Ohio Revised Code Search
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Section 5145.161 | Program for employment of prisoners.
...t job category shall receive additional benefits in accordance with the rules adopted pursuant to division (B) of section 5145.03 of the Revised Code. (5) A prisoner shall not be eligible for a job in private industry or agriculture, unless the prisoner meets the requirements of the department for private employment that are set forth in rules adopted pursuant to division (B) of section 5145.03 of the Revised Code... |
Section 5153.12 | Classified civil service status of employees.
...tablish compensation rates and vacation benefits for any of its employees. Insofar as practicable, all employees holding positions in the classified service, whose duties are transferred by this section to the agency, shall be continued, with like status, by the appointing authority before any other appointments are made. This chapter shall not affect the civil service status of any employee. |
Section 5153.163 | Payments to adoptive parent of child with special needs; kinship guardian assistance.
...eing made prior to July 1, 2004. (G) Benefits and services provided under this section are inalienable whether by way of assignment, charge, or otherwise and exempt from execution, attachment, garnishment, and other like processes. |
Section 5153.18 | Public children services agency - executive director - powers and duties.
...(A) The public children services agency shall have the capacity possessed by natural persons to institute proceedings in any court. (B) When appointed by the probate court exercising jurisdiction in adoption proceedings, the executive director may act as next friend of any child and perform the duties of such next friend. (C) When appointed by the probate court, in lieu of a guardian, in accordance with section 211... |
Section 5153.38 | Accepting gifts and bequests.
...When any person donates or bequeaths the person's real or personal estate, or any part thereof, to the use and benefit of a district children's home, the board of trustees of the home may accept and use such donation or bequest as they deem for the best interests of the institution, and consistent with the conditions of such bequest. The facilities or services to be established or maintained through any such gift sha... |
Section 5160.39 | Third-party cooperation regarding liability information.
...(A) A third party shall cooperate with the department of medicaid in identifying individuals for the purpose of establishing third party liability regarding medical assistance programs. (B) In furtherance of the requirement in division (A) of this section and to allow the department to determine any period that the individual or the individual's spouse or dependent may have been covered by the third party and... |
Section 5161.05 | Continued operation of federal component.
... for part or all of the cost of health benefits coverage for uninsured individuals under nineteen years of age with family incomes not exceeding one hundred fifty per cent of the federal poverty line. |
Section 5161.10 | State child health plan.
... for part or all of the cost of health benefits coverage for uninsured individuals under nineteen years of age with family incomes above one hundred fifty per cent of the federal poverty line but not exceeding two hundred per cent of the federal poverty line. If the director submits the plan, the director shall stipulate in the plan that the payments will be available only while federal financial participation ... |
Section 5161.15 | Request for waiver to pay costs for certain individuals.
... 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 cent of the federal poverty line but not exceeding three hundred per cent of the federal poverty line. If the director submits the waiver request, the director shall stipulate in the request that the payments will be available only while federal financial participation ... |
Section 5161.22 | Imposing restrictions where federal financial participation for CHIP parts II or III insufficient.
...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 the part or parts. |
Section 5162.75 | Notification of veteran services.
...ist with investigating and applying for benefits through the United States department of veterans affairs. As used in this section, "veteran" has the same meaning as in section 5901.01 of the Revised Code. |
Section 5162.80 | Good faith estimates for charges and payments.
...(A) A provider of medical services licensed, accredited, or certified under Chapter 3721., 3727., 4715., 4725., 4731., 4732., 4734., 4747., 4753., 4755., 4757., or 4779. of the Revised Code shall provide in writing, before products, services, or procedures are provided, a reasonable, good-faith estimate of all of the following for the provider's non-emergency products, services, or procedures: (1) The amount the pro... |
Section 5163.091 | Qualifications for program.
...l receives supplemental security income benefits, and the individual has earnings from employment. (b) The individual is an employed individual with a medically improved disability. (3) That the value of the individual's resources, less amounts disregarded pursuant to rules authorized by section 5163.098 of the Revised Code, does not exceed the amount provided for by section 5163.092 of the Revised Code; (4) ... |
Section 5163.11 | Medicaid expansion eligibility group redetermination.
...xpansion eligibility group for medicaid benefits every six months. |
Section 5164.34 | Criminal records check of provider personnel, owners and officers.
...ployment, or employment or unemployment benefits; (c) A civil or criminal action regarding the medicaid program. With respect to an administrative hearing dealing with the denial, suspension, or termination of a provider agreement, the report of a criminal records check may be introduced as evidence at the hearing and if admitted, becomes part of the hearing record. Any such report shall be admitted only under ... |
Section 5164.342 | Criminal records checks by waiver agencies.
...oyee; (b) Employment or unemployment benefits of the applicant or employee; (c) A civil or criminal action regarding the medicaid program; (d) A denial, suspension, or termination of a provider agreement. With respect to an administrative hearing dealing with a denial, suspension, or termination of a provider agreement, the report of a criminal records check may be introduced as evidence at the hearing an... |
Section 5164.56 | Lien for amount owed by provider.
...Under the medicaid program, any amount determined to be owed the state by a final fiscal audit conducted pursuant to section 5164.55 of the Revised Code, upon the issuance of an adjudication order pursuant to Chapter 119. of the Revised Code that contains a finding that there is a preponderance of the evidence that a medicaid provider will liquidate assets or file bankruptcy in order to prevent payment of the a... |
Section 5164.61 | Scope of available remedies for recovery of excess payments.
....23 of the Revised Code for recovering benefits paid on behalf of medicaid recipients. |
Section 5164.7512 | Definitions for sections 5164.7512 to 5164.7514.
...(A) As used in sections 5164.7512 to 5164.7514 of the Revised Code: (1) "Clinical practice guidelines" means a systematically developed statement to assist providers and medicaid recipients in making decisions about appropriate health care for specific clinical circumstances and conditions. (2) "Clinical review criteria" means the written screening procedures, decision abstracts, clinical protocols, and clinical ... |
Section 5166.402 | Buckeye accounts for participants.
... participant shall not begin to receive benefits under the healthy Ohio program until the initial contribution to the participant's buckeye account is made under division (C) or (D) of this section. (F)(1) The following portion of the amount that remains in a healthy Ohio program participant's buckeye account at the end of a year shall carry forward in the account for the next year: (a) If the participant satisfies... |
Section 5166.45 | Medicaid enrollment for chidren through age three.
...ty Act" shall remain eligible for those benefits until the earlier of: (1) The end of a period, not to exceed forty-eight months, following the determination; (2) The date when the individual exceeds four years of age. (C) The waiver component described in division (B) of this section does not apply to a child who is eligible for a medical assistance program on the basis of being any of the following: (1)... |
Section 5166.50 | Reentry services waiver.
...individual's expected release date. The benefits provided shall include: (1) Mental health services; (2) Behavioral health services; (3) Substance use disorder treatment and related services; (4) A thirty-day supply of prescription medication at the time of release, including medication administered by injection. (B) The department shall implement the medicaid waiver component within one year after approval... |
Section 5167.09 | Managed care financial dashboard information.
...other individuals eligible for medicaid benefits who are not included in another category described in division (A) of this section. (B) Quarterly and annual composite per member per month category of service reports for each managed care organization providing services under the care management system, delineated into the following categories: (1) Inpatient services; (2) Outpatient facility services; (3) Pro... |
Section 5167.16 | Home visits and cognitive behavioral therapy.
...(A) As used in this section: (1) "Help me grow program" means the program established by the department of health pursuant to section 5180.21 of the Revised Code. (2) "Targeted case management" has the same meaning as in 42 C.F.R. 440.169(b). (B) A medicaid managed care organization shall provide to a medicaid recipient who meets the criteria in division (C) of this section, or arrange for such recipient to ... |
Section 5167.244 | Violations; penalty.
...No person shall violate the terms of the master state pharmacy benefit manager contract under section 5167.24 of the Revised Code or section 5167.241 of the Revised Code. Whoever violates those sections is subject to a civil penalty in an amount to be determined by the medicaid director. |