Ohio Revised Code Search
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Section 5149.311 | Establishment and administration of probation improvement grant and probation incentive grant.
...unicipal courts, or county courts. (B)(1) The probation improvement grant shall provide funding to common pleas, municipal, and county court probation departments and community-based correctional facilities to adopt policies and practices based on the latest research on how to reduce the number of offenders on probation supervision who violate the conditions of their supervision. (2) The department shall adopt rule... |
Section 5153.112 | Caseworker qualifications.
... as a caseworker only the following: (1) A person who has a bachelor's degree in human services-related studies; (2) A person who has a bachelor's degree in any field and has been employed for at least two years in a human services-related occupation; (3) A person who has an associate's degree in human services-related studies; (4) A person who has completed at least sixty semester credit hours or the equival... |
Section 5153.113 | Fitness of child welfare applicant.
...(A)(1) As used in this section, "applicant" has the same meaning as in section 5153.111 of the Revised Code, and includes an intern applicant or a volunteer applicant. (2) "Intern applicant" means a trainee seeking practical educational and career experience who is under consideration for a position with a public children services agency to work, with or without monetary gain or compensation, as a person responsib... |
Section 5153.175 | Information regarding fitness of child care license applicant to be provided.
...(A) Notwithstanding division (I)(1) of section 2151.421, section 5153.17, and any other section of the Revised Code pertaining to confidentiality, when a public children services agency has determined that child abuse or neglect occurred and that abuse or neglect involves a person who has applied for licensure as a type A family child care home or type B family child care home, the agency shall promptly provide to th... |
Section 5153.20 | Cost of care charged to county of legal residence.
...(A)(1) Except as provided in division (B) of this section, the cost of care furnished by the public children services agency or the board of county commissioners to any child having a legal residence in another county shall be charged to the county of legal residence. No expense shall be incurred by the agency or the board of county commissioners, on account of such care, except for temporary or emergency care, witho... |
Section 5160.35 | Recovery of medical support definitions.
...As used in sections 5160.35 to 5160.43 of the Revised Code: (A) "Information" means all of the following: (1) An individual's name, address, date of birth, and social security number; (2) The group or plan number, or other identifier, assigned by a third party to a policy held by an individual or a plan in which the individual participates and the nature of the coverage; (3) Any other data the medicaid di... |
Section 5160.45 | Disclosure of medical assistance information.
...(A) As used in sections 5160.45 to 5160.481 of the Revised Code, "information" means all of the following: (1) Records, as defined in section 149.011 of the Revised Code; (2) Any other documents in any format; (3) Data derived from records and documents that are generated, acquired, or maintained by the department of medicaid, a county department of job and family services, or an entity performing duties on ... |
Section 5162.031 | Powers of director.
... Modernization Act of 2003" Pub. L. No. 108-173: (1) Adopt rules in accordance with division (B) of this section; (2) Assign duties to county departments of job and family services; (3) Make payments to the United States department of health and human services from appropriations made to the department of medicaid for this purpose. (B) Rules authorized by division (A)(1) of this section shall be adopted as ... |
Section 5162.12 | Contracts for the management of Medicaid data requests.
...orts of audits conducted under section 5165.109 of the Revised Code, or extracts or analyses of any of the foregoing data made by persons who intend to use the items prepared pursuant to the requests for commercial or academic purposes. (B) At a minimum, a contract entered into under this section shall do both of the following: (1) Authorize the contracting person to engage in the activities described in division... |
Section 5162.135 | Infant mortality scorecard.
...th" has the same meaning as in section 5180.12 of the Revised Code. (B) The department of medicaid shall create an infant mortality scorecard. The scorecard shall report all of the following: (1) The performance of the fee-for-service component of medicaid and each medicaid managed care organization on population health measures, including the infant mortality rate, preterm birth rate, low-birthweight rate, and... |
Section 5162.20 | Cost-sharing requirements.
...r that does either of the following: (1) Disproportionately impacts the ability of medicaid recipients with chronic illnesses to obtain medically necessary medicaid services; (2) Violates section 5164.09 or 5164.10 of the Revised Code. (B)(1) No provider shall refuse to provide a service to a medicaid recipient who is unable to pay a required copayment for the service. (2) Division (B)(1) of this section shal... |
Section 5162.70 | Reforms to medicaid program.
...(A) As used in this section: (1) "CPI" means the consumer price index for all urban consumers as published by the United States bureau of labor statistics. (2) "CPI medical inflation rate" means the inflation rate for medical care, or the successor term for medical care, for the midwest region as specified in the CPI. (3) "JMOC projected medical inflation rate" means the following: (a) The projected medic... |
Section 5163.03 | Medicaid coverage.
...(A) Subject to section 5163.05 of the Revised Code, the medicaid program shall cover all mandatory eligibility groups. (B) The medicaid program shall cover all of the optional eligibility groups that state statutes require the medicaid program to cover. (C) The medicaid program may cover any of the optional eligibility groups to which either of the following applies: (1) State statutes expressly permit the medicai... |
Section 5163.10 | Implementation of the presumptive eligibility for pregnant women option.
...(A) As used in this section: ( 1) "Presumptive eligibility for pregnant women option" means the option available under section 1920 of the "Social Security Act," 42 U.S.C. 1396r-1, to make ambulatory prenatal care available to pregnant women under the medicaid program during presumptive eligibility periods. ( 2) "Qualified provider" has the same meaning as in section 1920(b)(2) of the "Social Security Act," 42 U.... |
Section 5163.30 | Disposal of assets under market value after look-back date.
...(A) As used in this section: (1) "Assets" include all of an individual's income and resources and those of the individual's spouse, including any income or resources the individual or spouse is entitled to but does not receive because of action by any of the following: (a) The individual or spouse; (b) A person or government entity, including a court or administrative agency, with legal authority to act in place o... |
Section 5164.091 | Coverage for opioid analgesics.
...(A) As used in this section: (1) "Benzodiazepine" has the same meaning as in section 3719.01 of the Revised Code. (2) "Chronic pain" has the same meaning as in section 4731.052 of the Revised Code. (3) "Hospice care program" and "hospice patient" have the same meanings as in section 3712.01 of the Revised Code. (4) "Opioid analgesic" has the same meaning as in section 3719.01 of the Revised Code. (5) "Prescriber... |
Section 5164.10 | Coverage of tobacco cessation medications and services.
...ect to division (C) of this section: (1) All tobacco cessation medications approved by the United States food and drug administration; (2) All forms of tobacco cessation services recommended by the United States preventive services task force, including individual, group, and telephone counseling and any combination thereof. (B) The department of medicaid shall not impose any of the following conditions with re... |
Section 5164.751 | State maximum allowable cost program.
...rges, if any. (B) Subject to section 5167.123 of the Revised Code, the medicaid director shall establish a state maximum allowable cost program for purposes of managing medicaid payments to terminal distributors of dangerous drugs for prescribed drugs identified by the director pursuant to this division. The director shall do all of the following with respect to the program: (1) Identify and create a list of pres... |
Section 5164.911 | Integrated care delivery system evaluation.
...ally evaluate all of the following: (1) The health outcomes of ICDS participants; (2) How changes to the administration of the ICDS affect all of the following: (a) Claims processing; (b) The appeals process; (c) The number of reassessments requested; (d) Prior authorization requests for services. (3) The provider panel selection process used by medicaid managed care organizations participating in the ICDS... |
Section 5165.151 | Initial rates for new nursing facilities.
... payment rate determined under section 5165.15 of the Revised Code shall not be the initial rate for nursing facility services provided by a new nursing facility. Instead, the initial total per medicaid day payment rate for nursing facility services provided by a new nursing facility shall be determined in the following manner: (1) The initial rate for ancillary and support costs shall be the rate for the new nurs... |
Section 5165.23 | Critical access incentive payments to qualified facilities.
... all of the following requirements: (1) The nursing facility must be located in an area that, on December 31, 2011, was designated an empowerment zone under the "Internal Revenue Code of 1986," section 1391, 26 U.S.C. 1391. (2) The nursing facility must have an occupancy rate of at least eighty-five per cent as of the last day of the calendar year immediately preceding the state fiscal year. (3) The nursing ... |
Section 5165.512 | Agreements with entering operators effective on a later date.
...ring operator that goes into effect at 12:01 a.m. on the date determined under division (B) of this section if all of the following are the case: (1) The department receives a properly completed written notice required by section 5165.51 of the Revised Code. (2) The department receives, from the entering operator and in accordance with the method specified in rules authorized by section 5165.53 of the Revised... |
Section 5165.69 | Plan of correction.
...tatement of deficiencies under section 5165.68 of the Revised Code, the facility shall submit to the department of health for its approval a plan of correction for each finding cited in the statement. The plan shall include all of the following: (1) Detailed descriptions of the actions the facility will take to correct each finding, including actions the facility will take to protect residents situated similar... |
Section 5165.72 | Uncorrected deficiencies constituting severity level four findings.
...ing agency shall, subject to sections 5165.79 to 5165.83 of the Revised Code, impose a remedy for the deficiency or cluster of deficiencies. The department or agency may act under either division (A)(1) or (2) of this section: (1) The department or agency may impose one or more of the following remedies: (a) Issue an order terminating the nursing facility's participation in the medicaid program. (b) Do eith... |
Section 5165.74 | Uncorrected deficiencies constituting severity level one or two or severity level three, scope level two finding.
...acting agency may, subject to sections 5165.82 and 5165.83 of the Revised Code, impose one or more of the following remedies: (1) Do either of the following: (a) Issue an order denying medicaid payments to the facility for all medicaid eligible residents admitted after the effective date of the order; (b) Impose a fine. (2) Issue an order denying medicaid payments to the facility for medicaid eligible reside... |