Ohio Administrative Code Search

...(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 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 the treatment of stocks, mutual funds, and bonds for purposes of determining eligibility for medical assistance. (B) Stocks held by an individual, including preferred stocks, warrants and rights, and stock option purchases. (1) Stock shares represent ownership in a business corporation. Their value shifts with demand and may fluctuate widely. (2) The current market ...

...(A) This rule describes the treatment of stocks, mutual funds, and bonds for the purpose of determining eligibility for medical assistance. (B) Stocks held by an individual, including preferred stocks, warrants and rights, and stock option purchases. (1) Stock shares represent ownership in a business corporation. Their value shifts with demand and may fluctuate widely. (2) The fair market value of publicly traded ...

...(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 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) This rule describes the eligibility criteria for a child from birth until the individual reaches nineteen years of age in accordance with 42 C.F.R. 435.118 (as in effect October 1, 2020) for applications for medical assistance. (B) Definition. "Child" means an individual younger than nineteen years of age. (C) Eligibility criteria for coverage because a newborn child was born to a medicaid-...

...(A) This rule describes the eligibility criteria for applications for medical assistance for individuals: (1) Who are nineteen or twenty years of age; or (2) Who aged out of foster care, are younger than twenty-six years of age, and are not otherwise eligible for a mandatory category of coverage under the medicaid state plan. An individual who is eligible for coverage both as a former foster car...

...(A) This rule describes the eligibility criteria for applications for medical assistance for individuals: (1) Who are nineteen or twenty years of age; or (2) Who aged out of foster care, are younger than twenty-six years of age, and are not otherwise eligible for a mandatory category of coverage under the medicaid state plan. An individual who is eligible for coverage both as a former foster car...

...(A) This rule describes eligibility for pregnant individuals as described in 42 C.F.R. 435.116 (as in effect on October 1, 2016) for applications for medical assistance. (B) Eligibility criteria for coverage because an individual is pregnant. (1) The individual must be female and pregnant. (2) A statement from the individual, a physician, or managed care plan is sufficient verification of pregnancy, unless the adm...

...(A) This rule describes eligibility for pregnant individuals as described in 42 C.F.R. 435.116 (as in effect on October 1, 2023) for applications for medical assistance. (B) Eligibility criteria for coverage because an individual is pregnant. (1) The individual must be female and pregnant. (2) A statement from the individual, a physician, or managed care organization (MCO) is sufficient ver...

...(A) This rule describes the eligibility requirements for parents and caretaker relatives residing with children as described in 42 C.F.R. 435.110 (as in effect October 1, 2019), transitional medical assistance as described in section 1925 of the Social Security Act (as in effect October 1, 2019), and extended medical assistance as described in section 1931 of the Social Security Act (as in effect ...

...(A) This rule describes the eligibility requirements for parents and caretaker relatives residing with children as described in 42 C.F.R. 435.110 (as in effect October 1, 2023), transitional medical assistance as described in section 1925 of the Social Security Act (as in effect October 1, 2023), and extended medical assistance as described in section 1931 of the Social Security Act (as in effect ...

...(A) This rule describes eligibility criteria for medical assistance for individuals who are in receipt of: (1) Adoption or foster care assistance under Title IV-E of the Social Security Act (as in effect October 1, 2022); or (2) State foster care assistance; or (3) State adoption assistance subsidies; or (4) State adoption assistance in accordance with 42 C.F.R. 435.227 (as in effect O...

...(A) This rule describes eligibility criteria for medical assistance for individuals who are in receipt of: (1) Adoption or foster care assistance under Title IV-E of the Social Security Act (as in effect October 1, 2019); or (2) State foster care assistance; or (3) State adoption assistance subsidies; or (4) State adoption assistance in accordance with 42 C.F.R. 435.227 (as in effect O...

...(A) This rule describes eligibility criteria for medical assistance for individuals who are in receipt of: (1) Adoption or foster care assistance under Title IV-E of the Social Security Act (as in effect October 1, 2023); or (2) State foster care assistance; or (3) State adoption assistance subsidies; or (4) State adoption assistance in accordance with 42 C.F.R. 435.227 (as in effect O...

...(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...