Ohio Revised Code Search

...roposes substantial changes in contract terms, the other party shall be given written notice at least one hundred twenty days before the expiration date of the contract. During the first sixty days of this one-hundred-twenty-day period, both parties shall attempt to resolve any dispute through good faith collaboration and negotiation in order to continue to provide services and supports to persons in need. If the dis...

... centers and plazas, auditoriums, child care centers, recreation halls, educational facilities, health care facilities including hospital facilities as defined in section 140.01 of the Revised Code, telecommunications facilities, including all facilities necessary to provide telecommunications service as defined in section 4927.01 of the Revised Code, recreational facilities, natural resource facilities, including pa...

...immediate dependents when each member's term begins, whether issued by an insurance company or a health insuring corporation, duly authorized to do business in this state.

...ocedures for the department to use to determine the amount to be paid annually by each county for services for children and youth with special health care needs and to allow counties to retain funds under divisions (A)(2) and (3) of section 3701.024 of the Revised Code; (7) Financial eligibility requirements for services for Ohio residents twenty-one years of age or older who have cystic fibrosis; (8) Criteria ...

...of this section. The department shall determine whether the applicants meet the medical and financial eligibility requirements established by the director of health pursuant to division (A)(1) of section 3701.021 of the Revised Code, and by the department in the manual of operational procedures and guidelines for the program for children and youth with special health care needs developed pursuant to division (B) of t...

...appointed by the director of health for terms set in accordance with rules adopted by the director under division (A)(11) of section 3701.021 of the Revised Code. The children and youth with special health care needs medical advisory council shall advise the director regarding the administration of the program for children and youth with special health care needs, the suitable quality of medical practice for provider...

...e disorders to assist the director in determining which disorders should be included in the screenings required under this section. In determining whether a disorder should be included, the council shall consider all of the following: (a) The disorder's incidence, mortality, and morbidity; (b) Whether the disorder causes disability if diagnosis, treatment, and early intervention are delayed; (c) The potentia...

...be subject to and include the following terms and conditions: (A) All applications, notices, requests for information, and other official communications shall be on written forms prescribed by and approved by the director of health. (B) The director, subject to Chapter 119. of the Revised Code, shall propose, modify, amend, and adopt rules, standards, guidelines, and official policies which are consistent wit...

...he contract shall include the following terms as agreed upon by the parties: (1) The primary care physician's required length of service in the health resource shortage area, which must be at least two years; (2) The number of weekly hours the primary care physician will be engaged in full-time practice or part-time practice in the health resource shortage area; (3) The maximum amount that the department will repa...

...rage of packages which require special care in handling or storage; (j) The statement "Keep out of the reach of children," or its practical equivalent. (2) On which any statements required under division (N)(1) of this section are located prominently and are in the English language in legible type in contrast by typography, layout, or color with other printed matter on the label. The director shall, by regula...

...tion, prognosis, and treatment plan, in terms the resident can reasonably be expected to understand; the right of access to all information in the resident's medical record; and the right to give or withhold informed consent for treatment after the consequences of that choice have been carefully explained. When the attending physician finds that it is not medically advisable to give the information to the resident, t...

...epartment in developing short- and long-term goals for the stroke registry database. If established, the membership of the committee shall consist of individuals with expertise or experience in data collection, data management, or stroke care, including both of the following: (1) Individuals representing organizations advocating on behalf of those with stroke or cardiovascular conditions; (2) Individuals rep...

...us waste. (8) Closure and post-closure care of a hazardous waste facility where hazardous waste will no longer be treated, stored, or disposed of and of a solid waste facility where solid wastes will no longer be disposed of or transferred; (9) Establishment of quality control and testing procedures that ensure compliance with the rules adopted under this section; (10) Obtainment of a United States environment...

... occupant of a residential unit, child care facility, or school or a person employed to perform lead abatement.

...enefits and that payer or program has determined that it is not responsible for the cost of the health care services. When a claim is submitted later than one year after the last date of service for which reimbursement is sought under the claim, the third-party payer shall pay or deny the claim not later than ninety days after receipt of the claim or, alternatively, pursuant to the requirements of sections 3901.381 t...

... dividend is declared, according to the terms of a plan proposed by the liquidator and approved by the court supervising the liquidation. The liquidator, with the approval of the court, may make reasonable approximate computations of interest to be paid under this division. (J) Class 10. The claims of shareholders or other owners. If any provision of this section or the application of any provision of this sectio...

...utions, insurance institutions, medical care institutions, and medical professionals are not "insurance support organizations" for purposes of sections 3904.01 to 3904.22 of the Revised Code. (M) "Insurance transaction" means any transaction involving life, health, or disability insurance primarily for personal, family, or household needs rather than business or professional needs and entailing either the determina...

... the Revised Code, or as additionally determined by the superintendent of insurance. (F) "Insurance agent" or "agent" means any person that, in order to sell, solicit, or negotiate insurance, is required to be licensed under the laws of this state, including limited lines insurance agents and surplus line brokers. (G) "Insurer" has the same meaning as in section 3901.32 of the Revised Code. (H) "License" means the...

...ing their health plan, coverage, or a determination under such plan coverage; (5) Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the exchange. (C) An insurance navigator shall not do any of the following: (1) Sell, solicit, or negotiate health insurance; (2) Provide advice concerning the substantive benefits, terms, and cond...

...stion based on the nature of the health care service that is the subject of the adverse benefit determination. (3) The superintendent of insurance shall not choose an independent review organization with a conflict of interest, as prescribed under section 3922.14 of the Revised Code. (G) In its review of an adverse benefit determination under section 3922.08, 3922.09, or 3922.10 of the Revised Code, an assigne...

...e program, or in the event the coverage terminates for nonpayment of premium, nonrenewal of the policy, or the expiration of the term for which the policy is issued. (B) In the case of the divorce, annulment, or dissolution of marriage, or legal separation of the spouse from the named insured, the insurer shall satisfy the right to the continuation of coverage under this section by issuing either a converted or sepa...

...edically necessary by a treating health care provider for proper breast cancer screening in accordance with applicable American college of radiology guidelines, including magnetic resonance imaging, ultrasound, or molecular breast imaging. (B) Notwithstanding section 3901.71 of the Revised Code, every policy of individual or group sickness and accident insurance that is delivered, issued for delivery, or renewed in...

...t provides, in whole or in part, health care benefits for its employees under a policy of sickness and accident insurance issued in accordance with Chapter 3923. of the Revised Code shall also provide to its employees benefits for the expenses of both of the following: (1) Screening mammography to detect the presence of breast cancer in adult women; (2) Cytologic screening for the presence of cervical cancer. (C) ...

...A) of this section is subject to all terms, conditions, restrictions, exclusions, and limitations that apply to any other coverage under the plan, policy, or arrangement for services performed by participating and nonparticipating providers. Nothing in this section shall be construed as requiring reimbursement to a provider or facility providing the routine care that does not have a health care c...

...h a health care provider or pharmacy on terms that are more favorable to the person than negotiated reimbursement rates that otherwise would apply as long as the claim submitted reflects the alternative amount negotiated, except that a health care provider or pharmacy shall not waive all or part of a copay or deductible if prohibited by any other provision of the Revised Code. The requirements of this division do not...