Ohio Revised Code Search

...by the federal centers for medicare and medicaid services.

...by the federal centers for medicare and medicaid services or an organization accepted by the department under section 3727.12 of the Revised Code, including by offering patients mechanical endovascular therapy, the department shall include that distinction in its recognition. (4) The department shall recognize as an acute stroke ready hospital a hospital that satisfies the requirements of division (B)(4) of sectio...

... United States centers for medicare and medicaid services and that certify stroke centers. (b) Include at a minimum both of the following: (i) Data that is consistent with nationally recognized treatment guidelines for patients with confirmed stroke; (ii) In the case of mechanical endovascular thrombectomy, data regarding the treatment's processes, complications, and outcomes, including data required by nati...

...by the federal centers for medicare and medicaid services or an organization that certifies hospitals in accordance with nationally recognized certification guidelines establishes a level of stroke certification that is in addition to the four levels described in sections 3727.11 to 3727.13 of the Revised Code, the department of health shall recognize a hospital certified at that additional level. For purposes of ...

...arried mother who is not a recipient of medicaid or a participant in Ohio works first an application for Title IV-D services; (H) Mail the voluntary acknowledgment of paternity, no later than ten days after it is completed, to the office of child support in the department of job and family services. Each hospital shall provide a notary public to notarize, or witnesses to witness, an acknowledgment of paternity ...

... United States centers for medicare and medicaid services implementing that section, including the rules and requirements under 45 C.F.R. 180. (G) "Hospital" has the same meaning as in section 3722.01 of the Revised Code. (H) "Hospital items or services" means all items or services, including individual items or services and service packages, that may be provided by a hospital to a patient in connection with an i...

...ivision thereof, including medicare and medicaid managed care organization plans. (3) "Hospital" means an institution or facility licensed under Chapter 3722. of the Revised Code. (4) "Physician" means an individual authorized under Chapter 4731. of the Revised Code to practice medicine and surgery, osteopathic medicine and surgery, or podiatric medicine and surgery. (5) "Primary care services" means profession...

... United States centers for medicare and medicaid services and recognized by the department pursuant to rules adopted under section 3740.10 of the Revised Code; (iii) Is certified by the department of aging under section 173.391 of the Revised Code to provide community-based long-term care services; (iv) Otherwise meets medicare conditions of participation, even though not certified for participation in the medi...

...ultation with the director of aging and medicaid director.

...y funded health program, including the medicaid program. Neither this section nor the rules adopted under it apply to a child if a parent of the child objects to the test on the grounds that the test conflicts with the parent's religious tenets and practices.

...m; (2) Disclosing to the department of medicaid on at least an annual basis the identity and lead screening test results of each child screened pursuant to section 3742.30 of the Revised Code. The director shall collect and disseminate information relating to child lead poisoning and controlling lead hazards. (B) The director of health shall operate the child lead poisoning prevention program in accordance with rul...

...) A representative of the department of medicaid; (2) A representative of the bureau of child care in the department of job and family services; (3) A representative of the department of environmental protection; (4) A representative of the department of education and workforce; (5) A representative of the department of development; (6) A representative of the department of children and youth; (7) A...

... underinsured, are not eligible for the medicaid program or any other government health program, and do not have access to another source of funds to cover the cost of lead tests and any indicated treatments; (2) Costs associated with having lead abatement performed or having the residential rental unit lead-safe maintenance practices specified in section 3742.42 of the Revised Code performed.

...es; (D) The centers for medicare and medicaid services; (E) The United States department of defense; (F) The centers for disease control and prevention; (G) The United States department of veterans affairs; (H) The drug enforcement administration; (I) The food and drug administration; (J) Any board recognized by the national institutes of health for the purpose of evaluating the medical value of ...

...The medicaid director shall adopt rules for purposes of specifying the criteria a person who is mentally or physically disabled and who is under twenty-one years of age must meet to be considered a minor for purposes of sections 3798.07 and 3798.12 of the Revised Code.

... United States centers for medicare and medicaid services. (3) When a provider or beneficiary submits a claim by using the standard claim form prescribed in the superintendent's rules, but the information provided in the claim is materially deficient, the third-party payer shall notify the provider or beneficiary not later than fifteen days after receipt of the claim. The notice shall state, with specificity, the i...

... payer that provides coverage under the medicaid program, shall not enter into a contractual arrangement under which time periods longer than those provided for in paragraph (c)(1) of 42 C.F.R. 447.46 are applicable to the third-party payer in paying a claim for any amount due for health care services rendered by the provider.

... health care benefits include medicare, medicaid, workers' compensation, the civilian health and medical program of the uniformed services and other elements of the tricare program offered by the United States department of defense, and similar state or federal programs. (D) Any provision of a contractual arrangement entered into between a third-party payer and a provider or beneficiary that is contrary to divisions...

...y payer for coverage provided under the medicaid program; (E) A third-party payer for coverage provided under the tricare program offered by the United States department of defense.

...Coverage under a plan through medicare, medicaid, or the federal employees benefit program; (g) Any coverage issued under Chapter 55 of Title 10 of the United States Code and any coverage issued as a supplement to that coverage. (2) "Health plan issuer" means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the superintendent of insurance, that contracts, or offer...

...t apply to an auditing entity that is a medicaid managed care organization if application of those sections to the entity would be in violation of federal law.

...port to the general assembly, the joint medicaid oversight committee, and the governor, not later than the thirtieth day of January of each year.

... United States centers for medicare and medicaid services, measured at the time the drug is administered or dispensed, or, if no such rate is available at that time, a reimbursement rate that is less than the wholesale acquisition cost of the drug, as defined in 42 U.S.C. 1395w-3a(c)(6)(B); (2) A dispensing fee reimbursement amount that is less than the reimbursement amount provided to a terminal distributor of dan...

... including the centers for medicare and medicaid services or the office of the national coordinator for health information technology. (E) A health plan issuer, including a pharmacy benefit manager, shall furnish the data required under division (B) of this section regardless of whether the request is made using the drug's unique billing code, such as a national drug code or health care common procedure coding syst...

...Individual eligibility requirements for medicaid; (5) The use of enrollment forms used in an exchange; (6) Any other topics as required by the superintendent. (C) Agents that complete the training program required under division (A) of this section shall receive continuing education course credit under sections 3905.481 to 3905.486 of the Revised Code. All such credit shall count toward satisfying the continuin...