Ohio Revised Code Search

...roviding information on eligibility for medicaid; (5) Engage in any unfair method of competition or any fraudulent, deceptive, or dishonest act or practice. (D) An individual shall not act in the capacity of an insurance navigator, or perform insurance navigator duties on behalf of an organization serving as an insurance navigator, unless the individual has applied for certification and the superintendent finds...

...affect the viator's eligibility for the medicaid program or other government benefits or entitlements, and that advice should be obtained from the appropriate government agencies; (e) That the viator has a right to rescind the viatical settlement contract for at least fifteen calendar days after the viator receives the viatical settlement proceeds, as provided in section 3916.08 of the Revised Code. If the ins...

... (d) The child is not eligible for the medicaid program or the medicare program. (2) That attainment of the limiting age for dependent children shall not operate to terminate the coverage of a dependent child if the child is and continues to be both of the following: (a) Incapable of self-sustaining employment by reason of an intellectual disability or physical disability; (b) Primarily dependent upon the p...

... (d) The child is not eligible for the medicaid program or the medicare program. (2) That attainment of the limiting age for dependent children shall not operate to terminate the coverage of a dependent child if the child is and continues to be both of the following: (a) Incapable of self-sustaining employment by reason of an intellectual disability or physical disability; (b) Primarily dependent upon the p...

...nd any policy that provides coverage to medicaid recipients. (B) Notwithstanding section 3901.71 of the Revised Code, and subject to division (E) of this section, every policy of sickness and accident insurance shall provide benefits for the diagnosis and treatment of biologically based mental illnesses on the same terms and conditions as, and shall provide benefits no less extensive than, those provided under the p...

...rance. (b) Coverage provided under the medicaid program. (c) Coverage provided under an employer's self-insurance plan or by any of its administrators, as defined in section 3959.01 of the Revised Code, to the extent that federal law supersedes, preempts, prohibits, or otherwise precludes the application of this section to the plan and its administrators. (B) A standardized identification card or an electronic tec...

...rance. (b) Coverage provided under the medicaid program. (B) A standardized identification card or an electronic technology issued or required to be used as provided in division (A)(1) of this section shall contain uniform prescription drug information in accordance with either division (B)(1) or (2) of this section. (1) The standardized identification card or the electronic technology shall be in a format and con...

...ailability of, or eligibility for, the medicaid program in this state or in any other state when determining an individual's eligibility for coverage or when making payments to or on behalf of an enrollee, subscriber, policyholder, or certificate holder.

...ost containment services and includes a medicaid managed care organization, as defined in section 5167.01 of the Revised Code. (K) "Maximum allowable cost" means a maximum drug product reimbursement for an individual drug or for a group of therapeutically and pharmaceutically equivalent multiple source drugs that are listed in the United States food and drug administration's approved drug products with therapeutic...

...ervices provided through a program for medicaid or medicare; (B) A contract for payments made to providers for rendering health care services to claimants pursuant to claims made under Chapter 4121., 4123., 4127., or 4131. of the Revised Code; (C) An exclusive contract between a health insuring corporation and a single group of providers in a specific geographic area to provide or arrange for the provision...

...d services programs established for the medicaid program under sections 5164.758 and 5167.13 of the Revised Code.

...ts made by the centers for medicare and medicaid services in the United States department of health and human services for reimbursement of conditional payments made pursuant to section 1395y(b)(2) of title 42, United States Code (commonly known as the "Medicare Secondary Payer Act"). (D) This section does not affect the right of a claimant to compensation accruing subsequent to the filing of any such application,...

...5101.54 of the Revised Code; (b) The medicaid program pursuant to Chapter 5163. of the Revised Code; (c) The Ohio works first program administered by the department of job and family services pursuant to section 5107.10 of the Revised Code; (d) The supplemental security income program pursuant to 20 C.F.R. 416.1100; (e) The United States department of veterans affairs pension benefit program pursuant to 3...

... 5101.54 of the Revised Code; (2) The medicaid program pursuant to Chapter 5163. of the Revised Code; (3) The Ohio works first program administered by the department of job and family services pursuant to section 5107.10 of the Revised Code; (4) The supplemental security income program pursuant to 20 C.F.R. 416.1100; (5) The United States department of veterans affairs pension benefit program pursuant to 38 U...

...that is certified under the medicare or medicaid program; (f) A hospice care program, as defined in section 3712.01 of the Revised Code; (g) A community mental health services provider, as defined in section 5122.01 of the Revised Code; (h) An ambulatory surgical facility, as defined in section 3702.30 of the Revised Code; (i) A freestanding birthing center, as defined in section 3701.503 of the Revised C...

...ndividual is seeking to be eligible for medicaid reimbursement as a state of Ohio certified doula. (D) The board shall adopt rules in accordance with Chapter 119. of the Revised Code establishing standards and procedures for issuing certificates to doulas under this section. The rules shall include all of the following: (1) Requirements for certification as a state of Ohio certified doula, including both of the f...

...that is certified under the medicare or medicaid program; (6) A hospice care program, as defined in section 3712.01 of the Revised Code; (7) A community mental health services provider, as defined in section 5122.01 of the Revised Code; (8) An ambulatory surgical facility, as defined in section 3702.30 of the Revised Code; (9) A freestanding birthing center, as defined in section 3701.503 of the Revised C...

.... and 4123. of the Revised Code and the medicaid program, and shall receive payment or reimbursement as provided under those chapters and that program. (C) Chapter 4796. of the Revised Code does not apply to a certificate to practice naprapathy or mechanotherapy issued under this section.

...n from participation in the medicare or medicaid programs by the department of health and human services or other responsible agency; (26) Impairment of ability to practice according to acceptable and prevailing standards of care because of substance use disorder or excessive use or abuse of drugs, alcohol, or other substances that may impair ability to practice. For the purposes of this division, any individua...

...ureau of workers' compensation, and the medicaid program. (E)(1) "Group practice" means a group of two or more holders of licenses or certificates under this chapter legally organized as a partnership, professional corporation or association, limited liability company, foundation, nonprofit corporation, faculty practice plan, or similar group practice entity, including an organization comprised of a nonprofit medi...

...ion requires a health care insurer, the medicaid program or any other government health care program, or any other entity that offers health care benefits to provide coverage for the costs incurred from the use of any investigational drug, product, or device. (H) Nothing in this section condones, authorizes, or approves of assisted suicide, as defined in section 3795.01 of the Revised Code, or any action that is con...

...ate entity that has its own medicare or medicaid provider number; (3) A manufacturer or wholesale distributor of home medical equipment that does not sell directly to the public; (4) A hospice care program, pediatric respite care program, or pediatric transition care program, as defined by section 3712.01 of the Revised Code, that does not sell or rent home medical equipment; (5) A home, as defined by section 3...

...ought under the medicare program or the medicaid program but all requests for payment for such services shall be made by the person who supervises the person performing the services.

...n from participation in the medicare or medicaid program established under Title XVIII and Title XIX, respectively, of the "Social Security Act," 49 Stat. 620 (1935), 42 U.S.C. 301, as amended, for an act or acts that constitute a violation of sections 4755.40 to 4755.56 of the Revised Code; (21) Failure of a physical therapist to maintain supervision of a student, physical therapist assistant, unlicensed support ...

...ness and accident insurance policy, the medicaid program, or the health partnership program or qualified health plans established pursuant to sections 4121.44 to 4121.442 of the Revised Code, for any physical therapy service rendered without the prescription of, or the referral of the patient by, a person described in division (H)(1) of section 4755.48 of the Revised Code. (C) For purposes of this section, "business...