Ohio Revised Code Search
| Section |
|---|
|
Section 5162.66 | Residents protection fund.
...(A) There is hereby created in the state treasury the residents protection fund. All of the following shall be deposited into the fund: (1) The proceeds of all fines, including interest, collected under sections 5165.60 to 5165.89 of the Revised Code; (2) The proceeds of all fines, including interest, collected under section 173.42 of the Revised Code; (3) The portions of civil money penalties and corresponding in... |
|
Section 5162.70 | Reforms to medicaid program.
...king the medicaid program's eligibility requirements more restrictive, reduce the relative number of individuals enrolled in the medicaid program who have the greatest potential to obtain the income and resources that would enable them to cease enrollment in medicaid and instead obtain health care coverage through employer-sponsored health insurance or an exchange. |
|
Section 5162.71 | Implementation of systems to improve health and reduce health disparities.
...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. |
|
Section 5162.72 | Strategies to address social determinants of health.
...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. |
|
Section 5162.73 | Dental services for pregnant Medicaid recipients.
...(A) The Department of Medicaid may establish and 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 r... |
|
Section 5162.75 | Notification of veteran services.
...The medicaid director shall provide, to a veteran who has submitted an application for the medicaid program, 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. |
|
Section 5162.80 | Good faith estimates for charges and payments.
...(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... |
|
Section 5162.82 | Payment rate increase report.
...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. |
|
Section 5163.01 | Definitions.
...As used in this chapter: "Caretaker relative" has the same meaning as in 42 C.F.R. 435.4 as that regulation is amended effective January 1, 2014. "Expansion eligibility group" means the medicaid eligibility group described in section 1902(a)(10)(A)(i)(VIII) of the "Social Security Act," 42 U.S.C. 1396a(a)(10)(A)(i)(VIII). "Federal financial participation" has the same meaning as in section 5160.01 of the Revised C... |
|
Section 5163.02 | Rules establishing eligibility requirements for medicaid.
... 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, including statutes, administrative rules, common law, and court rules, regarding real... |
|
Section 5163.03 | Medicaid coverage.
...(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... |
|
Section 5163.04 | Federal medical assistance percentage for medicaid expansion eligibility group.
...(A) If the federal medical assistance percentage for medical assistance provided to members of the expansion eligibility group is set below ninety per cent, the department of medicaid shall do both of the following: (1) Immediately discontinue all medical assistance for members of the group. (2) Not later than fifteen business days after the change to the federal medical assistance percentage, certify to the dire... |
|
Section 5163.06 | Optional eligibility groups.
...The medicaid program shall cover all of the following optional eligibility groups: (A) The group consisting of children placed with adoptive parents who are specified in section 1902(a)(10)(A)(ii)(VIII) of the "Social Security Act," 42 U.S.C. 1396a(a)(10)(A)(ii)(VIII); (B) Subject to section 5163.061 of the Revised Code, the group consisting of women during pregnancy and the maximum postpartum period permitted ... |
|
Section 5163.061 | Income eligibility threshold for pregnant women.
...The income eligibility threshold is two hundred per cent of the federal poverty line for women during pregnancy and the postpartum period beginning on the last day of the pregnancy who are covered by the medicaid program under division (B) of section 5163.06 of the Revised Code. |
|
Section 5163.063 | Medicaid coverage of employed individuals with a disability.
...The medicaid director shall adopt rules under section 5163.02 of the Revised Code as necessary to provide medicaid coverage for the optional eligibility group described in section 1902(a)(10)(A)(ii)(XIII) of the "Social Security Act," 42 U.S.C. 1396a(a)(10)(A)(ii)(XIII). By requiring the medicaid program to provide coverage to the optional eligibility group consisting of employed individuals with disabilities unde... |
|
Section 5163.07 | Income eligibility threshold for parents and caretaker relatives.
...The medicaid director shall implement the option authorized by the "Social Security Act," section 1931(b)(2)(C), 42 U.S.C. 1396u-1(b)(2)(C), to set the income eligibility threshold at ninety per cent of the federal poverty line for parents and caretaker relatives who are covered by the medicaid program under that section of the "Social Security Act." |
|
Section 5163.09 | Medicaid buy-in for workers with disabilities program.
...(A) As used in sections 5163.09 to 5163.098 of the Revised Code: "Applicant" means an individual who applies to participate in the medicaid buy-in for workers with disabilities program. "Earned income" has the meaning established by rules authorized by section 5163.098 of the Revised Code. "Employed individual with a medically improved disability" has the same meaning as in the "Social Security Act," section ... |
|
Section 5163.091 | Qualifications for program.
...vidual meets the additional eligibility requirements for the medicaid buy-in for workers with disabilities program established in rules authorized by section 5163.098 of the Revised Code. |
|
Section 5163.092 | Resource eligibility limit - annual adjustment.
...(A) Except as provided in division (B) of this section, the maximum value of resources, less amounts disregarded pursuant to rules authorized by section 5163.098 of the Revised Code, that an individual may have without the individual exceeding the resource eligibility limit for the medicaid buy-in for workers with disabilities program shall not exceed ten thousand dollars. (B) Each calendar year, the medicaid... |
|
Section 5163.093 | Individual income eligibility limit.
...For the purpose of determining whether an individual is within the income eligibility limit for the medicaid buy-in for workers with disabilities program, all of the following apply: (A) Twenty thousand dollars of the individual's earned income shall be disregarded. (B) No amount that the individual's employer pays to obtain health insurance for one or more members of the individual's family shall be treated as ... |
|
Section 5163.094 | Amount of annual individual premium.
...An individual shall not be required to pay a premium as a condition of qualifying for the medicaid buy-in for workers with disabilities program. |
|
Section 5163.095 | Eligibility not denied due to services received under home and community-based services medicaid waiver component.
...No individual shall be denied eligibility for the medicaid buy-in for workers with disabilities program on the basis that the individual receives services under a home and community-based services medicaid waiver component. |
|
Section 5163.096 | Continued participation where employment ceases.
...ontinues to meet all other eligibility requirements for the program. |
|
Section 5163.097 | Director to make federally required changes.
...If the United States secretary of health and human services requires that a provision of the medicaid buy-in for workers with disabilities program be changed or removed in order for the secretary to approve the program or to avoid an extended delay in the secretary's approval, the medicaid director shall make the change or removal. The change or removal may cause the medicaid buy-in for workers with disabilitie... |
|
Section 5163.098 | Program implementing rules; disregarded income.
... (3) Establish additional eligibility requirements for the program that must be established for the United States secretary of health and human services to approve the program ; (B) The director may adopt rules under section 5163.02 of the Revised Code to specify amounts to be disregarded from an individual's earned income, unearned income, or both under division (C) of section 5163.093 of the Revised Code for th... |