Ohio Administrative Code Search

...(A) This rule implements section 1917 of the Social Security Act (as in effect on October 1, 2016) and describes the treatment of transfers of assets when an institutionalized individual, as defined in rule 5160:1-6-01.1 of the Administrative Code, is seeking medicaid payment for long-term care (LTC) services. This rule, and rules 5160:1-6-06.1 to 5160:1-6-06.8 of the Administrative Code, only apply to institutionali...

...(A) This rule implements section 1917 of the Social Security Act (as in effect October 1, 2025) and describes the treatment of transfers of assets when an institutionalized individual, as defined in rule 5160:1-6-01.1 of the Administrative Code, is seeking medicaid payment for long-term care (LTC) services. This rule, and rules 5160:1-6-06.1 to 5160:1-6-06.8 of the Administrative Code, only apply ...

...(A) This rule describes the treatment of annuity purchases and transactions when an institutionalized individual is requesting medicaid payment for long-term care (LTC) services. (B) The institutionalized individual, or his or her spouse, must disclose any interest that he or she has in an annuity, regardless of whether the annuity is irrevocable or is treated as an asset to the institutionalized...

...(A) This rule describes the treatment of annuity purchases and transactions when an institutionalized individual is requesting medicaid payment for long-term care (LTC) services. (B) The institutionalized individual, or his or her spouse, must disclose any interest that he or she has in an annuity, regardless of whether the annuity is irrevocable or is treated as an asset to the institutionalized...

...(A) This rule describes when transfers, by an institutionalized individual or his or her spouse, involving a trust are considered improper and subject to a restricted medicaid coverage period (RMCP) in accordance with rule 5160:1-6-06.5 of the Administrative Code. (B) This rule does not affect whether the contents of the trust or payments or distributions from a trust are considered resources or income to the instit...

...(A) This rule describes when transfers, by an institutionalized individual or his or her spouse, involving a trust are considered improper and subject to a restricted medicaid coverage period (RMCP) in accordance with rule 5160:1-6-06.5 of the Administrative Code. (B) This rule does not affect whether the contents of the trust or payments or distributions from a trust are considered resources or income to the instit...

...(A) This rule describes the treatment of transfers involving life estates when an institutionalized individual is requesting medicaid payment for long-term care services. (B) The following steps must be taken to determine whether a transfer involving a life estate, as defined in rule 5160:1-3-05.17 of the Administrative Code, was an improper transfer in accordance with rule 5160:1-6-06 of the Administrative Code: (...

...(A) This rule describes the treatment of transfers involving life estates when an institutionalized individual is requesting medicaid payment for long-term care services. (B) The following steps must be taken to determine whether a transfer involving a life estate, as defined in rule 5160:1-3-05.17 of the Administrative Code, was an improper transfer in accordance with rule 5160:1-6-06 of the Administrative Code: (...

...(A) This rule describes an undue hardship exemption for institutionalized individuals who are subject to a restricted medicaid coverage period (RMCP) described in rule 5160:1-6-06.5 of the Administrative Code. (B) The institutionalized individual will not be subject to a RMCP if the imposition of the RMCP would cause an undue hardship. (C) An undue hardship exists if the imposition of the RMCP would deprive the ins...

...(A) This rule describes the disposal of assets of individuals receiving services from the Ohio department of developmental disabilities (DODD) and/or Ohio department of mental health and addiction services (ODMHAS) and in receipt of medical assistance. (B) Individuals in receipt of medical assistance may have received or continue to receive services from the DODD and/or the ODMHAS. (1) DODD and ODMHAS provide for a...

...(A) This rule describes the disposal of assets of individuals who are receiving services from the Ohio department of developmental disabilities (DODD) and/or the Ohio department of mental health and addiction services (OhioMHAS) and who are in receipt of medical assistance. (B) Individuals in receipt of medical assistance may have received or continue to receive services from DODD and/or Ohio...

...(A) This rule describes how to calculate an institutionalized individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost. This rule only applies to an individual residing in a medical institution who does not have a base eligibility category which uses modified adjusted gross income (MAGI) budgeting methodology in accordance with Chapter 5160:1-4 of the Admini...

...(A) This rule describes how to calculate an institutionalized individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost. This rule only applies to an individual residing in a medical institution who does not have a base eligibility category which uses the modified adjusted gross income (MAGI) budgeting methodology in accordance with Chapte...

...(A) This rule describes how to calculate an institutionalized individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost. This rule only applies to an individual residing in a medical institution who does not have a base eligibility category which uses the modified adjusted gross income (MAGI) budgeting methodology in accordance with Chapter 5160:1-4 of the Ad...

...(A) This rule describes how to calculate an institutionalized individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost. This rule only applies to an individual residing in a medical institution who does not have a base eligibility category which uses the modified adjusted gross income (MAGI) budgeting methodology in accordance with Chapte...

...(A) This rule describes the process for calculating an individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost when the individual is not living in a medical institution. This rule only applies to an individual who is both eligible for medical assistance under the special income level (SIL) as described in rule 5160:1-6-03.1 of the Administrative Code and r...

...(A) This rule describes the process for calculating an individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost, when the individual is not living in a medical institution. This rule only applies to an individual who is both eligible for medical assistance under the special income level (SIL) as described in rule 5160:1-6-03.1 of the Admi...

...(A) This rule describes the process for calculating an individual's post-eligibility treatment of income (PETI), commonly referred to as patient liability or share of cost, when the individual is not living in a medical institution. This rule only applies to an individual who is both eligible for medical assistance under the special income level (SIL) as described in rule 5160:1-6-03.1 of the Admi...

...Regional prevention councils are established to serve child abuse and child neglect prevention regions created and defined under section 3109.171 of the Revised Code. (A) Meetings and notices. (1) All business transactions of each council are to be conducted in public meetings. Each council is to meet in compliance with division (H) of section 3109.172 of the Revised Code at the call of the chairperson and as sched...

...(A) Definitions. For the purposes of this rule the following definitions apply: (1) "Access" as a noun means an instance of copying, viewing, or otherwise perceiving whereas "access" as a verb means to copy, view, or otherwise perceive. (2) "Acquisition of a new computer system" means the purchase of a "computer system," as defined in this rule, that is not a computer system currently in place ...

...(A) Types of background checks: (1) Bureau of criminal investigation (BCI) records pursuant to section 2151.86 of the Revised Code. (2) Federal bureau of investigation (FBI) records pursuant to section 2151.86 of the Revised Code. This check is to be completed for all initial checks and optional thereafter. (3) National sex offender registry. The website is located at: https://www.nsopw.gov/. (4) Ohio statewide a...

...(A) What are the county agency responsibilities for certifying an in-home aide (IHA)? (1) The county agency is to accept and approve or deny all applications for certification as an IHA within one hundred twenty days from the date the application is submitted in the Ohio child licensing and quality system (OCLQS). (2) If the parent and IHA applicant need help in completing the forms, the county agency is to provide...

...(A) When can a public children services agency (PCSA) or private child placing agency (PCPA) place a child in substitute care? A PCSA or PCPA may place a child in substitute care only after assuming or retaining custody of the child. (B) Can a PCSA or PCPA place a child with a parent in a substance use disorder (SUD) residential facility? If the agency has custody of the child, it may place them with the parent ...

...(A) What is the first step when a child cannot remain in their home? The public children services agency (PCSA) or private child placing agency (PCPA) is to explore placement with maternal or paternal relatives, including a non-custodial parent, to determine their willingness and ability to assume custody or guardianship. If it is in the child's best interest, the non-custodial parent is to be considered before othe...

...(A) How can a public children services agency (PCSA) or private child placing agency (PCPA) accept temporary custody of a child by agreement from a child's parent, guardian or custodian? The DCY 01645 "Agreement for Temporary Custody of Child" is to be properly executed, and all conditions stated are to be complied with. (B) Where must the agreement be executed? The DCY 01645 is to be executed in the county where...