Ohio Revised Code Search

...he nonfederal share of the cost of the services for which the claim was submitted.

...The department of medicaid shall enter into an interagency agreement with the department of education and workforce under section 5162.35 of the Revised Code that provides for the department of education and workforce to administer the medicaid school component of the medicaid program other than the aspects of the component that sections 5162.36 to 5162.366 of the Revised Code require the department of medicaid to ad...

...ct, a governing board of an educational service center, governing authority of a community school established under Chapter 3314. of the Revised Code,, and Ohio deaf and blind education services must meet to participate in the component; (B) Services the component covers; (C) Payment rates for the services the component covers. The rules shall be adopted in accordance with Chapter 119. of the Revised Code.

...(A) A qualified medicaid school provider is solely responsible for timely repaying any overpayment that the provider receives under the medicaid school component of the medicaid program and that is discovered by a federal or state audit. This is the case regardless of whether the audit's finding identifies the provider, department of medicaid, or department of education and workforce as being responsible for the over...

...zed education program, physical therapy services, occupational therapy services, speech-language pathology services, or audiology services under the medicaid school component of the medicaid program: (1) A physical therapist is a licensed practitioner of the healing arts for the purpose of 42 C.F.R. 440.110(a)(1) and may make a referral for physical therapy services for the recipient. (2) An occupational therapist ...

...partment of mental health and addiction services under section 5162.35 of the Revised Code is subject to the approval of the director of budget and management and shall require or specify all of the following: (A) That section 5162.371 of the Revised Code be complied with; (B) How providers will be paid for providing the services; (C) The responsibilities of the department of mental health and addiction servic...

...partment of mental health and addiction services under section 5162.35 of the Revised Code, the department of medicaid shall pay the nonfederal share of any medicaid payment to a provider for services under the component, or aspect of the component, the department of mental health and addiction services administers.

...(A) If a state agency or political subdivision administers one or more components of the medicaid program or administers one or more aspects of such a component, the department of medicaid may retain or collect not more than ten per cent of the federal financial participation the state agency or political subdivision obtains through an approved, administrative claim regarding the component or aspect of the component....

...The department of medicaid may retain or collect a percentage of the federal financial participation included in a supplemental medicaid payment to one or more medicaid providers owned or operated by a state agency or political subdivision that brings the payment to such provider or providers to the upper payment limit established by 42 C.F.R. 447.272. If the department retains or collects a percentage of that federa...

... to the fund to pay for other medicaid services and contracts.

...partment of mental health and addiction services under division (A) of section 5119.14 of the Revised Code; (3) Revenues the department of medicaid receives from another state agency for medicaid services pursuant to an interagency agreement; (4) The money the department of medicaid receives in a fiscal year for performing eligibility verification services necessary for compliance with the independent, certifie...

...und to pay for expenses related to the services provided under, and the administration of, the medicaid program.

...d from the department of job and family services under section 5101.074 of the Revised Code also shall be deposited into the refunds and reconciliation fund. Money in the refunds and reconciliation fund, including money transferred from the department of job and family services, shall be transferred to the appropriate fund once the appropriate fund is identified or shall be transferred to another government entity, ...

...used to improve the quality of medicaid services provided by medicare-certified home health agencies. (C) The fund shall be maintained and administered by the department of medicaid under rules developed in consultation with the departments of health and aging and adopted under section 5162.02 of the Revised Code. The rules shall be adopted in accordance with Chapter 119. of the Revised Code.

...medicaid recipients to receive medicaid services in the most cost-effective and sustainable manner; (c) Removing barriers that impede medicaid recipients' ability to transfer to lower cost, and more appropriate, medicaid services, including home and community-based services; (d) Establishing medicaid payment rates that encourage value over volume and result in medicaid services being provided in the most effici...

...The medicaid director shall implement within the medicaid program systems that do both of the following: (A) Improve the health of medicaid recipients through the use of population health measures; (B) Reduce health disparities, including, but not limited to, those within racial and ethnic populations.

...The medicaid director shall implement within the medicaid program strategies that address social determinants of health, including employment, housing, transportation, food, interpersonal safety, and toxic stress.

... administer a program to provide dental services to pregnant Medicaid recipients. If the program is established, all of the following shall apply: (1) Medicaid recipients who are members of the group described in section 5163.06 of the Revised Code shall be eligible to receive two dental cleanings per year. (2) The Department shall give priority to those Medicaid recipients residing in areas of the state with hi...

..., information about the county veterans service office that can assist 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.

...(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...

...Before making any payment rate increases greater than ten per cent under the medicaid program, the medicaid director shall notify the standing committees with oversight of the medicaid program as provided in section 103.41 of the Revised Code of the increase.

...evised Code. "Home and community-based services medicaid waiver component" has the same meaning as in section 5166.01 of the Revised Code. "Intermediate care facility for individuals with intellectual disabilities" and "ICF/IID" have the same meanings as in section 5124.01 of the Revised Code. "Mandatory eligibility groups" means the groups of individuals that must be covered by the medicaid state plan as a condit...

...The medicaid director shall adopt rules as necessary to implement this chapter. The rules shall establish eligibility requirements for the medicaid program. The rules may establish requirements for applying for medicaid and determining and verifying eligibility for medicaid. The rules shall be adopted in accordance with section 111.15 of the Revised Code. ( Notwithstanding any provision of state law, includi...

...(A) 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 medicaid program to cover the optional eligibility g...

...r of budget and management, legislative service commission, the president of the senate, and the speaker of the house of representatives the state and federal shares of total actual expenditure for the expansion eligibility group for the most recently completed month prior to the change. (B)(1) Except as provided in division (B)(2) of this section, the state share amount certified under division (A)(2) of this sect...