Ohio Revised Code Search
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Section 5139.45 | Office of quality assurance and improvement.
...(A) As used in this section: (1) "Quality assurance committee" means a committee that is appointed in the central office of the department of youth services by the director of youth services, a committee appointed at an institution by the managing officer of the institution, or a duly authorized subcommittee of that nature and that is designated to carry out quality assurance program activities. (2) "Institution... |
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Section 5145.15 | Employing prisoners in certain work for the state.
...eparation and manufacture of any or all forms of road-making material for use in the construction, improvement, maintenance, and repair of highways, roads, or streets. For these purposes the department may, with the approval of the governor, purchase the necessary land, quarries, buildings, machinery, and erect buildings and shops for these purposes, and employ any persons necessary to instruct the prisoners in such... |
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Section 5145.30 | Exercise activity and equipment - clothing.
...(A) As used in this section: (1) Free weight exercise equipment means any equipment or device that is designed to increase the muscle mass and physical strength of the person using it. Free weight exercise equipment includes, but is not limited to, barbells, dumbbells, weight plates, and similar free weight-type equipment and other devices that the department of rehabilitation and correction, in rules adopted under ... |
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Section 5153.127 | Collect and maintaining data from individual training needs assessment forms.
...The executive director of each public children services agency or a person designated by the executive director shall collect and maintain the data from individual training needs assessments completed under sections 5153.125 and 5153.126 of the Revised Code for each PCSA caseworker and PCSA caseworker supervisor employed by the agency. The executive director or designated person shall compile and forward the data col... |
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Section 5153.163 | Payments to adoptive parent of child with special needs; kinship guardian assistance.
... (1) The application process for all forms of assistance provided under this section; (2) The method to determine the amount of assistance payable under division (B) of this section; (3) The definition of "child with special needs" for this section; (4) The process whereby a child's continuing need for services provided under division (B) or (C) of this section is annually redetermined; (5) Any other r... |
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Section 5153.36 | Joint board for establishment of district children's home.
...The boards of county commissioners of two or more adjoining counties, not to exceed four, may, upon the recommendation of the public children services agencies of such counties, and subject to the approval of the department of children and youth form themselves into a joint board, and proceed to organize a district for the establishment and support of a children's home, by using a site and buildings already establish... |
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Section 5153.43 | Site of district children's home.
...When the board of trustees appointed under section 5153.39 of the Revised Code does not choose an established institution in one of the counties of the district it may select a suitable site for the erection of a district children's home. Such site must be easily accessible, and when, in the judgment of the board, it is equally conducive to health, economy in purchasing or in building, and to the general interest of ... |
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Section 5155.261 | Lien in lieu of taking property.
...A board of county commissioners shall not be required to take charge of property in the manner prescribed by section 5155.23 of the Revised Code, if it determines that a lien may be taken on property of a person who becomes a resident of a county home. In such event a lien as provided in this section may be taken and, if taken, shall remain a lien until satisfied. For the period during which such person remains a res... |
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Section 5155.31 | Closing of home - subsequent care.
...(A) As used in this section, "county nursing home" means a facility that is owned and operated by the county or, if the board of county commissioners has transferred operational authority of the county home to a board of county hospital trustees, is operated by the board of county hospital trustees and that is used for the reception and care of individuals who by reason of illness or physical or mental impairment req... |
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Section 5155.34 | District homes.
...The boards of county commissioners of two or more counties may form themselves into a joint board of county commissioners for the purpose of establishing a "district home." For such purpose a joint board of county commissioners may use a county home site and buildings already established in one such county, or, it may purchase a new site and erect suitable buildings thereon, provided existing county homes in such cou... |
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Section 5160.34 | Medical assistance programs with prior authorization requirements.
...(A) As used in this section: (1) "Chronic condition" means a medical condition that has persisted after reasonable efforts have been made to relieve or cure its cause and has continued, either continuously or episodically, for longer than six continuous months. (2) "Clinical peer" means a health care provider in the same, or in a similar, specialty that typically manages the medical condition, procedure, or treatme... |
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Section 5160.40 | Third-party duties; medicaid managed care organizations.
...(A) As used in this section, "business day" means any day of the week excluding Saturday, Sunday, and a legal holiday, as defined in section 1.14 of the Revised Code. (B) Subject to divisions (C) and (D) of this section, a third party shall do all of the following: (1) Accept the department of medicaid's right of recovery under section 5160.37 of the Revised Code and the assignment of rights to the department t... |
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Section 5160.45 | Disclosure of medical assistance information.
... or duty the department of medicaid performs alone or jointly with a federal government entity, another state government entity, or a local government entity implementing a provision of federal law. (D) The department or a county department of job and family services may disclose information regarding a medical assistance recipient to any of the following: (1) The recipient or the recipient's authorized repre... |
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Section 5162.07 | Federal approval for permissive components not required.
...proval shall be sought in the following forms as appropriate: (A) The medicaid state plan; (B) Amendments to the medicaid state plan; (C) Federal medicaid waivers; (D) Amendments to federal medicaid waivers; (E) Other types of federal approval, including demonstration grants. |
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Section 5162.25 | State directed payment program requirements.
...(A) As used in this section: (1) "State directed payment program" means a payment program authorized by the United States centers for medicare and medicaid services under 42 C.F.R. 438.6(c). (2) "Preprint" means a form created by the United States centers for medicare and medicaid services to request approval of a state directed payment program, as required under 42 C.F.R. 438.6(c). (B)(1) Except as provided in... |
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Section 5162.35 | Contracts for administration of components.
...The department of medicaid may enter into contracts with one or more other state agencies or political subdivisions to have the state agency or political subdivision administer one or more components of the medicaid program, or one or more aspects of a component, under the department's supervision. A state agency or political subdivision that enters into such a contract shall comply with the terms of the contra... |
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Section 5163.22 | Life insurance policies.
...(A) The general assembly hereby finds that the state has an insurable interest in medicaid recipients because of the state's statutory right to recover from the estate of a recipient state funds used to provide the recipient with medicaid services. (B) As used in this section: (1) "Beneficiary" means the person or entity designated in a life insurance policy to receive the proceeds of the policy on the death... |
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Section 5164.33 | Denying, terminating, and suspending provider agreements.
...(A) The medicaid director may do the following for any reason permitted or required by federal law and when the director determines that the action is in the best interests of medicaid recipients or the state: (1) Deny, refuse to revalidate, suspend, or terminate a provider agreement; (2) Exclude an individual, provider of services or goods, or other entity from participation in the medicaid program. (B) No ... |
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Section 5164.35 | Provider offenses.
...(A) As used in this section, "owner" means any person having at least five per cent ownership in a medicaid provider. (B)(1) No medicaid provider shall do any of the following: (a) By deception, obtain or attempt to obtain payments under the medicaid program to which the provider is not entitled pursuant to the provider's provider agreement, or the rules of the federal government or the medicaid director relati... |
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Section 5164.36 | Credible allegation of fraud or disqualifying indictment; suspension of provider agreement.
...(A) As used in this section: (1) "Credible allegation of fraud" has the same meaning as in 42 C.F.R. 455.2, except that for purposes of this section any reference in that regulation to the "state" or the "state medicaid agency" means the department of medicaid. (2) "Disqualifying indictment" means an indictment of a medicaid provider or its officer, authorized agent, associate, manager, employee, or, if the pro... |
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Section 5164.47 | Contracting for review and analysis, quality assurance and quality review.
...c patient care in this state, which performs functions that are included within the functions of a peer review committee as defined in section 2305.25 of the Revised Code, and which consists of all of the following members: Akron children's hospital, Cincinnati children's hospital medical center, Cleveland clinic children's hospital, Dayton children's medical center, mercy children's hospital, nationwide childr... |
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Section 5165.04 | Assessment to determine level of care.
...ract with the department, whichever performs the assessment, shall provide a level of care determination based on the assessment as follows: (1) In the case of a person applying or intending to apply for admission to a nursing facility while hospitalized, not later than one of the following: (a) One working day after the person or the person's representative submits the application or notifies the department ... |
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Section 5165.103 | Completion of cost reports.
...Cost reports shall be completed using the form prescribed under section 5165.104 of the Revised Code and in accordance with the guidelines established under that section. |
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Section 5165.105 | Addendum for disputed costs.
...The department of medicaid shall develop an addendum to the cost report form that a nursing facility provider may use to set forth costs that the provider believes the department may dispute. The department may consider such costs in determining a nursing facility's medicaid payment rate. If the department does not consider such costs in determining a nursing facility's medicaid payment rate, the provider may s... |
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Section 5165.158 | Private room incentive payment.
...(A) As used in this section: (1) "Category one private room" means a private room that has unshared access to a toilet and sink. (2) "Category two private room" means a private room that has shared access to a toilet and sink. (B) Beginning six months following approval by the United States centers for medicare and medicaid services or on the effective date of applicable department of medicaid rules, whichev... |