Ohio Administrative Code Search

...(A) This rule describes the treatment of lump-sum payments for purposes of determining eligibility for medical assistance. (B) Definition. "Lump-sum payment" means income which is accrued over two or more months or a money payment which is not related to any time period, such as a death benefit or inheritance. (C) An anticipated nonrecurring lump-sum payment is considered unearned income unl...

...(A) This rule describes the treatment of dividends and interest for the purposes of determining eligibility for medical assistance. (B) Definitions. "Dividends" and "interest", for the purpose of this rule, are returns on financial institution accounts. A cash gift or incentive payment to open an account is considered interest. (C) If the resource that produced the dividends or interest is: ...

...(A) This rule describes the treatment of dividends and interest for the purpose of determining eligibility for medical assistance. (B) Definitions. "Dividends" and "interest", for the purpose of this rule, are returns on financial institution accounts. A cash gift or incentive payment to open an account is considered interest. (C) When the source of the dividends or interest is: (1) A countable resource, the divid...

...(A) This rule describes the treatment of household goods and personal effects for the purpose of determining eligibility for medical assistance. (B) Definitions. (1) "Encumbrance" is defined in rule 5160:1-3-05.1 of the Administrative Code. (2) "Household goods," for the purpose of this rule, are all personal property customarily found in or near the home and used on a regular basis in connection with the maintena...

...(A) This rule describes the treatment of automobiles and other modes of transportation for purposes of determining eligibility for medical assistance. (B) Definition. "Automobile", for the purpose of this rule, means any vehicle used for transportation. It can include, in addition to cars and trucks: motorcycles, boats, snowmobiles, animal-drawn vehicles, and animals. (C) One automobile is exclu...

...(A) This rule describes the treatment of an individual's home for purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Home", for the purpose of this rule, means any property in which an individual has an ownership interest in and which serves as the individual's principal place of residence. Home includes the structures and land appertaining to the home property. Appertaining land must...

...(A) This rule describes the treatment of an individual's home for purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Home," for the purpose of this rule, means any property in which an individual has an ownership interest and which serves as the individual's principal place of residence. Home includes the structures and land appertaining to the home property. A...

...(A) This rule describes excluded resources for the purpose of determining medical assistance eligibility for the aged, blind, or disabled. (B) Resource exclusions. (1) Resources excluded by federal laws other than the Social Security Act, in accordance with 20 C.F.R. 416.1236 (as in effect October 1, 2020), unless otherwise noted. This list contains unspent income from exempt sources: (a) Agent...

...(A) This rule describes the application of the home replacement exclusion for purposes of determining eligibility for medical assistance. When the home is being replaced due to loss or damage resulting from a disaster, refer to rule 5160:1-3-05.14 of the Administrative Code. (B) Definitions. (1) "Proceeds" mean the net payments received by the seller after satisfaction of all encumbrances an...

...(A) This rule describes the application of the home replacement exclusion for the purpose of determining eligibility for medical assistance. When the home is being replaced due to loss or damage resulting from a disaster, refer to rule 5160:1-3-05.14 of the Administrative Code. (B) Definitions. (1) "Proceeds" mean the net payments received by the seller after satisfaction of all encumbrances...

...(A) This rule describes the treatment of life estates for the purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Date of signature" is the date on which an individual with authority to transfer the property actually signed. (2) "Life estate" means an ownership interest in property wherein one person holds the right to possess, use, and obtain profits from the property as long as he o...

...(A) This rule describes the treatment of life estates for the purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Date of signature" is the date on which an individual with authority to transfer the physical property actually signed the life estate instrument. (2) "Individual," for the purpose of this rule, has the same meaning as in rule 5160:1-1-01 of the Administrative Code. (3) "...

...(A) This rule describes exclusions when real or personal property is essential to an individual's means of self-support. (B) Definition. (1) "Basic daily living needs", for the purpose of this rule, means any food, basic clothing, basic shelter, and any medical care that are not provided by medicaid. Items for entertainment or leisure are not basic daily living needs. (2) "Maximum allo...

...(A) This rule describes the deeming of resources from an ineligible spouse to an eligible spouse or from parent(s) to an eligible child who are living in the same household when determining eligibility for medical assistance. (B) Definitions. (1) "Child," for deeming purposes, means an individual under age eighteen who lives in the household with one or both parents and is neither married nor he...

...(A) This rule describes the deeming of resources from an ineligible spouse to an eligible spouse or from ineligible parent(s) to an eligible child who are living in the same household when determining eligibility for medical assistance. (B) Definitions. For the purposes of this rule: (1) "Child" means an individual under age eighteen who lives in the household with one or both parents and is neither married nor th...

...(A) This rule describes household composition and income calculations under 42 C.F.R. 435.603 (as in effect October 1, 2020) when determining an individual's eligibility for modified adjusted gross income (MAGI) based medical assistance. This rule does not apply to determinations for categories of medical assistance on the basis of age, blindness, or disability, or which only cover an individual's...

...(A) RSS provides cash assistance to aged, blind, or disabled adults who are eligible for medical assistance and who have increased needs due to a medical condition which is not severe enough to require institutionalization. The RSS cash payment is used together with the individual's income to help prevent institutionalization and to deinstitutionalize those aged, blind, or disabled adults who have...

...(A) RSS provides cash assistance to aged, blind, or disabled adults who are eligible for medical assistance and who have increased needs due to a medical condition which is not severe enough to require institutionalization. The RSS cash payment is used together with the individual's income to help prevent institutionalization and to deinstitutionalize those aged, blind, or disabled adults who have...

...(A) RSS provides cash assistance to aged, blind, or disabled adults who are eligible for medical assistance and who have increased needs due to a medical condition which is not severe enough to require institutionalization. The RSS cash payment is used together with the individual's income to help prevent institutionalization and to deinstitutionalize those aged, blind, or disabled adults who have...

...(A) This rule describes the eligibility criteria for BCCP medicaid. (B) An individual shall meet all of the following criteria to be eligible for BCCP medicaid: (1) Be screened for breast or cervical cancer under the national breast and cervical cancer early detection program (NBCCEDP). (a) An individual is not required to obtain screening for both breast and cervical cancer as a condition of e...

...(A) This rule describes the eligibility criteria for BCCP medicaid. (B) An individual shall meet all of the following criteria to be eligible for BCCP medicaid: (1) Be screened for breast or cervical cancer under the national breast and cervical cancer early detection program (NBCCEDP). (a) An individual is not required to obtain screening for both breast and cervical cancer as a condition of e...

...(A) This rule governs the eligibility requirements for the medical assistance programs authorized under sections 1902(a)(10)(A)(ii)(XV) and (XVI) of the Social Security Act (as in effect October 1, 2019). Medicaid buy-in for workers with disabilities (MBIWD) enables certain individuals to increase their income and resources without the risk of losing medical assistance coverage. (B) Definitions. ...

...(A) This rule governs the eligibility requirements for the medical assistance programs authorized under sections 1902(a)(10)(A)(ii)(XV) and (XVI) of the Social Security Act (as in effect October 1, 2024). Medicaid buy-in for workers with disabilities (MBIWD) enables certain individuals to increase their income and resources without the risk of losing medical assistance coverage. (B) Definitions. ...

...(A) This rule governs the eligibility requirements for the medical assistance programs authorized under sections 1902(a)(10)(A)(ii)(XV) and (XVI) of the Social Security Act (as in effect October 1, 2025). Medicaid buy-in for workers with disabilities (MBIWD) enables certain individuals to increase their income and resources without the risk of losing medical assistance coverage. (B) Definitions. (1) "Basic covered ...

...(A) This rule governs the eligibility requirements for the medical assistance program authorized under section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act (as in effect October 1, 2024). Ohio workability enables certain working disabled individuals aged sixty-five or older to increase their income and resources without the risk of losing medical assistance coverage. (B) Definitions. (1) ...