Ohio Administrative Code Search

...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...

... 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...

...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: ...

...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 ...

... 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 ...

...treatment options are covered by health insurance; (e) The risks and benefits of the alternative treatment or procedure; and (f) The risks and benefits of not receiving or undergoing a treatment or procedure. (5) "Owner" means each person included on the list maintained under division (B)(5) of section 4729.552 of the Revised Code. (6) "Pain management clinic" means a facility in which the majority of patients of...

...sed Code. (C) _Medical records: health insurance portability and accountability act, 11 45, CFR 160, 42USC 1320. (D) College and university academic transcripts received by the board: family educational and privacy act 34 CFR part 99.

...n 149.43 of the Revised Code and Health Insurance Portability and Accountability Act, Title II 45 CFR 160, 42 USC 1320. (4) Financial and/or medical account numbers: sections 149.43 and 149.45 of the Revised Code. (5) Law enforcement investigatory records: section 149.43 of the Revised Code and section 4734.45 of the Revised Code. (6) Educational transcripts: Family Education Rights and P...

... proof of current valid malpractice insurance during the time period of the preceptorship program. (2) The board may refuse to approve, or withdraw its approval of the preceptor at any time. (D) Intern approval. (1) Each intern shall apply for a special limited license and shall submit satisfactory evidence of his or her qualifications as prescribed by section 4734.27 of the Revised Code and th...

...erifying that current valid malpractice insurance is in place. The applicant must attest that his or her practice is to be exclusively and totally devoted to providing gratuitous chiropractic care . (C) The granting of a license for voluntary public service constitutes authority to practice chiropractic in Ohio only within the scope of services as described in the application as approved. (D) Al...

...r covered individual under a health insurance or health care policy, contract, or plan. (b) The person is a policyholder, certificate holder, insured, contract holder, subscriber, enrollee, member, beneficiary, or other covered individual under a health insurance or health care policy, contract, or plan, but the insurer, policy, contract, or plan denies coverage or is the subject of insolvenc...

...nt that a patient, pursuant to a health insurance or health care policy, contract, or plan that covers the chiropractor's services, otherwise would be required to pay, unless the waiver is made: (1) In compliance with the health benefit plan that expressly allows a practice of that nature. Waiver of the deductibles or copayments shall be made only with the full knowledge and consent of the plan purchaser, payer, and...

...nt that a patient, pursuant to a health insurance or health care policy, contract, or plan that covers the chiropractor's services, otherwise would be required to pay if the waiver is used as an enticement to a patient or group of patients to receive health care services from that chiropractor, unless the waiver is made: (1) In compliance with the health benefit plan that expressly allows a practice of that nature. ...

...n 149.43 of the Revised Code and Health Insurance Portability and Accountability Act, Title II 45 CFR 160, 42 USC 1320. (C) College and university transcripts: Family Education Rights and Privacy Act, 34 CFR Part 99.

...ised Code. (C) Medical Records: Health Insurance Portability and Accountability Act, Title II 45 CFR 160, 42 USC 1320 (2013). (D) Substance abuse treatment records: section 5119.27 of the Revised Code and 42 U.S.C. 29 (7/20/2016). (E) Investigative records: section 149.43 of the Revised Code. (F) Information or records that are attorney client privileged: division (A)(1) section 2317.02 of the...

... Code. (D) Medical records: Health Insurance Portability and Accounabiltiy Act, 11 45, CFR 160, 42 USC 1320. (E) College and university transcripts receievd by the board; per Family Education Rights and Privancy Act regulation 34 CFR Part 99 section 99.33 and 20 U.S.C. g(b)(4)(B) as of 01/05/2009.

...ling irregularities with respect to insurance companies or direct billing. (H) Counselors, social workers and marriage and family therapists shall be aware of and adhere to divisions (H)(1) and (H)(2) of section 3109.051 of the Revised Code. That section in part states: "a parent of a child who is not the residential parent of the child is entitled to access, under the same terms and conditio...

...py may affect billing and access to insurance benefits. (5) Licensees shall obtain written permission prior to recording any part of the teletherapy session. If licensees are storing audiovisual data from sessions, these cannot be released to clients unless the client authorization specifically states they are to be released. (6) Licensees shall obtain client consent when using electronic se...

...herapy may affect billing and access to insurance benefits. (3) Licensees shall document permission prior to recording any part of the teletherapy session. If licensees are storing audiovisual records from sessions, these cannot be released to client(s) unless authorization from the client(s) is obtained specifically stating the records are to be released. (4) Licensees shall not provide services without client(s) ...