Ohio Administrative Code Search

...(A) Various grandfathering provisions and deemed eligibility requirements were enacted to assure that aged, blind, or disabled individuals previously eligible for cash assistance and medicaid under former programs of aid would not be disadvantaged by eligibility conditions when the supplemental security income (SSI) program was implemented. (B) Definitions. (1) "Cash assistance," for the pu...

...(A) This rule addresses the process of determining blindness or disability for medical assistance eligibility purposes. (B) Definitions. (1) "Administrative agency," for the purpose of this rule, means the county department of job and family services (CDJFS). (2) "Current medical information" means medical records that originated within eighteen months of the date of initial application. (...

...(A) This rule addresses the process of determining blindness or disability for non-citizen emergency medical assistance (NCEMA), medicaid buy-in for workers with disabilities (MBIWD), retroactive coverage for a deceased individual, or the specialized recovery services (SRS) program. (B) Definitions. (1) "Administrative agency," for the purpose of this rule, means the county department of job ...

...(A) This rule addresses the process of determining blindness or disability for non-citizen emergency medical assistance (NCEMA), medicaid buy-in for workers with disabilities (MBIWD), Ohio workability, retroactive coverage for a deceased individual, or the specialized recovery services (SRS) program. (B) Definitions. (1) "Administrative agency," for the purpose of this rule, means the county dep...

...(A) This rule describes how income, as defined in rule 5160:1-1-01 of the Administrative Code, is treated for the purpose of determining eligibility for medical assistance for aged, blind, or disabled individuals. (B) Treatment of income. (1) Eligibility for medical assistance is dependent in part upon the amount of monthly income available to or received by the individual. (a) Gross income, p...

...(A) This rule describes how income, as defined in rule 5160:1-1-01 of the Administrative Code, is treated for the purpose of determining eligibility for medical assistance for an aged, blind, or disabled individual. (B) Treatment of income. (1) Eligibility for medical assistance is dependent in part upon the amount of monthly income available to or received by the individual. (a) Gross income,...

...(A) When determining eligibility for medical assistance for the aged, blind, or disabled, certain types of income, including income from certain sources, are not counted. This rule sets forth the types of income that are to be excluded, and the order in which they are excluded from the individual's income. (B) Definitions. (1) "Blind work expense" (BWE) means the portion of the individual's earn...

...(A) This rule describes the process for calculating the amount of income to deem from an ineligible spouse, ineligible parent, or sponsor when determining eligibility for medical assistance for an eligible spouse, eligible child, or sponsored alien. (1) When an eligible spouse resides in the same household with his or her ineligible spouse, or an eligible child under age eighteen resides in the ...

...(A) The purpose of this rule is to set forth the application of income standards used in medicaid eligibility determinations for aged, blind, or disabled individuals. (B) Definitions. (1) "Income standard" means the income limit above which an individual is ineligible for a given category of medicaid for the aged, blind or disabled. (2) "Couple income standard" is equal to the current supplemental security income ...

...(A) The purpose of this rule is to set forth the application of income standards used in eligibility determinations of medical assistance for aged, blind, or disabled individuals. (B) Definitions. (1) "Income standard" means the income limit above which an individual is ineligible for a given category of medical assistance for the aged, blind, or disabled. (2) "Couple income standard" is equal to the current suppl...

...(A) The purpose of this rule is to describe the calculation and treatment of rental income and expenses for medical assistance eligibility determinations. (B) Definitions. (1) "Net rental income" means gross rent less the ordinary and necessary expenses paid in the same taxable year. Net rental income is treated as unearned income unless the individual is in the business of renting properties, ...

...(A) This rule sets forth how in-kind support and maintenance is valued for purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Actual value" is the dollar amount that an individual paid for an item or service, or for his/her share of an item or service. (2) "Current market value" is the dollar amount for which an item would sell on the local open market. (3) "...

...(A) This rule sets forth how in-kind support and maintenance is valued for the purpose of determining eligibility for medical assistance. (B) Definitions. (1) "Actual value" is the dollar amount that an individual paid for an item or service, or for his/her share of an item or service. (2) "Fair market value" is the dollar amount for which an item would sell on the local open market. (3) "Household" is a personal...

...(A) This rule describes how retirement funds are treated for purposes of determining medical assistance eligibility. (B) Definition. "Retirement funds" are plans designed to provide unearned income to supplant or supplement earned income. Retirement funds may include, but are not limited to such plans as: public and private pension, disability, or retirement plans; defined benefit employer pe...

...(A) This rule describes how resources are treated for purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Countable resources" mean those resources remaining after all exclusions have been applied. (2) An "encumbrance" means a claim, lien, charge, or liability attached to and binding on an identified piece of real or personal property. (3) "Equity value" means the fair market value o...

...(A) This rule describes how resources are treated for purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Countable resources" mean those resources remaining after all exclusions have been applied. (2) An "encumbrance" means a claim, lien, charge, or liability attached to and binding on an identified piece of real or personal property. (3) "Equity value" m...

...(A) This rule defines the treatment of a trust for the purposes of determining eligibility for medical assistance programs. This rule is only enforceable to the same extent as section 5163.21 of the Revised Code. (B) Definitions. (1) "Beneficiary" means any person benefiting in some way from the trust. The beneficiary can be the grantor or another person. There may be more than one beneficiary o...

...(A) This rule defines the treatment of a trust for the purposes of determining eligibility for medical assistance programs. This rule is only enforceable to the same extent as section 5163.21 of the Revised Code. (B) Definitions. (1) "Beneficiary" means any person benefiting in some way from the trust. The beneficiary can be the grantor or another person. There may be more than one beneficiary o...

...(A) This rule describes the treatment of cash, checking and savings accounts, and time deposits for purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Cash" means money on hand or available in the form of currency or coins. Foreign currency or coins are cash to the extent that they can be exchanged for U.S. currency. (a) Monthly income is not counted when evaluati...

...(A) This rule describes the treatment of burial funds and burial contracts for purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Burial funds" are revocable burial contracts, revocable burial trusts, other revocable burial arrangements (including the value of certain installment contract for burial spaces), cash, financial accounts (checking or savings accounts), or other financial i...

...(A) This rule describes the treatment of burial funds and burial contracts for the purpose of determining eligibility for medical assistance. (B) Definitions. (1) "Burial funds" are revocable burial contracts, revocable burial trusts, other revocable burial arrangements (including the value of certain installment contracts for burial spaces), cash, financial accounts (checking or savings accounts), or other financi...

...(A) This rule describes the treatment of burial spaces for the purposes of determining eligibility for medical assistance. (B) Definitions. (1) "Agreement," for the purpose of this rule, means a contract with a burial provider for a burial space held for the individual or a member of the individual's immediate family. (2) "Burial space," means a burial plot, gravesite, crypt, mausoleum, casket,...

...(A) This rule describes the treatment of burial spaces for the purpose of determining eligibility for medical assistance. (B) Definitions. (1) "Agreement," for the purpose of this rule, means a contract with a burial provider for a burial space held for the individual or a member of the individual's immediate family. (2) "Burial space," means a burial plot, gravesite, crypt, mausoleum, casket, urn, niche, or other...

...(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 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...