Ohio Administrative Code Search
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Rule 5160-46-04 | Ohio home care waiver: definitions of the covered services and provider requirements and specifications.
...nding of down payments toward the purchase or lease of any supplemental adaptive and assistive device services; (iii) Equipment, supplies or services furnished in excess of what is approved in the individual's person-centered services plan; (iv) Replacement equipment or supplies or repair of previously approved equipment or supplies that have been damaged as a result of perceived... |
Rule 5160-46-04 | Ohio home care waiver: definitions of the covered services and provider requirements and specifications.
...nding of down payments toward the purchase or lease of any supplemental adaptive and assistive device services; (iii) Equipment, supplies or services furnished in excess of what is approved in the individual's person-centered services plan; (iv) Replacement equipment or supplies or repair of previously approved equipment or supplies that have been damaged as a result of perceived... |
Rule 5160-46-04 | Ohio home care waiver: definitions of the covered services and provider requirements and specifications.
...nding of down payments toward the purchase or lease of any supplemental adaptive and assistive device services; (iii) Equipment, supplies or services furnished in excess of what is approved in the individual's PCSP; (iv) Replacement equipment or supplies or repair of previously approved equipment or supplies that have been damaged as a result of perceived misuse, abuse or neglige... |
Rule 5160-46-09 | Ohio home care waiver: vehicle modification service.
...temized invoice associated with the purchase of a new vehicle that is not pre-owned or pre-leased. Such modifications are payable upon proof of transfer of vehicle ownership from the dealer into the name of the allowable owner of the vehicle as described in this rule. (C) Vehicle modifications do not include: (1) Modifications that are available through another funding source. (2) Routine a... |
Rule 5160-46-11 | Ohio home care waiver: supplemental assistive and adaptive device service.
...(b) Funding of down payments toward the purchase or lease of any supplemental adaptive and assistive devices; (c) Equipment, supplies, or services furnished in excess of what is approved in the individual's person-centered services plan (PCSP); (d) Replacement of equipment or supplies, or repair of previously approved equipment or supplies that have been damaged as a result of perceived misuse, ... |
Rule 5160-59-03.5 | OhioRISE: primary flex funds.
...llee's maximum approved funding for the purchase of primary flex funds under the OhioRISE program. (C) Eligible providers and conditions of participation. (1) The provider of primary flex funds will be the FMS entity under contract with the OhioRISE plan to complete the purchase and reimbursement of primary flex funds approved by the OhioRISE plan. (2) With the exception of paragraph (B)(14) of rule 5160-44-31 of... |
Rule 5160-59-03.5 | OhioRISE: primary flex funds.
...'s maximum approved funding for the purchase of primary flex funds under the OhioRISE program. (C) Eligible providers and conditions of participation. (1) The provider of primary flex funds will be the FMS entity under contract with the OhioRISE plan to complete the purchase and reimbursement of primary flex funds approved by the OhioRISE plan. (2) With the exception of paragraph (B)(14) o... |
Rule 5160-59-05.3 | OhioRISE home and community-based services waiver: secondary flex funds.
...llotment of waiver funding used for the purchase of approved secondary flex funds based on a youth's unmet needs as determined by the OhioRISE plan. (2) "Participant direction" means the opportunity for an OhioRISE waiver youth to exercise choice and control in managing a budget for the applicable waiver service in accordance with their needs. (3) "Participant-directed budget for secondary flex... |
Rule 5160:1-3-03.2 | Medicaid: income exclusions.
... earned on an excluded burial space purchase agreement if left to accumulate as part of the value of the agreement. (p) The value of any commercial transportation ticket which is received as a gift and is not converted to cash. (q) Payments from a state compensation fund for victims of crime. (r) Relocation assistance provided under title II of the Uniform Relocation Assistance and Real Propert... |
Rule 5160:1-3-03.3 | Medicaid: deeming of income.
...s on income, real property, or food purchased by the family; (10) Income used to fulfill an approved plan to achieve self-support (PASS), as defined in 20 C.F.R. 416.1181 (as in effect on October 1, 2018); (11) The amount of court-ordered child support payments paid by a household member for a child outside the home; (12) The value of in-kind support and maintenance; (13) Alaska longevity ... |
Rule 5160:1-3-03.10 | Medicaid: retirement funds.
... plans, 403(b) pension plans, money purchase pension plans, employee stock ownership plans, individual retirement accounts (IRA); KEOGH pension plans, Roth IRAs, simplified employee pension plans (SEP-IRA), and 401k pension plans; or any other pension or retirement plans authorized under 401, 403, 408 of the Internal Revenue Code (IRC) as outlined in 26 U.S.C. (as in effect on February 1, 2016... |
Rule 5160:1-3-05.1 | Medicaid: resource requirement.
...must verify that no reasonable offer to purchase the property has been declined. An offer is reasonable when it is not less than ninety per cent of the fair market value established by the county auditor, where available, or any other knowledgeable source. (d) When the individual receives an offer for the property that is less than ninety per cent of the fair market value established by... |
Rule 5160:1-3-05.6 | Medicaid: burial funds and contracts.
...ion of the contract that represents the purchase of burial spaces has no effect on the burial funds exclusion. (E) Revocable or salable prepaid burial contracts. (1) If a prepaid burial contract is revocable or salable it is a countable resource and treated as a burial fund. (2) Any portion of the contract that clearly represents the purchase of a burial space is excludable as a countable resource if it meets the ... |
Rule 5160:1-3-05.6 | Medicaid: burial funds and contracts.
...ion of the contract that represents the purchase of a burial space has no effect on the burial funds exclusion. (E) Revocable or salable prepaid burial contracts. (1) When a prepaid burial contract is revocable or salable it is a countable resource and treated as a burial fund. (2) Any portion of the contract that clearly represents the purchase of a burial space is excludable as a countable resource when it meets... |
Rule 5160:1-3-05.7 | Medicaid: burial spaces.
...istrative Code which represents the purchase of a burial space held for the burial of the individual, the individual's spouse, or any other member of the individual's immediate family is an excluded resource, regardless of value. (D) A burial space is held for an individual when someone currently has: (1) Title to and/or possesses a burial space intended for the individual's use (e.g., has ... |
Rule 5160:1-3-05.7 | Medicaid: burial spaces.
...ministrative Code, which represents the purchase of a burial space held for the burial of the individual, the individual's spouse, or the individual's immediate family is an excluded resource, regardless of value. (D) A burial space is held for an individual when he or she currently has: (1) Title to and/or possesses a burial space intended for the individual's use (e.g., has title to a burial plot or owns a burial... |
Rule 5160:1-3-05.16 | Medicaid: home replacement exclusion.
...count as a resource if used for the purchase of, and costs incidental to occupying, another excluded home. (1) This exclusion from resources applies to the proceeds of the sale of the excluded home when they are used or obligated to purchase and occupy another excluded home by the last day of the third full month following the month of receipt. (2) When the home is not replaced within this p... |
Rule 5160:1-3-05.16 | Medicaid: home replacement exclusion.
...count as a resource if used for the purchase of, and costs incidental to occupying, another excluded home. (1) This exclusion from resources applies to the proceeds of the sale of the excluded home when used or obligated to purchase and occupy another excluded home by the last day of the third full month following the month of receipt. (2) When the home is not replaced within this period, th... |
Rule 5160:1-6-03.2 | Medicaid: use of qualified income trusts (QIT).
...and to the extent that the payments purchased are at fair market value; (4) The trustee may make payments in an amount up to fifteen dollars per month from the QIT account for bank fees, attorney fees, and other expenses required to establish and administer the trust. If fifteen dollars is insufficient to cover the cost to administer the trust, the individual can request that the payment amount b... |
Rule 5160:1-6-06.1 | Medicaid: treatment of annuity purchases and transactions.
... 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 individual o... |
Rule 5160:1-6-06.1 | Medicaid: treatment of annuity purchases and transactions.
... 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 individual o... |
Rule 5160:1-6-06.3 | Medicaid: transfers involving life estates.
... (1) An institutionalized individual's purchase of a life estate interest in another individual's home within the applicable look-back period is presumed to be an improper transfer unless the institutionalized individual resided in the home for a period of at least one year after the date of purchase. If such purchase is deemed improper, the fair market value of the life estate will be the improper transfer amount. ... |
Rule 5160:1-6-06.3 | Medicaid: transfers involving life estates.
... (1) An institutionalized individual's purchase of a life estate interest in another individual's home within the applicable look-back period is presumed to be an improper transfer, unless the institutionalized individual resided in the home for a period of at least one year after the date of purchase. When such purchase is deemed improper, the fair market value of the life estate will be the improper transfer amoun... |
Rule 5160:1-6-06.4 | Medicaid: transfers involving promissory notes, property agreements, and loans.
...are (LTC) services. (B) Assets used to purchase or obtain a promissory note, property agreement, or loan are considered to be improperly transferred unless the the purchase of the note, agreement or loan was for fair market value and the terms of the promissory note, property agreement, or loan: (1) Have a repayment term that is actuarially sound as determined in accordance with actuarial publications of the office... |
Rule 5160:1-6-06.4 | Medicaid: transfers involving promissory notes, property agreements, and loans.
...are (LTC) services. (B) Assets used to purchase or obtain a promissory note, property agreement, or loan are considered to be improperly transferred unless the the purchase of the note, agreement or loan was for fair market value and the terms of the promissory note, property agreement, or loan: (1) Have a repayment term that is actuarially sound as determined in accordance with actuarial publications of the office... |