Ohio Revised Code Search

...th insuring corporation to cover solely medicaid recipients; (2) A health insuring corporation to cover solely medicare beneficiaries; (3) A health insuring corporation to cover solely medicaid recipients and medicare beneficiaries; (4) A health insuring corporation to cover solely federal employees and other individuals eligible for coverage in the federal employees health benefits program pursuant to 5 U.S.C. 89...

...insuring corporation that covers solely medicaid recipients; (2) A health insuring corporation that covers solely medicare beneficiaries; (3) A health insuring corporation that covers solely medicaid recipients and medicare beneficiaries. (C) An examination, pursuant to section 3901.07 of the Revised Code, of an insurance company holding a certificate of authority under this chapter to organize and operate a...

..., as amended; (B) Coverage provided to medicaid recipients; (C) Coverage provided to participants of the children's buy-in program.

...neral's designee, if the department of medicaid is seeking to recover the costs of medicaid services from the deceased pursuant to section 5162.21 or 5162.211 of the Revised Code. The person granted administration may be a creditor of the estate. (D) This section applies to the appointment of an administrator de bonis non.

...g her pregnancy, was a recipient of the medicaid program or other public health insurance program and, if so, the dates her eligibility began and ended; (ii) Whether the mother, during her pregnancy, was covered by private health insurance and, if so, the dates the coverage began and ended, the name of the insurance provider, the type of coverage, and the identification number of the coverage; (iii) The name an...

...) Medical assistance provided under the medicaid program shall not include coverage for gender transition services for minor individuals. (B) This section does not apply to any of the following: (1) The circumstances described in section 3129.04 of the Revised Code; (2) Mental health services provided for a gender-related condition; (3) Any services that are not gender transition services.

...ervice established by the department of medicaid under the medicaid program.

... and family services, the department of medicaid, and the department of rehabilitation and corrections, shall provide any information and data to the secretary of state that is collected in the course of normal business and that is necessary to register to vote, to update an elector's registration, or to maintain the statewide voter registration database, except where prohibited by federal law or regulation. The depa...

...3701.0210 of the Revised Code. (C) A medicaid provider, as defined in section 5164.01 of the Revised Code, is eligible to be a provider of the same goods and services for the program for children and youth with special health care needs that the provider is approved to provide for the medicaid program and the director shall approve such a provider for participation in the program for children and youth with specia...

...hose chapters; (c) The department of medicaid or a county department of job and family services, in accordance with Chapters 5160., 5161., 5162., 5163., 5164., 5165., 5166., and 5167. of the Revised Code and the rules adopted under those chapters; (d) The attorney general, in accordance with sections 2743.51 to 2743.72 of the Revised Code and any rules that may be adopted under those sections; (e) A patient,...

...cally underserved population, including medicaid recipients and individuals without health insurance. (c) The advisory group shall recommend not fewer than six practices that serve rural areas of this state, as those areas are determined by the advisory group. (d) A member of the advisory group shall abstain from participating in any vote taken regarding the recommendation of a practice if the member would rec...

... United States centers for medicare and medicaid services as part of the certification process for the medicare program established under Title XVIII of the "Social Security Act," 79 Stat. 286 (1935), 42 U.S.C.A. 1395, as amended, and the medicaid program established under Title XIX of the "Social Security Act," 79 Stat. 286 (1965), 42 U.S.C. 1396. (4) The director shall not establish a fee for any service for whi...

...3701. or 4123. of the Revised Code, the medicaid program, or any self-insurance plan. (H) "Government unit" means the state and any county, municipal corporation, township, or other political subdivision of the state, or any department, division, board, or other agency of the state or a political subdivision. (I) "Health maintenance organization" means a public or private organization organized under the law of a...

...ome does not participate in medicare or medicaid; (3) All of the long-term care beds being added to the nursing home are to be used solely for the provision of palliative care, as defined in section 3712.01 of the Revised Code. ( B) The continued use of long-term care beds added to a nursing home under this section is a reviewable activity under sections 3702.51 to 3702.62 of the Revised Code if either of the fol...

...ticipate in the medicare program or the medicaid program if on January 1, 1994, the facility, infirmary, or entity was providing care exclusively to members of the religious order; (x) A county home or district home that has never been licensed as a residential care facility. (2) "Unrelated individual" means one who is not related to the owner or operator of a home or to the spouse of the owner or operator as a...

...ning to home health care adopted by the medicaid director for the medicaid program. Skilled nursing care provided pursuant to this division may be provided by a home health agency certified for participation in the medicare program, a hospice care program licensed under Chapter 3712. of the Revised Code, or a member of the staff of a residential care facility who is qualified to perform skilled nursing care. A resi...

...these functions with the department of medicaid and the United States department of health and human services. The director may also enter into agreements with the department of medicaid under which the department of health is designated to perform functions under sections 5165.60 to 5165.89 of the Revised Code. The director, in accordance with Chapter 119. of the Revised Code, shall adopt rules necessary to i...

...eneral assembly that the department of medicaid shall terminate the medicaid provider agreements of those homes that do not comply with the requirements of this section for the submission of a written fire safety plan and the deadline for entering into contracts for the installation of systems.

...d, the state departments of health and medicaid, the state and local offices of the department of aging, and any Ohio nursing home ombudsman program. (B) Written acknowledgment of the receipt of copies of the materials listed in this section shall be made part of the resident's record and the staff member's personnel record. (C) The administrator shall post all of the following prominently within the home: (1...

...g of the complaint to the department of medicaid if the department has a right of recovery under section 5160.37 of the Revised Code against the liability of the home for the cost of medicaid services arising out of injury, disease, or disability of the resident or former resident.

... United States centers for medicare and medicaid services, specifically: "__standardcharges.[jsonxmlcsv]." (G) For purposes of division (F)(3) of this section, the director of health shall develop a template that each hospital shall use in formatting the list. In developing the template, the director shall do both of the following: (1) Consider any applicable federal guidelines for formattin...

...teria specified in rules adopted by the medicaid director under section 3798.13 of the Revised Code. (J) "More stringent" has the same meaning as in 45 C.F.R. 160.202. (K) "Personal representative" means a person who has authority under applicable law to make decisions related to health care on behalf of an adult or emancipated minor, or the parent, legal guardian, or other person acting in loco parentis who is...

...(A) The medicaid director shall prescribe by rules adopted in accordance with Chapter 119. of the Revised Code a standard authorization form for the use and disclosure of protected health information by covered entities in this state. The form shall meet all requirements specified in 45 C.F.R. 164.508 and, where applicable, 42 C.F.R. part 2. (B) If a form the medicaid director prescribes under division (A) of this ...

...enced in 42 U.S.C. 1396a(a)(25); (6) A medicaid managed care organization that has entered into a contract with the department of medicaid pursuant to section 5167.10 of the Revised Code; (7) Any other person or government entity that is, by law, contract, or agreement, responsible for paying for or processing a claim for payment for the provision of dangerous drugs or pharmacy services. (F) "Pharmacy audit" means...

...coverage under a plan through medicare, medicaid, or the federal employees benefit program; any coverage issued under Chapter 55 of Title 10 of the United States Code and any coverage issued as a supplement to that coverage. (M) "Health care professional" means a physician, psychologist, nurse practitioner, or other health care practitioner licensed, accredited, or certified to perform health care services con...