Ohio Administrative Code Search

...(A) This rule describes a time-limited medical assistance program, funded through the office of refugee resettlement (ORR), that provides a medical screening through contracted refugee health screening providers and other medical services. There is no resource limit for an individual described in this rule. (B) Definitions. (1) "Countable income," for the purpose of this rule, has the same meani...

...(A) This rule describes a time-limited medical assistance program, funded through the office of refugee resettlement (ORR), that provides a medical screening through contracted refugee health screening providers and other medical services. There is no resource limit for an individual described in this rule. (B) Definitions. (1) "Countable income," for the purpose of this rule, has the same meaning as in rule 5160:1...

...(A) In accordance with 42 U.S.C. 1396b(v), this rule describes eligibility criteria for coverage of the treatment of an emergency medical condition for certain individuals who do not meet the medicaid citizenship or satisfactory immigration status requirements described in rule 5160:1-2-11 or 5160:1-2-12 of the Administrative Code. (B) Definition. "Emergency medical condition," for the purpos...

...(A) This rule sets forth the eligibility criteria for a state plan home and community-based services (HCBS) benefit authorized under section 1915(i) of the Social Security Act (as in effect on October 1, 2017). Section 1915(i) of the act allows states the flexibility to provide HCBS to individuals who require less than an institutional level of care (LOC) and who would, therefore, not be eligible ...

...(A) This rule sets forth the eligibility criteria for a state plan home and community-based services (HCBS) benefit authorized under section 1915(i) of the Social Security Act (as in effect October 1, 2024). Section 1915(i) allows states the flexibility to provide HCBS to individuals who require less than an institutional level of care (LOC) and who would, therefore, not be eligible for HCBS under...

...(A) This rule describes the eligibility requirements for state-funded medical assistance for a non-citizen victim of a severe form of human trafficking. Eligibility for this program shall be determined for applications for medical assistance filed on or after the effective date of this rule. (B) For purposes of this rule the following definitions apply unless otherwise stated. (1) "Labor traffic...

...(A) This rule describes the eligibility requirements for state-funded medical assistance for a non-citizen victim of a severe form of human trafficking. (B) For purposes of this rule the following definitions apply unless otherwise stated. (1) "Labor trafficking" means recruiting, harboring, transporting, or obtaining of a person for labor or services through the use of force, fraud, or intimida...

...(A) This rule describes how an individual is determined eligible for medicaid payment for long-term care (LTC) services. (B) Before an individual can receive medicaid payment for LTC services, the individual must: (1) Be eligible for medical assistance in accordance with Chapter 5160:1-3, 5160:1-4, 5160:1-5, or 5160:1-6, as applicable; and (2) Meet any non-financial eligibility requirements required for the type o...

...(A) This rule describes how an individual is determined eligible for medicaid payment for long-term care (LTC) services. (B) In order to receive medicaid payment for LTC services, the individual must: (1) Be eligible for medical assistance in accordance with Chapter 5160:1-3, 5160:1-4, 5160:1-5, or 5160:1-6, as applicable; and (2) Meet any non-financial eligibility requirements for the type...

...(A) For purposes of this chapter the following definitions apply unless otherwise stated. (1) "Baseline date" means the first date the individual both is an institutionalized individual and has applied for medical assistance. An individual only has one baseline date. (2) "Community spouse" (CS) means an individual who is not receiving medicaid payment for long-term care (LTC) services and is married to an instituti...

...(A) For purposes of this chapter the following definitions apply unless otherwise stated. (1) "Baseline date" means the first date the individual both is an institutionalized individual and has applied for medical assistance. An individual only has one baseline date. (2) "Community spouse" (CS) means an individual who is not receiving medicaid payment for long-term care (LTC) services and is...

...(A) This rule describes the application of resource rules only when an individual is requesting or receiving medicaid payment for long-term care (LTC) services. (B) Individuals requesting or receiving medicaid payment for LTC services are subject to the following resource rules: (1) The home equity limit as described in rule 5160:1-6-02.1 of the Administrative Code. (2) Evaluation of any qualified long-term care i...

...(A) This rule describes the application of resource rules when an individual is requesting or receiving medicaid payment for long-term care (LTC) services. (B) Individuals requesting or receiving medicaid payment for LTC services are subject to the following resource rules: (1) The home equity limit as described in rule 5160:1-6-02.1 of the Administrative Code. (2) Evaluation of any qualifi...

...(A) This rule describes the treatment of the home equity limit for individuals requesting or receiving medicaid payment for long-term care (LTC) services. (B) Definition. "Home equity limit' means the maximum amount of equity which an individual could have in his or her home and become or remain eligible for LTC services. The home equity limit of five hundred sixty thousand dollars will increase annually by the perc...

...(A) This rule describes the treatment of the home equity limit for an individual requesting or receiving medicaid payment for long-term care (LTC) services. (B) Definition. "Home equity limit" means the maximum amount of equity which an individual could have in the home and become or remain eligible for LTC services. The home equity limit of five hundred sixty thousand dollars will increase annua...

...(A) This rule describes the qualified long-term care partnership (QLTCP) program. (B) Definitions. (1) "Estate recovery" means the program set forth in rule 5160:1-2-07 of the Administrative Code. (2) "Qualified long-term care partnership" (QLTCP) means the program established under section 5164.86 of the Revised Code, under which an individual's assets or resources are disregarded in eligi...

...(A) This rule describes the qualified long-term care partnership (QLTCP) program. (B) Definitions. (1) "Estate recovery" means the program set forth in rule 5160:1-2-07 of the Administrative Code. (2) "Qualified long-term care partnership" (QLTCP) means the program established under section 5164.86 of the Revised Code, under which an individual's assets or resources are disregarded in eligi...

...(A) The purpose of this rule is to describe the eligibility requirements for individuals residing in a continuing care retirement community (CCRC), life care community, or a philanthropic long-term care facility (LTCF). (B) Definitions. (1) "Continuing care retirement communities" and "life care communities" mean housing communities that provide different types of care based on each resident's need over time. CCRCs...

...(A) The purpose of this rule is to describe the eligibility requirements for individuals residing in a continuing care retirement community (CCRC), life care community, or a philanthropic long-term care facility (PLTCF). (B) Definitions. (1) "CCRCs" and "life care communities" mean housing communities that provide different categories of care based on each resident's need over time. CCRCs an...

...(A) The following income rules only apply when an individual, regardless of age, is seeking medicaid payment for long-term care services. (1) An individual ineligible for base eligibility due to excess income shall have his or her income eligibility determined using the special income level (SIL), in accordance with rule 5160:1-6-03.1 of the Administrative Code. (2) If an individual's countable income is greater th...

...(A) The following income rules apply when an individual, regardless of age, is seeking medicaid payment for long-term care services. (1) An individual ineligible for base eligibility due to excess income shall have his or her income eligibility determined using the special income level (SIL), in accordance with rule 5160:1-6-03.1 of the Administrative Code. (2) When an individual's countable...

...(A) This rule describes how to determine financial eligibility for medical assistance using the special income level (SIL). This rule does not describe how to determine non-financial eligibility criteria for medical assistance or for medicaid payment of long-term care services. (B) An individual, regardless of age, who is ineligible under base eligibility due to excess income may be income el...

...(A) This rule describes how to determine financial eligibility for medical assistance using the special income level (SIL). This rule does not describe how to determine non-financial eligibility criteria for medical assistance or for medicaid payment of long-term care services. (B) An individual, regardless of age, who is ineligible under base medicaid due to excess income may be income eligible ...

...(A) This rule describes how to determine financial eligibility for medical assistance using the special income level (SIL). This rule does not describe how to determine non-financial eligibility criteria for medical assistance or for medicaid payment of long-term care services. (B) An individual, regardless of age, who is ineligible under base eligibility due to excess income may be income el...

...(A) This rule sets forth the requirements that must be met in order to establish and use a qualified income trust (QIT) (also referred to as a Miller trust) to become eligible for medicaid payment of long-term care services. (B) Definitions (1) "Beneficiary" is defined in rule 5160:1-3-05.2 of the Administrative Code. (2) "Grantor" is defined in rule 5160:1-3-05.2 of the Administrative Code. ...