Ohio Administrative Code Search

...(A) The purpose of this rule is to outline the responsibilities of the administrative agency to inform medicaid-eligible pregnant women about the benefits and importance of pregnancy related services (PRS), to make requested or needed referrals to support services, and to provide non-medical services promoting healthy birth outcomes in accordance with 42 C.F.R. 440.210 (as in effect January 1, 2014). (B) Definitions...

...(A) The purpose of this rule is to outline the responsibilities of the administrative agency to inform a pregnant woman eligible for medical assistance about the benefits and importance of pregnancy related services (PRS), to make requested or needed referrals to support services, and to provide non-medical support services that promote healthy birth outcomes in accordance with 42 C.F.R. 440.210 (...

...(A) The medicaid program provides coverage for individuals who meet the aged, blind, or disability status as set forth in section 1902 of the Social Security Act (as in effect on February 1, 2016). The provisions of Chapter 5160:1-3 of the Administrative Code establish eligibility criteria, standards, and procedures that apply to individuals enrolling in an aged, blind or disability categorical co...

...(A) The medicaid program provides coverage for individuals who meet the aged, blind, or disability status requirements as set forth in section 1902 of the Social Security Act (as in effect October 1, 2022). The provisions of Chapter 5160:1-3 of the Administrative Code establish eligibility criteria, standards, and procedures that apply to individuals enrolling in an aged, blind, or disabled catego...

...(A) The medicaid program provides coverage for individuals who have been determined to meet the criteria for the limiting physical factors of age, blindness, or disability as set forth in section 1902 of the Social Security Act (as in effect on October 1, 2016). Age is determined by county departments of job and family services (CDJFS). Blindness and disability are determined by either the social security administrat...

...(A) The medicaid program provides coverage for individuals who have been determined to meet the criteria for the limiting physical factors of age, blindness, or disability as set forth in section 1902 of the Social Security Act (as in effect on October 1, 2024). Age is determined by county departments of job and family services (CDJFSs). Blindness and disability are determined by either the social...

...(A) This rule sets forth the eligibility criteria and benefits for the medicare premium assistance programs (MPAP). The programs are: qualified medicare beneficiary (QMB), specified low-income medicare beneficiary (SLMB), qualified individuals (QI-1), and qualified disabled and working individuals (QDWI). (B) Definitions. (1) "Eligible," for the purpose of this rule, means an individual meets al...

...(A) This rule sets forth the eligibility criteria and benefits for the medicare premium assistance programs (MPAP). The programs are: qualified medicare beneficiary (QMB), specified low-income medicare beneficiary (SLMB), qualified individual (QI-1), and qualified disabled and working individual (QDWI). (B) Definitions. (1) "Eligible," for the purpose of this rule, means an individual meets all ...

...(A) This rule sets forth: (1) The eligibility criteria for benefits under the medicare part B buy-in agreement between the social security administration (SSA) and the Ohio department of medicaid (ODM), which allows ODM to pay medicare part B (supplemental medical insurance) premiums for certain medicaid-eligible individuals even if those individuals are not eligible for a medicare premium assist...

...(A) This rule sets forth: (1) The eligibility criteria for benefits under the medicare part B (part B) buy-in agreement between the social security administration (SSA) and the Ohio department of medicaid (ODM), which allows ODM to pay part B (supplemental medical insurance) premiums for certain individuals even when those individuals are not eligible for a medicare premium assistance program (MP...

...(A) This rule describes eligibility for medical assistance for aged, blind or disabled individuals who receive SSI benefits authorized by the social security administration under Title XVI of the Social Security Act (as in effect on October 1, 2017). Eligibility for this category shall be determined for applications for medical assistance filed on or after August 1, 2016. (B) Eligibility criteria...

...(A) This rule describes eligibility for medical assistance for aged, blind, or disabled individuals who receive SSI benefits authorized by the social security administration under Title XVI of the Social Security Act (as in effect October 1, 2023). (B) Eligibility criteria. To be eligible for coverage under this group an individual must be receiving SSI benefits based on the social security admin...

...(A) This rule describes eligibility for aged, blind or disabled individuals who meet the income and resource requirements of the supplemental security income (SSI) program authorized by the social security administration (SSA) under Title XVI of the Social Security Act (as in effect on February 1, 2016) but do not receive cash benefits under the program. Eligibility for this program shall be deter...

...(A) This rule describes eligibility for aged, blind, or disabled individuals who meet the income and resource requirements of the supplemental security income (SSI) program authorized by the social security administration (SSA) under Title XVI of the Social Security Act (as in effect October 1, 2022) but who do not receive cash benefits under the program. Eligibility for this program shall be dete...

...(A) This rule describes the eligibility criteria for continued medical assistance coverage for an individual who is receving SSI benefits under section 1619 of the Social Security Act. (B) Section 1619 of the Social Security Act (as in effect October 1, 2022) comprises two basic provisions: (1) Section 1619(a) extends special SSI cash to individuals whose earnings preclude eligibility for re...

...(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) 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 ...