Ohio Administrative Code Search

...(A) The city or general health district shall utilize the cost methodology specified in this rule to calculate costs of providing services specified in sections 3701.344, 3711.10, 3729.07, 3730.03, 3733.04, 3733.25 and 3749.04 of the Revised Code to the extent that section 3717.07 of the Revised Code does not require the use of a different methodology for calculation of costs of providing services. (B) The actual co...

...(A) To be designated as a poison prevention and treatment center under rule 3701-41-02 of the Administrative Code and to maintain the designation, a center shall conform to the standards of operation prescribed by this rule. A center may provide the services described in paragraphs (B) and (C) of this rule either directly or through contract with other entities, as the director considers appropriate. (B) Each center...

...(A) In accordance with this rule, the director shall make grants to poison prevention and treatment centers. Subject to the availability of an appropriation for grants, the director shall make grants annually on a fiscal year (July first to June thirtieth) basis. (B) To be eligible to receive a grant under division (D) of section 3701.20 of the Revised Code and this rule, an entity shall: (1) Be designated as a poi...

...As used in this chapter: (A) "Acknowledgment file" means the file that notifies the vendor if its claim file was accepted or rejected with errors. (B) "Applicant" means a sole proprietorship, partnership, cooperative association, corporation, limited liability company or other business entity that timely submits to the director an application packet on forms prescribed by the director to be a WI...

...(A) The director shall authorize an applicant to be a vendor by entering into a contract with an applicant that meets the criteria established under this rule. The contract shall be for a term of no more than three years. Unless otherwise provided in this rule, the contract beginning date shall be consistent with paragraph (C) of this rule. Any sole proprietorship, partnership, cooperative associa...

...(A) The director shall authorize an applicant to be a vendor by entering into a contract with an applicant that meets the criteria established under this rule. The contract shall be for a term of no more than three years. Unless otherwise provided in this rule, the contract beginning date shall be consistent with paragraph (C) of this rule. Any sole proprietorship, partnership, cooperative associa...

...(A) An applicant is not authorized to act as a vendor without a valid contract executed pursuant to rule 3701-42-03 of the Administrative Code. Vendors whose contracts have expired and applicants who have not yet received authorization from the director to be vendors, shall not accept WIC nutrition cards. The department shall not reimburse for WIC transactions that occurred before a contract beco...

...(A) A vendor shall provide to participants only authorized foods in exchange for the benefits on the WIC nutrition card. (B) A vendor shall permit participants the option to select part or all of the available quantities, sizes, and types of authorized food contained on the WIC nutrition card. (C) A vendor shall offer participants the same courtesies extended to other customers, including but no...

...(A) A vendor shall provide to participants only authorized foods in exchange for the benefits on the WIC nutrition card. (B) A vendor shall permit participants the option to select part or all of the available quantities, sizes, and types of authorized food contained on the WIC nutrition card. (C) A vendor shall offer participants the same courtesies extended to other customers, including but no...

...(A) The director shall sanction vendors that abuse the WIC program. The vendor violations referenced in paragraphs (B) to (E) of this rule constitute abuse of the WIC program. The director may sanction a vendor for any violation of this chapter of the Administrative Code that does not constitute abuse. The director will provide the vendor with a notice that violations are occurring that may lead t...

...(A) This rule prescribes the rights to administrative review of an applicant, or vendor that is subject to adverse action under this chapter of the Administrative Code. (1) Except as provided under paragraphs (A)(2) and (A)(3) of this rule, a vendor or applicant may request an administrative review of the following: (a) Denial of a vendor application pursuant to rule 3701-42-03 of the Administra...

...(A) As used in this rule: (1) "Income guidelines" means the guidelines, as established by the director on April first of each year, for use in determining financial eligibility for payment for treatment. The income guidelines shall be equal to one hundred eighty-five per cent of the poverty income for each size family, as reported in the "Federal Register" by the United States department of health and human services...

...(A) As used in this rule: (1) "Adjusted family income" means a balance after credits for child care expenses or educational expenses not reimbursed by a third party, estimated annual expenditures for health insurance not reimbursed by a third party, and service level are subtracted from family income. (2) "Assistance" means reimbursement to the eligible participant or legal representative for premiums paid by the e...

...(A) As used in this rule: (1) "Income guidelines" means the guidelines, as established by the director on April first of each year, for use in determining financial eligibility for payment for treatment. The income guidelines shall be equal to one hundred eighty-five per cent of the poverty income for each size family, as reported in the "Federal Register" by the United States department of health an human services...

...(A) The director shall apply the requirements prescribed by this rule in determining whether an applicant or recipient is medically eligible for payment for treatment services and goods by the program for medically handicapped children. An applicant or recipient is medically eligible if he or she has been diagnosed as having a medically eligible condition. In determining whether an applicant's or recipient's conditio...

...(A) As used in this rule: (1) "Eligible participant" means a recipient who also meets the conditions for eligibility for medicaid spenddown payment assistance as set forth in paragraphs (B) to (F) of this rule. (2) "Cost-effective" means the total cost to the department for uncovered services provided to an eligible participant plus the cost for medicaid spenddown payments paid by the program on behalf of the eli...

...(A) Upon request from an applicant, recipient, provider or legal representative of applicant, recipient, or provider, the director may waive any of the requirements in this chapter unless the requirement is specified in statute. (B) The director may not grant a waiver request if the approval of the request is contrary to public interest or there are not sufficient funds to support a waiver request. (C) The directo...

...(A) This rule prescribes the procedures for appealing proposed decisions of the director concerning the program for medically handicapped children that are subject to division (H) of section 3701.023 of the Revised Code. These proposed decisions include: (1) A proposed determination under rules 3701-43-15 and 3701-43-11 of the Administrative Code that an applicant or recipient, as defined in paragraphs (C) and (R) o...

...(A) Effective October 1, 2013, all prescription drugs and nutritional formulas for which BCMH made payments on behalf of eligible clients shall be subject to inclusion in the manufacturer discount program. The manufacturer discount program shall aply to all prescription drugs and nutritional formulas for which BCMH made payments on behalf of eligible clients in each state fiscal year. (B) At the end of each state fi...

...As used in this chapter: (A) "AIDS" means acquired immune deficiency syndrome. (B) "Department" means the Ohio department of health. (C) "Director" means the director of health or the director of health's designee. (D) "Family" means a group of individuals who are related by blood, marriage, or adoption. (E) "HIV" means human immunodeficiency virus. (F) "Ryan White part B program" means the program established ...

...(A) Upon request from an applicant, client, or the HIV-treating physician or nurse practitioner, or authorized representative of an applicant or client, the director may waive any part of this chapter. A request for a waiver shall be accompanied by documentation supporting the request. The director may request additional documentation prior to making a decision. Waiver requests are subject to para...

...(A) The director will develop and make available a consent form as required in division (B)(1) of section 3726.04 of the Revised Code. This form will be used if the pregnant woman is under eighteen years of age, and will include a place for a parent, guardian, or custodian to consent, unless: (1) The pregnant woman is married; or (2) The pregnant woman is emancipated. (B) The consent form is not n...

...(A) In addition to the data reported pursuant to division (C) of 3701.79 of the Revised Code, a physician who performs or induces or attempts to perform or induce an abortion on a woman after the beginning of the twentieth week of gestation shall submit a report on a form prescribed by the department of health with the following information: (1) Whether the attending physician performed a medical examination of the ...

...As used in this chapter, unless the context clearly requires otherwise: (A) "501 (c) organization" means an organization exempt from federal income taxation pursuant to 26 U.S.C.A. 501 (a) and (c) (as in effect on January 1, 2009). (B) "Administrative costs" means expenses incurred in managing, monitoring and evaluating the save our sight fund for accountability and effectiveness. Administrative expenses include, ...

...(A) A 501 (c) organization that wishes to obtain funding from the save our sight fund shall respond to a request for proposals issued by the director. The director shall determine the appropriateness of, and approve or disapprove projects for funding, and approve or disapprove the disbursement of money from the save our sight fund. (B) Any response to a request for proposals for grants shall ...