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Ohio Administrative Code Search

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Rule 5160:1-3-03.5 | Medicaid: application of income standards.

...(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...

Rule 5160:1-3-03.6 | Medicaid: treatment of rental income.

...(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, ...

Rule 5160:1-3-03.6 | Medicaid: treatment of rental income.

...(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, ...

Rule 5160:1-3-03.8 | Medicaid: in-kind support and maintenance.

...(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) "...

Rule 5160:1-3-03.8 | Medicaid: in-kind support and maintenance.

...(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...

Rule 5160:1-3-03.10 | Medicaid: retirement funds.

...(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...

Rule 5160:1-3-05.1 | Medicaid: resource requirement.

...(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...

Rule 5160:1-3-05.1 | Medicaid: resource requirement.

...(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...

Rule 5160:1-3-05.2 | Medicaid: trusts.

...(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...

Rule 5160:1-3-05.2 | Medicaid: trusts.

...(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...

Rule 5160:1-3-05.4 | Medicaid: cash and checking and savings accounts and time deposits.

...(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...

Rule 5160:1-3-05.4 | Medicaid: cash and checking and savings accounts and time deposits.

...(A) This rule describes the treatment of cash, checking and savings accounts, and time deposits for the purpose 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 evalu...

Rule 5160:1-3-05.6 | Medicaid: burial funds and contracts.

...(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...

Rule 5160:1-3-05.6 | Medicaid: burial funds and contracts.

...(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...

Rule 5160:1-3-05.7 | Medicaid: burial spaces.

...(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,...

Rule 5160:1-3-05.7 | Medicaid: burial spaces.

...(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...

Rule 5160:1-3-05.8 | Medicaid: lump-sum payments.

...(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...

Rule 5160:1-3-05.8 | Medicaid: lump-sum payments.

...(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...

Rule 5160:1-3-05.9 | Medicaid: dividends and interest.

...(A) This rule describes the treatment of dividends and interest for the purposes 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) If the resource that produced the dividends or interest is: ...

Rule 5160:1-3-05.9 | Medicaid: dividends and interest.

...(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...

Rule 5160:1-3-05.10 | Medicaid: household goods and personal effects as resources.

...(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...

Rule 5160:1-3-05.11 | Medicaid: automobiles and other modes of transportation as resources.

...(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...

Rule 5160:1-3-05.13 | Medicaid: treatment of the home.

...(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...

Rule 5160:1-3-05.13 | Medicaid: treatment of the home.

...(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...

Rule 5160:1-3-05.14 | Medicaid: resource exclusions.

...(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...