Ohio Revised Code Search

... could seriously jeopardize the life or health of the covered person, or would jeopardize the covered person's ability to regain maximum function, if treated after the time frame of an expedited internal appeal; (b) The covered person has filed a request for an expedited internal appeal. (2) After a final adverse benefit determination, if either of the following apply: (a) The covered person's treating physic...

...alth care service or treatment is experimental or investigational and the covered person's treating physician certifies in writing that the recommended or requested health care service or treatment that is the subject of the adverse benefit determination would be significantly less effective if not promptly initiated, the covered person may file a request for an expedited external review to be conducted simulta...

...aceutical supplies, prescription drugs, mental health services, substance abuse services, chiropractic services, podiatric services, laboratory services, and medical equipment and supplies. (G) "Member" means any individual who pays fees, dues, charges, or other consideration to a discount medical plan organization for access to providers of medical services and the right to receive the benefits of a discount medica...

...hapter 119. of the Revised Code for the health care partnership program administered by the bureau of workers' compensation to provide medical, surgical, nursing, drug, hospital, and rehabilitation services and supplies to an employee for an injury or occupational disease that is compensable under this chapter or Chapter 4123., 4127., or 4131. of the Revised Code, and to regulate contracts with managed care org...

... develop standards for qualification of health care plans of the Ohio workers' compensation qualified health plan system to provide medical, surgical, nursing, drug, hospital, and rehabilitation services and supplies to an employee for an injury or occupational disease that is compensable under this chapter or Chapter 4123., 4127., or 4131. of the Revised Code. In adopting the standards, the administrator shall use n...

...ursuant to the "Occupational Safety and Health Act of 1970," 84 Stat. 1590, 29 U.S.C.A. 651, and provides for continuing management and employee involvement; (3) Whether granting the privilege to self-insure the construction project will reduce the costs of the construction project; (4) Whether the self-insuring employer has employed an ombudsperson as required under division (P) of this section; (5) Whether th...

...njury, or a substantial endangerment to health, property, or the environment may occur before the reasonably foreseeable completion date of a formal proceeding begun to lessen the risk of that death, illness, injury, or endangerment. (Y) "Medical variance" means one of the following received by a driver from the federal motor carrier safety administration that allows the driver to be issued a medical certificate: ...

...rseries, nursing homes, hospitals, home health agencies, or other similar institutions; (D) The provision of nursing services to family members or in emergency situations; (E) The care of the sick when done in connection with the practice of religious tenets of any church and by or for its members; (F) The practice of nursing as an advanced practice registered nurse by a student currently enrolled in and active...

...rvices to a patient through a community mental health services provider certified by the director of mental health and addiction services under section 5119.36 of the Revised Code or a community addiction services provider certified by the director under that section. (5) A physician providing services to a patient through a federally qualified health center or a federally qualified health center look-alike.

...ited States or the United States public health service in the discharge of the officer's or employee's professional duties; (2) A dentist authorized under Chapter 4715. of the Revised Code to practice dentistry when engaged exclusively in the practice of dentistry or when administering anesthetics in the practice of dentistry; (3) A physician or surgeon in another state or territory who is a legal practitioner of...

...copayment that a patient, pursuant to a health insurance or health care policy, contract, or plan that covers psychological services, would otherwise be required to pay if the waiver is used as an enticement to a patient or group of patients to receive health care services from that provider; (12) Advertising that the person will waive the payment of all or any part of a deductible or copayment that a patient, pur...

...making clinical judgments regarding the health of a patient and the need for medical treatment, medical services, or both for the patient, and the client has agreed to follow the veterinarian's instructions regarding the patient. (B) The veterinarian has sufficient knowledge of the patient to initiate at least a general or preliminary diagnosis of the medical condition of the patient. In order to demonstrate that t...

... of the Revised Code; (q) A certified mental health assistant licensed under Chapter 4772. of the Revised Code. (4) "Health care professional licensing board" means any of the following: (a) The board of nursing; (b) The state vision professionals board; (c) The state board of pharmacy; (d) The state medical board; (e) The state board of psychology; (f) The state chiropractic board; (g) The ...

...udent or faculty at a medical, nursing, mental health, or counseling institution of higher education or an allied health professional, paraprofessional, or employee or contractor of a health care institution. (3) "Participation in a health care service" means to provide, perform, assist with, facilitate, refer for, counsel for, advise with regard to, admit for the purposes of providing, or take part in any way in ...

...(A)(1) Every emergency medical service organization and nonemergency medical service organization licensee under this chapter shall furnish adequate evidence of liability insurance coverage, in an amount of not less than five hundred thousand dollars per occurrence and not less than five hundred thousand dollars in the aggregate, for any cause for which the licensee would be liable. (2) Every air medical service or...

...outh services, the department of mental health and addiction services, or the department of developmental disabilities; (ii) Any individual who provides care for only a single-family group, placed there by their parents or other relative having custody; (iii) Any residential infant care center, as an entity deemed a residential infant care center under section 5103.602 of the Revised Code shall no longer be lic...

...n and pertaining to the person's mental health condition, assessment, provision of care, treatment, or recovery supports, or payment for assessment, care, treatment, or recovery supports that are maintained in connection with any services certified by the department of behavioral health, any recovery supports paid for with funds administered by the department or a board of alcohol, drug addiction, and mental health s...

... services in a forensic or other mental health unit of a correctional facility, provided that the thirty-six-month period shall be extended by the length of any hospitalization or incarceration of the person that occurred within the thirty-six-month period. (II) Within the forty-eight months prior to the filing of an affidavit seeking court-ordered treatment of the person under section 5122.111 of the Revised Code,...

... of alcohol, drug addiction, and mental health services, and community mental health services providers may release necessary medical information to insurers and other third-party payers, including government entities responsible for processing and authorizing payment, to obtain payment for goods and services furnished to the patient; (4) Pursuant to a court order signed by a judge; (5) That a patient shall be gr...

...hat is not certified by the director of health as an ICF/IID under Title XIX and regardless of either of the following: (a) Whether or not the area in which the day programming is provided is less than two hundred feet away from the ICF/IID; (b) Whether or not the day programming is provided by an individual or organization that is a related party to the ICF/IID provider. (9) Costs of other direct-care resou...

...re necessary to ensure the individual's health, safety, and welfare or that enable the individual to function with greater independence in the home, and without which the individual would require institutionalization. (2) "Environmental modifications" includes such adaptations as installation of ramps and grab-bars, widening of doorways, modification of bathroom facilities, and installation of specialized electric ...

...(A)(1) The general administration and management of the state highway patrol retirement system and the making effective of this chapter are hereby vested in the state highway patrol retirement board. The board may sue and be sued, plead and be impleaded, contract and be contracted with, and do all things necessary to carry out this chapter. The board shall consist of the following members: (a) The superintendent ...

...is division shall be purchased from the health care corporation that the board of directors determines offers the most cost-effective group insurance policy.

...: (a) Medical, therapeutic, or other health-related services provided by a person if the amount received is a set fee for each time the person provides the services, is determined in accordance with a fixed rate per unit of time, or is a capitated rate, and the fee or rate is reasonable and customary in the person's trade or profession; (b) Medicaid-funded services, including administrative and management servi...

...idelines established by the director of health under section 3701.70 of the Revised Code, and meetings conducted pursuant to sections 5153.171 to 5153.173 of the Revised Code; (6) The state medical board when determining whether to suspend a license or certificate without a prior hearing pursuant to division (G) of either section 4730.25 or 4731.22 of the Revised Code; (7) The board of nursing when determining ...