...

Rule 5160:1-6-02.2 | Medicaid: treatment of qualified long-term care insurance policies.

...at estate recovery in the amount of insurance benefit payments made to or on behalf of the individual who is a beneficiary of a QLTCP policy. (C) A QLTCP policy is one that meets all of the following requirements: (1) On the date the policy was issued, the state in which the insured resided had in place an approved state plan amendment which provides, pursuant to 42 U.S.C. 1396p(b) (as in ef...

Rule 5160:1-6-03.1 | Medicaid: determining financial eligibility for medical assistance using the special income level.

...an reparation payments, Austrian social insurance payments, and Netherlands reparation payments, in accordance with the Nazi Persecution Victims Eligibility Act, Pub. L. No. 103-286 or provisions of the Austrian General Social Insurance Act, paragraphs 500 through 506 (as in effect October 1, 2019). (c) Japanese and Aleutian restitution payments, under the provisions of section 105 of Pub. L. No....

Rule 5160:1-6-03.1 | Medicaid: determining financial eligibility for medical assistance using the special income level.

... Nazi persecution. (c) 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 through 506 (as in effect October 1, 2022). These payments need to be documented and identifiable separate from countable insurance. (d) Payments from the Dutch government under the Netherlands' Benefit Ac...

Rule 5160:1-6-03.1 | Medicaid: determining financial eligibility for medical assistance using the special income level.

... Nazi persecution. (c) 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 through 506 (as in effect October 1, 2023). These payments need to be documented and identifiable separate from countable insurance. (d) Payments from the Dutch government under the Netherlands' Benefit Ac...

Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.

...an reparation payments, Austrian social insurance payments, and Netherlands reparation payments, in accordance with the Nazi Persecution Victims Eligibility Act, Pub. L. No. 103-286 or provisions of the Austrian General Social Insurance Act, paragraphs 500 through 506 (as in effect October 1, 2016). (b) Japanese and Aleutian restitution payments, under the provisions of section 105 of Pub. L. No. 100-383 (as in effe...

Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.

... Nazi persecution. (b) 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 through 506 (as in effect on October 1, 2022). These payments need to be documented and identifiable separate from countable insurance. (c) Payments from the Dutch government under the Netherlands' Benefit...

Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.

... Nazi persecution. (b) 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 through 506 (as in effect on October 1, 2024). These payments need to be documented and identifiable separate from countable insurance. (c) Payments from the Dutch government under the Netherlands' Benefit...

Rule 5160:1-6-07 | Medicaid: post-eligibility treatment of income for individuals in medical institutions.

... Nazi persecution. (b) 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 through 506 (as in effect on October 1, 2025). These payments need to be documented and identifiable separate from countable insurance. (c) Payments from the Dutch government under the Netherlands' Benefit Act for victims of ...

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).

...an reparation payments, Austrian social insurance payments, and Netherlands reparation payments, in accordance with the Nazi Persecution Victims Eligibility Act, Pub. L. No. 103-286 or provisions of the Austrian General Social Insurance Act, paragraphs 500 through 506 (as in effect October 1, 2016). (b) Japanese and Aleutian restitution payments, under the provisions of section 105 of Pub. L. No. 100-383 (as in effe...

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).

... Nazi persecution. (b) 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 through 506 (as in effect October 1, 2022). These payments need to be documented and identifiable separate from countable insurance. (c) Payments from the Dutch government under the Netherlands' Benefit Ac...

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).

... Nazi persecution. (b) 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 through 506 (as in effect October 1, 2024). These payments need to be documented and identifiable separate from countable insurance. (c) Payments from the Dutch government under the Netherlands' Benefit Ac...

Rule 5180:3-13-66.1 | Comprehensive health care for children in placement.

... guardian, or custodian has health care insurance and/or financial resources to provide comprehensive health care. (1) If insurance or financial resources are available, the PCSA or PCPA is to request financial support. This does not negate the responsibility of a PCSA or PCPA from assessing a child's eligibility for medicaid coverage, Title IV-E, or other assistance programs. (2) If insurance o...

Rule 5501:2-1-02 | Permit Application.

...ts, and political subdivisions. (5) An insurance policy endorsement or surety bond in the amounts specified in rule 5501:2-1-05 of the Administrative Code and on the form prescribed by the department. If a current unexpired endorsement or bond is already on file with the special hauling permits section, a separate submission is not required with each application. This requirement is waived for fe...