Ohio Administrative Code Search

...ship, association, joint stock company, insurance company, limited liability company, government unit, or other entity that: (1) Has an ownership or beneficial ownership interest, either direct or indirect, of five per cent or more of the voting stock of the holder of a certificate of need; (2) Participates as a general, junior, or limited partner in a partnership with the holder of a certificate of need; (3) Shar...

... participates in the program for health insurance for the aged and disabled established by Title XVIII of the Social Security Act (1981), 42 U.S.C. 301, as amended (the medicare program).

...curing writings by deception), 2913.47 (insurance fraud), or 2913.51 (receiving stolen property).

... writings by deception (pp) 2913.47 -- Insurance fraud (qq) 2913.51 -- Receiving stolen property (rr) 2919.25 -- Domestic violence (ss) 2921.36 -- Illegal conveyance of weapons or prohibited items onto grounds of detention facility or institution (tt) 2923.12 -- Carrying concealed weapons (uu) 2923.13 -- Having weapons while under disability (vv) 2923.161 -- Improperly discharging firearm at or into habi...

...r to the facility money, valuables, insurance benefits, property, or anything of value other than payment for services rendered by the facility. A residential care facility shall not manage a resident's financial affairs unless authorized by the resident or a sponsor with power of attorney. Such authorization shall be in writing and shall be attested to by a witness who is not connected in any...

...s, rent, supplies, equipment, liability insurance, and training; (b) Use of an indirect cost rate of thirty per cent of the wages or salaries and fringe benefits of inspecting sanitarians attributable to the component; or (c) Application of a negotiated indirect cost rate and calculation method approved by an agency of the federal government for the licensor to the component; (8) The sampling and laboratory costs ...

...mergency management agency on flood insurance rate maps, flood insurance studies, flood boundary and floodway maps and flood hazard boundary maps as zones A, AE, AH, AO, A1-30, and A99. Special flood hazard areas may also refer to areas that are flood prone and designated from other federal state or local sources of data including but not limited to historical flood information reflecting high wat...

...from the bonding and business liability insurance requirements established in paragraph (B) of this rule, and may only perform work on residences they own. (4) Owners of property rentals in which they do not reside, or owners drilling a well for construction or alteration purposes shall obtain a registration to perform work, but are exempt from the business liability insurance requirements establ...

...al emergency management agency on flood insurance rate maps, flood insurance studies, flood boundary and floodway maps and flood hazard boundary maps as zones A, AE, AH, AO, A1-30, and A99. Special flood hazard areas may also refer to areas that are flood prone and designated from other federal, state, or local sources of data including but not limited to historical flood information reflecting high water marks, prev...

...dred thousand dollars general liability insurance coverage. In the case of dual or multiple registrations as an installer, septage hauler, and/or service provider, the required general liability insurance shall apply to multiple registration categories. (5) Beginning with the registration year starting on January 1, 2016, proof of completion of at least six continuing education hours during the previous calendar yea...

... who are not covered by private medical insurance or are under insured, are not eligible for the medicaid program or any other government health program, and do not have access to another source of funds to cover the costs of lead tests and any indicated treatments; (2) Costs associated with having lead hazard control performed or having the preventive treatments specified in section 3742.41 of t...

... who are not covered by private medical insurance or are under insured, are not eligible for the medicaid program or any other government health program, and do not have access to another source of funds to cover the costs of lead tests and any indicated treatments; (2) Costs associated with having lead hazard control performed or having the preventive treatments specified in section 3742.41 of t...

...s, rent, supplies, equipment, liability insurance, training and other costs as allowable in circular A-87 as published by the United States office of management and budget. Actual support costs of each program are calculated by multiplying the amount determined under paragraph (B)(8)(a)(i) of this rule by the amount determined under paragraph (B)(8)(a)(ii) of this rule. (i) The portion of total departmental support...

...le for medicaid; and (c) Does not have insurance coverage for the screening. (3) The provider is not reimbursed by a third-party payer. (B) The provider seeking reimbursement from the director for a hearing screening shall submit an invoice for reimbursement to the director no later than twelve months after the completion of the screening. The invoice shall contain at least the following information: (1) The name...

...ental entities or pursuant to a plan of insurance. (W) "Third-party payor" means any insurer or other third party payor licensed by the Ohio superintendent of insurance, any payor under any individual or group contract, and any other governmental payor. (X) "Treatment services or goods" means medical, surgical or ancillary health care services or related goods that correct a medically eligible condition, improve fu...

...s, phone number, medical care provider, insurance coverage, medicaid status, or change in any other available third party coverage within thirty days of such change. Failure to notify the director of a change may result in denial of coverage. (J) Applications for renewal of eligibility shall be submitted and reviewed in the same manner as initial applications for eligibility under this rule. In the event that diffe...

... payroll deductions, for health-related insurance coverage and the sum of the following amounts: (a) Ten per cent of the first fifteen thousand dollars by which the family income exceeds the applicable income guideline, as defined in paragraph (A)(1) of this rule; (b) Twenty-five per cent of the next twenty-five thousand dollars by which the family income exceeds the applicable income guideline, as defined in parag...

...stimated annual expenditures for health insurance not reimbursed by a third party, and service level are subtracted from family income. (2) "Assistance" means reimbursement to the eligible participant or legal representative for premiums paid by the eligible participant or legal representative for health insurance coverage for the eligible participant. Assistance may include payments for premiums for an eligible pa...

... payroll deductions, for health-related insurance coverage and the sum of the following amounts: (a) Ten per cent of the first fifteen thousand dollars by which the family income exceeds the applicable income guidelines, as defined in paragraph (A)(1) of this rule; (b) Twenty-five per cent of the next twenty-five thousand dollars by which the family income exceeds the applicable income guideline, as defined in para...

...eets the conditions for eligibility for insurance premium payment assistance set forth in paragraph (B) of this rule. (2) "Cost-effective" means that the total cost to the program for uncovered services provided to an eligible participant plus the cost for health insurance premiums paid by the program on behalf of the eligible participant plus the associated administrative costs to the program is less than the total...

... the eligible participant had no health insurance coverage. (6) "Primary source of payment" mean the payment source with primary responsibility for payment. (B) The director may authorize assistance for a recipient who has a spenddown liability for medicaid and meets the following conditions: (1) Recipient has been approved for medical assistance disability (MA-D) with a spenddown liability for medicaid as defined...

... WIC program benefits); (uuu) 2913.47 (insurance fraud); (vvv) 2913.48 (workers' compensation fraud); (www) 2913.49 (identify fraud); (xxx) 2913.51 (receiving stolen property); (yyy) 2917.01 (inciting to violence); (zzz) 2917.02 (aggravated riot); (aaaa) 2917.03 (riot); (bbbb) 2917.31 (inducing panic); (cccc) 2919.12 (unlawful abortion); (dddd) 2919.121 (unlawful abortion upon minor); (eeee) 2919.123 (unla...

... (ix) 2911.12 (burglary); (x) 2913.47 (insurance fraud); (xi) 2917.01 (inciting to violence); (xii) 2917.03 (riot); (xiii) 2917.31 (inducing panic); (xiv) 2919.22 (endangering children); (xv) 2919.25 (domestic violence); (xvi) 2921.03 (intimidation); (xvii) 2921.11 (perjury); (xviii) 2921.13 (falsification, falsification in a theft offense, falsification to purchase a firearm, or falsification to obtain a co...

... program benefits); (www) 2913.47 (insurance fraud); (xxx) 2913.48 (workers' compensation fraud); (yyy) 2913.49 (identify fraud); (zzz) 2913.51 (receiving stolen property); (aaaa) 2917.01 (inciting to violence); (bbbb) 2917.02 (aggravated riot); (cccc) 2917.03 (riot); (dddd) 2917.31 (inducing panic); (eeee) 2919.12 (unlawful abortion); (ffff) 2919.121 (unlawful abortion upon minor); (gggg) 2919.123...

...ely to be present); (x) 2913.47 (insurance fraud); (xi) 2917.01 (inciting to violence); (xii) 2917.03 (riot); (xiii) 2917.31 (inducing panic); (xiv) 2919.22 (endangering children); (xv) 2919.25 (domestic violence); (xvi) 2921.03 (intimidation); (xvii) 2921.11 (perjury); (xviii) 2921.13 (falsification, falsification in a theft offense, falsification...