Ohio Revised Code Search
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Section 5160.42 | Sanctions against third parties for violations.
...e which sanction is to be imposed. All actions to impose the sanction shall be taken in accordance with Chapter 119. of the Revised Code. (B) In addition to the sanctions that may be imposed under division (A) of this section for a violation of section 5160.39, 5160.40, or 5160.41 of the Revised Code, the attorney general may petition a court of common pleas to enjoin the violation. |
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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.
...atment, payment, or other operations or activities authorized by 42 C.F.R. Chapter IV; (2) Any administrative function 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 re... |
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Section 5160.46 | Authorization form.
...e 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" is a suf... |
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Section 5160.47 | Membership in the public assistance reporting information system and other multistate cooperatives.
... 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 regarding a medical assistance recipient to the extent necessary to participate as an active member in t... |
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Section 5160.471 | Review to determine eligibility for federal military-related health care benefits.
...ity and encourage the individual to contact the veterans service commission in the county in which the individual resides for assistance in applying for the benefits. The department shall provide the appropriate contact information to the individual. |
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Section 5160.48 | Rules for conditions and procedures for the release of information.
..., other state and county entities, contractors, grantees, private entities, or officials participating in the administration of medical assistance programs. The rules shall be adopted in accordance with Chapter 119. of the Revised Code. The rules may define who is an "authorized representative" for purposes of sections 5160.45 and 5160.46 of the Revised Code. The rules shall specify conditions and procedures fo... |
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Section 5160.481 | Adoption of rules by other agencies.
...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.
...ed 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.
...d 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 interstate compact is providing adoption assistance on their behalf. (C) They move into this state from another state or mo... |
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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.
...d 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 general assembly to medicaid or the medicaid program also means CHIP to the extent, if any, that CHIP is provided under the medicaid program. (B) As used in this chapter, "federal poverty line" means th... |
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Section 5161.02 | Rules for administration of CHIP.
...The medicaid director may adopt rules in accordance with Chapter 119. of the Revised Code as necessary for the efficient 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 t... |
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Section 5161.05 | Continued operation of federal component.
...The medicaid director may continue to operate 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 ... |
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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.
...In accordance with 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 hundre... |
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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.
...If the medicaid 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.
...In accordance with 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... |
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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.
...If the medicaid director submits a waiver request 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 5161.20 | Health benefits coverage.
...In accordance with the "Social Security Act," section 2101, 42 U.S.C. 1397aa, the children's health insurance program shall provide payments for obtaining health benefits coverage through any of the following: (A) Obtaining coverage that meets the requirements the "Social Security Act," section 2103, of 42 U.S.C. 1397cc; (B) Providing benefits under the medicaid program; (C) A combination of divisions (A) a... |
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Section 5161.22 | Imposing restrictions where federal financial participation for CHIP parts II or III insufficient.
...If the medicaid director determines that federal financial participation for CHIP part II, part III, or both parts is insufficient to pay for part or all of the costs of health benefits coverage for all the individuals the director anticipates are eligible for the part or parts, the director may refuse to accept new applications for the part or parts or may make the eligibility requirements more restrictive for... |
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Section 5161.24 | Cost-sharing by individual receiving health assistance under CHIP part II.
...tent permitted by the "Social Security Act," section 2103(e), 42 U.S.C. 1397cc(e), the medicaid director may require an individual seeking to enroll, or who is enrolled, in CHIP part II to pay a premium, deductible, coinsurance payment, or other cost-sharing expense. |
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Section 5161.25 | Premium payments.
...tent permitted by the "Social Security Act," section 2103(e), 42 U.S.C. 1397cc(e), the medicaid director shall require an individual seeking to enroll, or who is enrolled, in CHIP part III to pay the following as a term of enrollment: (A) A premium of not less than forty dollars per month for a family with one individual seeking to enroll, or who is enrolled, in the part; (B) A premium of not less than eighty... |