Ohio Revised Code Search
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Section 5160.39 | Third-party cooperation regarding liability information.
...e of information via "ASC X 12N 270/271 Health Care Eligibility Benefit Inquiry and Response" transactions. (D) All of the following apply with respect to information provided by a third party to the department under this section: (1) The information is confidential and not a public record under section 149.43 of the Revised Code. (2) The release of information to the department is not to be considered a viola... |
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Section 5160.40 | Third-party duties; medicaid managed care organizations.
...claims to, and payments of claims by, a health insurer to which the "Social Security Act," section 1902(a)(25)(I), 42 U.S.C. 1396a(a)(25)(I), applies. |
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Section 5160.401 | Finality of payments.
...(A) A payment made by a third party under division (B)(5) of section 5160.40 of the Revised Code on a claim for payment of a medical item or service provided to a medical assistance recipient is final on the date that is two years after the payment was made to the department of medicaid or the applicable medicaid managed care organization. After a claim is final, the claim is subject to adjustment only if an action f... |
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Section 5160.41 | Excluded considerations for third-party medical assistance.
...B) The individual, or a person or governmental entity on the individual's behalf, seeks payment for a medical item or service provided to the individual. |
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Section 5160.42 | Sanctions against third parties for violations.
...or 5160.41 of the Revised Code, a governmental entity that is responsible for issuing a license, certificate of authority, registration, or approval that authorizes the third party to do business in this state may impose a fine against the third party or deny, revoke, or terminate the third party's license, certificate, registration, or approval to do business in this state. The governmental entity shall determ... |
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Section 5160.43 | Adoption of rules regarding recovery of costs.
...(A) The medicaid director may adopt rules under section 5160.02 of the Revised Code to implement sections 5160.35 to 5160.43 of the Revised Code, including rules that specify what constitutes cooperating with efforts to obtain support or payments, or medical assistance payments, and when cooperation may be waived. (B) The department shall adopt rules under section 5160.02 of the Revised Code to do all of the... |
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Section 5160.45 | Disclosure of medical assistance information.
...ian that meets all requirements of the Health Insurance Portability and Accountability Act of 1996, 42 U.S.C. 1320d et seq., regulations promulgated by the United States department of health and human services to implement the act, section 5160.46 of the Revised Code, and any rules authorized by section 5160.48 of the Revised Code; (4) A health information or health records management entity that has executed... |
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Section 5160.46 | Authorization form.
... release of the recipient's electronic health records, if any, in accordance with rules authorized by section 5160.48 or 5160.481 of the Revised Code. (C) When an individual requests information pursuant to section 5160.45 of the Revised Code regarding the individual's enrollment in a medical assistance program and does not wish to provide a statement of purpose, the statement "at request of the individual" i... |
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Section 5160.47 | Membership in the public assistance reporting information system and other multistate cooperatives.
...ts with the United States department of health and human services and neighboring states to join and participate as an active member in the public assistance reporting information system; (2) Explore joining other multistate cooperatives, such as the national accuracy clearinghouse, to identify individuals enrolled in public assistance programs outside of this state. (B) The department may disclose information rega... |
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Section 5160.471 | Review to determine eligibility for federal military-related health care benefits.
...his section: "Federal military-related health care benefits" means any of the health care benefits provided by the United States department of defense or the United States department of veterans affairs to current or former service members and their eligible dependents, including the benefits provided through the programs known as tricare and champva. (B) (1) The department of medicaid shall review information in t... |
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Section 5160.48 | Rules for conditions and procedures for the release of information.
...(A) The medicaid director shall adopt rules under section 5160.02 of the Revised Code implementing sections 5160.45 to 5160.481 of the Revised Code and governing the custody, use, disclosure, and preservation of the information generated or received by the department of medicaid, county departments of job and family services, other state and county entities, contractors, grantees, private entities, or officials... |
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Section 5160.481 | Adoption of rules by other agencies.
...Whenever names, addresses, or other information relating to medical assistance recipients is held by any agency other than the department of medicaid or a county department of job and family services, that other agency shall adopt rules consistent with sections 5160.45 to 5160.481 of the Revised Code to prevent the publication or disclosure of names, lists, or other information concerning those recipients. |
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Section 5160.50 | Refugee medical assistance program.
...The department of medicaid shall administer the refugee medical assistance program authorized by the "Immigration and Nationality Act," section 412(e), 8 U.S.C. 1522(e). |
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Section 5160.52 | Authority to enter into interstate compacts for provision of medical assistance to children.
...The medicaid director may provide for the department of medicaid to develop, participate in the development of, negotiate, and enter into one or more interstate compacts on behalf of this state with agencies of any other states, for the provision of medical assistance to children in relation to whom all of the following apply: (A) They have special needs. (B) This state or another state that is a party to the... |
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Section 5160.99 | Penalty for unlawful disclosure of information.
...Whoever violates division (B) of section 5160.45 of the Revised Code is guilty of a misdemeanor of the first degree. |
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Section 5161.01 | Definitions.
... used in the Revised Code, "children's health insurance program" and, when used as an acronym for the children's health insurance program, "CHIP" mean the program of child health assistance authorized by Title XXI of the "Social Security Act," 42 U.S.C. 1397aa et seq. CHIP part I, CHIP part II, and CHIP part III, as authorized by this chapter, are components of CHIP. Any reference in statute enacted by the gene... |
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Section 5161.02 | Rules for administration of CHIP.
...icient administration of the children's health insurance program, including rules that establish all of the following: (A) The conditions under which the program will pay for health benefits coverage; (B) The method of the payment; (C) The amount of payment, or the method by which the amount is to be determined, for each service included in the health benefits coverage. |
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Section 5161.05 | Continued operation of federal component.
...perate the component of the children's health insurance program initially authorized by an executive order issued under section 107.17 of the Revised Code as long as federal financial participation is available for the program. If operated, the component shall pay for part or all of the cost of health benefits coverage for uninsured individuals under nineteen years of age with family incomes not exceeding one ... |
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Section 5161.06 | CHIP part I.
...The component of the children's health insurance program authorized by section 5161.05 of the Revised Code shall be known as CHIP part I. |
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Section 5161.10 | State child health plan.
...h federal law governing the children's health insurance program, the medicaid director may submit a state child health plan to the United States secretary of health and human services to pay, except as provided in section 5161.22 of the Revised Code, for part or all of the cost of health benefits coverage for uninsured individuals under nineteen years of age with family incomes above one hundred fifty per cent ... |
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Section 5161.11 | CHIP part II.
...The component of the children's health insurance program authorized by section 5161.10 of the Revised Code shall be known as CHIP part II. |
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Section 5161.12 | Implementation of CHIP part II.
...edicaid director submits a state child health plan to the United States secretary of health and human services under section 5161.10 of the Revised Code and the secretary approves the plan, the director shall implement CHIP part II in accordance with the plan. ; . |
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Section 5161.15 | Request for waiver to pay costs for certain individuals.
...h federal law governing the children's health insurance program, the medicaid director may submit a request for a federal waiver to the United States secretary of health and human services to pay, except as provided in section 5161.22 of the Revised Code, for part or all of the cost of health benefits coverage for individuals under nineteen years of age with family incomes above two hundred per cent of the fed... |
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Section 5161.16 | CHIP part III.
...The component of the children's health insurance program authorized by section 5161.15 of the Revised Code shall be known as CHIP part III. |
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Section 5161.17 | Implementation of CHIP part III.
...quest to the United States secretary of health and human services under section 5161.15 of the Revised Code and the secretary grants the waiver, the director shall implement CHIP part III in accordance with the waiver. |
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Section 3705.29 | Prohibited acts.
...fficer or employee of the department of health shall knowingly reveal or provide any information contained in an adoption file maintained by the department under section 3705.12, 3705.121, 3705.122, 3705.123, or 3705.124 of the Revised Code to any person, or knowingly reveal or provide the contents of an adoption file to any person, unless authorized to do so by section 3705.126 of the Revised Code. (E) If a d... |
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Section 3705.30 | Statewide birth defects information system.
...ine and surgery. (B) The director of health shall establish and, if funds for this purpose are available, implement a statewide birth defects information system for the collection of information concerning congenital anomalies, stillbirths, and abnormal conditions of newborns. (C) If the system is implemented under division (B) of this section, all of the following apply: (1) The director may require each ph... |
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Section 3705.31 | Purposes of system.
...If implemented under section 3705.30 of the Revised Code, the birth defects information system may be used for all of the following purposes: (A) To identify and describe congenital anomalies, stillbirths, and abnormal conditions of newborns; (B) To detect trends and epidemics in congenital anomalies, stillbirths, and abnormal conditions of newborns; (C) To quantify morbidity and mortality of congenital anomalies ... |
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Section 3705.32 | Records are confidential - exceptions.
...ical records. (B)(1) The director of health may use information assembled by the system to notify parents, guardians, and custodians of children with congenital anomalies or abnormal conditions of medical care and other services available for the child and family. (2) The director may disclose information assembled by the system with the written consent of the parent or legal guardian of the child who is the su... |
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Section 3705.33 | Parent or legal guardian may request information concerning child to be removed from system.
...As used in this section, "local health department" means a health department operated by the board of health of a city or general health district or the authority having the duties of a board of health under section 3709.05 of the Revised Code. A child's parent or legal guardian who wants information concerning the child removed from the birth defects information system shall request from the local health departmen... |
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Section 3705.35 | Rules.
... after October 5, 2000, the director of health shall adopt rules in accordance with Chapter 119. of the Revised Code to do all of the following: (A) Implement the birth defects information system; (B) Specify the types of congenital anomalies and abnormal conditions of newborns to be reported to the system under section 3705.30 of the Revised Code; (C) Establish reporting requirements for information concerning... |
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Section 3705.36 | Annual report regarding system.
...resentatives, the departments of developmental disabilities, education and workforce, children and youth, and job and family services, the commission on minority health, and the news media. |
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Section 3705.40 | Access to preliminary birth and death data maintained by department.
... used in this section: (1) "Board of health" means a board of health of a city or general health district or the authority having the duties of a board of health under section 3709.05 of the Revised Code. (2) "Geocoding" means a geographic information system (GIS) operation for converting street addresses into spatial data that can be displayed as features on a map, usually by referencing address information fr... |
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Section 3705.41 | Vital records training.
...(A) As used in this section: (1) "Freestanding birthing center" has the same meaning as in section 3701.503 of the Revised Code. (2) "Funeral services worker" means a person licensed as a funeral director or embalmer under Chapter 4717. of the Revised Code or an individual responsible for the direct final disposition of a deceased person. (3) "Hospital" has the same meaning as in section 3722.01 of the Revised ... |
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Section 3705.99 | Penalty.
...(A) Whoever violates division (A), (B), or (H) of section 3705.29 of the Revised Code shall be fined not more than ten thousand dollars or incarcerated for a term of not more than five years, or both. (B) Whoever violates division (C), (E), (F), or (G) of section 3705.29 of the Revised Code shall be fined not more than one thousand dollars or incarcerated for a term of not more than one year, or both. (C) Whoever v... |
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Section 3706.01 | Air quality development authority definitions.
...ristics and duration as to injure human health or welfare, plant or animal life, or property, or that unreasonably interferes with the comfortable enjoyment of life or property. (E) "Ambient air" means that portion of the atmosphere outside of buildings and other enclosures, stacks, or ducts that surrounds human, plant, or animal life, or property. (F) "Emission" means the release into the outdoor atmosphere of... |
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Section 3706.02 | Air quality development authority - appointment of members - vacancies, bond.
...onmental protection and the director of health, who shall be members ex officio without compensation. Each appointive member shall be a resident of the state, and a qualified elector therein. The members of the authority first appointed shall continue in office for terms expiring on June 30, 1971, June 30, 1973, June 30, 1975, June 30, 1977, and June 30, 1978, respectively, the term of each member to be designated by... |
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Section 3706.03 | Purposes of air authority.
...ple, or assist and cooperate with governmental agencies in achieving such purposes. In furtherance of such public policy the Ohio air quality development authority may initiate, acquire, construct, maintain, repair, and operate air quality projects or cause the same to be operated pursuant to a lease, sublease, or agreement with any person or governmental agency; may make loans and grants to governmental agenci... |
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Section 3706.04 | Development authority - powers and duties.
...ty. (E) Make loans and grants to governmental agencies for the acquisition or construction of air quality projects by any such governmental agency and adopt rules and procedures for making such loans and grants; (F) Acquire, construct, reconstruct, enlarge, improve, furnish, equip, maintain, repair, operate, lease or rent to, or contract for operation by, a person or governmental agency, air quality projects, and ... |
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Section 3706.041 | Financing projects for industry, commerce, distribution, or research.
...(A) With respect to projects, and the financing thereof, for industry, commerce, distribution, or research, including public utility companies, under agreements whereby the person to whom the project is to be leased, subleased, or sold, or to whom a loan is to be made for the project, is to make payments sufficient to pay all of the principal of, premium, if any, and interest on the air quality revenue bonds issued f... |
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Section 3706.05 | Authority may issue revenue bonds and notes.
...The Ohio air quality development authority may at any time issue revenue bonds and notes of the state in such principal amount as, in the opinion of the authority, are necessary for the purpose of paying any part of the cost of one or more air quality projects or parts thereof, including one or more payments pursuant to a commodity contract entered into in connection with the acquisition or construction of air qualit... |
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Section 3706.051 | Agreement with local governments to finance PACE projects.
...(A) The Ohio air quality development authority may enter into an agreement with the legislative authority of a municipal corporation or a board of township trustees that provides for all of the following: (1) The authority may issue revenue bonds or notes under section 3706.05 of the Revised Code for the purpose of paying any part of the cost of an air quality facility described under division (G)(12) of section 3... |
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Section 3706.06 | Other state laws not applicable.
...The issuance of air quality revenue bonds and notes or air quality revenue refunding bonds under Chapter 3706. of the Revised Code need not comply with any other law applicable to the issuance of bonds or notes. |
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Section 3706.07 | Bonds or notes secured by trust agreement.
...In the discretion of the Ohio air quality development authority, any air quality revenue bonds or notes or air quality revenue refunding bonds issued under Chapter 3706. of the Revised Code, may be secured by a trust agreement between the authority and a corporate trustee, which trustee may be any trust company or bank having the powers of a trust company within or without the state. Any such trust agreement may pl... |
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Section 3706.08 | Protection and enforcement of rights of bondholder and trustees.
...Any holder of air quality revenue bonds issued under Chapter 3706. of the Revised Code, or any of the coupons appertaining thereto, and the trustee under any trust agreement, except to the extent the rights given by such chapter may be restricted by the applicable resolution or such trust agreement, may by suit, action, mandamus, or other proceedings, protect and enforce any rights under the laws of the state or gran... |
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Section 3706.09 | Bonds not a debt of state.
...Air quality revenue bonds and notes and air quality revenue refunding bonds issued under Chapter 3706. of the Revised Code do not constitute a debt, or a pledge of the faith and credit, of the state or any political subdivision thereof, and the holders or owners thereof have no right to have taxes levied by the general assembly or taxing authority of any political subdivision of the state for the payment of the princ... |
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Section 3706.10 | All funds acquired shall be held in trust.
...All moneys, funds, properties, and assets acquired by the Ohio air quality development authority under Chapter 3706. of the Revised Code, whether as proceeds from the sale of air quality revenue bonds or as revenues, or otherwise, shall be held by it in trust for the purposes of carrying out its powers and duties, shall be used and reused as provided in such chapter, and shall at no time be part of other public funds... |
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Section 3706.101 | FutureGen initiative fund.
...There is hereby created in the state treasury the FutureGen initiative fund. The fund shall consist of money appropriated to it and money from private donations, grants, gifts, bequests, and other sources. Money in the fund shall be used to make grants for the drilling of a test well to assist the state's efforts to secure the United States department of energy FutureGen initiative pursuant to section 3706.01 of the ... |
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Section 3706.11 | Monies in excess of current needs may be invested in notes and bonds.
...tates of America or any agency or instrumentality thereof, or in obligations of this state or any political subdivision thereof. Income from all such investments of moneys in any fund shall be credited to such funds as the authority determines, subject to the provisions of any such resolution or trust agreement and such investments may be sold at such times as the authority determines. |
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Section 3706.12 | Rentals or charges for use or services - governmental agencies may cooperate with authority - agreements.
... one or more persons, one or more governmental agencies, or any combination thereof, desiring the use or services of such project, and fix the terms, conditions, rentals, or other charges for such use or services. Such rentals or other charges shall not be subject to supervision or regulation by any other authority, commission, board, bureau, or agency of the state and such contract may provide for acquisition by suc... |