Ohio Revised Code Search

... is issued; (2) If a hearing decision, administrative appeal decision, or court ruling is against the recipient, take action in favor of the recipient despite the contrary decision or ruling, unless, in the case of a court's ruling, the ruling prohibits the department from taking the action.

... of medical care by order of a court or administrative agency. (C)(1) Subject to division (C)(2) of this section, and except as provided in division (C)(3) of this section, "third party" means all of the following: (a) A person authorized to engage in the business of sickness and accident insurance under Title XXXIX of the Revised Code; (b) A person or governmental entity providing coverage for medical servi...

...rized 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 regarding a medical assistance recipient to any of the fol...

...ntractor, grantee, or entity to perform administrative or other duties on behalf of the department or a county department. (B) The department of aging, when investigating a complaint under section 173.20 of the Revised Code, shall be granted any limited access permitted in the rules authorized by division (A)(1) of this section. A contractor, grantee, or entity given access to information pursuant to the rules...

..., 2913.401, and 2921.13 of the Revised Code and any other state laws pertaining to civil or criminal penalties for false claims and statements; (d) Whistleblower protections under the laws specified in divisions (B)(1)(a) to (c) of this section. (2) Include as part of the written policies required by division (B)(1) of this section detailed provisions regarding the entity's policies and procedures for preventi...

...1) The person is required by a court or administrative order to provide coverage of the cost of health care services to a child eligible for medicaid. (2) The person has received payment from a third party for the costs of such services but has not used the payment to reimburse either the other parent or guardian of the child or the provider of the services. (C) Claims for current and past due child support sh...

...he nonfederal share of a portion of the administrative expenses the department of medicaid incurs in administering the aspects of the component that the department of medicaid administers. To the extent authorized by rules authorized by section 5162.021 of the Revised Code, the department of education and workforce shall adopt rules establishing a process by which qualified medicaid school providers participating ...

...on under section 5162.35 of the Revised Code. (B) All amounts the department retains or collects under this section shall be deposited into the health care/medicaid support and recoveries fund created under section 5162.52 of the Revised Code.

...o (e) of section 109.572 of the Revised Code. (4) "Noninstitutional medicaid provider" means any person or entity with a provider agreement other than a hospital, nursing facility, or ICF/IID. (5) "Owner" means any person having at least five per cent ownership in a noninstitutional medicaid provider. (B)(1) Except as provided in division (C) of this section and in rules authorized by this section, the depar...

...re the provider is pursuing judicial or administrative remedies in good faith regarding the disallowance, the department shall not withhold from the provider's current payments any amounts the department claims to be due from the provider pursuant to section 5165.41 of the Revised Code. (E)(1) If an audit is conducted by an auditor under contract with the department, the audit shall be conducted in accordance with...

...re the provider is pursuing judicial or administrative remedies in good faith regarding the finding, the department shall not withhold from the provider's current payments any amounts the department claims to be due from the provider pursuant to section 5165.41 of the Revised Code. (D)(1) The medicaid director shall adopt rules under section 5165.02 of the Revised Code as necessary to implement this section. The r...

...dance with Chapter 119. of the Revised Code: (A) Any audit disallowance that the department of medicaid makes as the result of an audit under section 5165.109 of the Revised Code; (B) Any adverse finding that results from an exception review of resident assessment data conducted for a nursing facility under section 5165.193 of the Revised Code after the effective date of the nursing facility's medicaid payme...

...action or proceeding is an appeal of an administrative action by the department of medicaid or contracting agency under this chapter or is an action by any department or agency of the state to enforce this chapter or another chapter of the Revised Code; (B) An advertisement, unless the advertisement includes all of the following: (1) The date the survey was conducted; (2) A statement that the department of health ...

...e contracting agency shall conduct any administrative proceedings concerning the order. (C) If the following conditions are met, the department of medicaid may make medicaid payments to a nursing facility for a period not exceeding thirty days after the effective date of termination under sections 5165.60 to 5165.89 of the Revised Code of the facility's participation in the medicaid program: (1) The payments a...

... this section, uses information in any administrative or judicial proceeding against a facility that reasonably would tend to identify an individual described in division (A)(1) of this section, the department, agency, or individual shall disclose that information to the facility. However, the department, agency, or individual shall not disclose information that directly identifies an individual described in d...

...nt under section 5162.35 of the Revised Code to administer the component, that state agency or political subdivision. "Care management system" has the same meaning as in section 5167.01 of the Revised Code. "Dual eligible individual" has the same meaning as in section 5160.01 of the Revised Code. "Enrollee" has the same meaning as in section 5167.01 of the Revised Code. "Expansion eligibility group" has t...

...n plans for, and imposing financial and administrative sanctions on, persons and government entities that violate the rules. Sanctions shall include terminating provider agreements. The procedures shall include due process protections. (9) Other policies necessary for the efficient administration of the medicaid waiver components. (B) The director may adopt different rules for the different medicaid waiver comp...

...dicaid program, including the program's administrative costs.

...compliance with all applicable laws and administrative rules concerning the owners and operators of cemeteries, including registration under section 4767.02 of the Revised Code; and (C) The petitioner owes no delinquent taxes.

... that, to the extent possible, minimize administrative or financial burdens on any of the entities or persons listed in section 5180.15 of the Revised Code.

... that, to the extent possible, minimize administrative or financial burdens on any of the entities or persons required by division (D) of this section to distribute the materials. (D) A copy of the safe sleep educational materials developed under this section shall be distributed by entities and persons with and in the same manner as the shaken baby syndrome educational materials are distributed pursuant to sectio...

...ns of the project; (6) Perform other administrative and operational activities required by the agreement with the secretary. (B) The department may apply to the United States secretary of health and human services for a waiver of the requirements established under Title IV-B of the "Social Security Act of 1967," 42 U.S.C. 620 or regulations adopted thereunder and established under any other federal law or regul...

... any of the funds distributed to it for administrative expenses, legal expenses, or capital expenditures; (d) Annually return to the fund created under division (A) of this section any unused money that exceeds ten per cent of the money distributed to the organization. (2) The organization annually shall submit to the director an audited financial statement verifying its compliance with division (E)(1) of this se...

...ections 519.02 to 519.25 of the Revised Code, or of any resolution adopted pursuant thereto; (B) Authorize, upon appeal, in specific cases, such variance from the terms of the zoning resolution as will not be contrary to the public interest, where, owing to special conditions, a literal enforcement of the resolution will result in unnecessary hardship, and so that the spirit of the resolution shall be observed and s...

...d before the merger shall be treated as administrative districts within the new township for the purposes of zoning.