Ohio Revised Code Search
| Section |
|---|
|
Section 5162.30 | Medicaid administrative claiming program.
...ve costs incurred by the department of health and the Arthur G. James cancer hospital and Richard J. Solove research institute of the Ohio state university in analyzing and evaluating both of the following pursuant to sections 3701.261 and 3701.262 of the Revised Code: (1) Cancer reports under the Ohio cancer incidence surveillance system; (2) The incidence, prevalence, costs, and medical consequences of ca... |
|
Section 5162.31 | Local funds expended for administration of the healthy start component.
...ily services for administration of the healthy start component shall be considered to have been expended by the state for the purpose of determining the extent to which the state has complied with any federal requirement that the state provide funds to match federal financial participation for the medicaid program. This section does not affect the amount of funds a county is entitled to receive under sections ... |
|
Section 5162.32 | Contracts with political subdivisions to pay nonfederal share.
...The department of medicaid may enter into contracts with political subdivisions to use funds of the political subdivision to pay the nonfederal share of expenditures under the medicaid program. The determination and provision of federal financial participation to a subdivision entering into a contract under this section shall be determined by the department, subject to section 5162.40 of the Revised Code. |
|
Section 5162.35 | Contracts for administration of components.
...The department of medicaid may enter into contracts with one or more other state agencies or political subdivisions to have the state agency or political subdivision administer one or more components of the medicaid program, or one or more aspects of a component, under the department's supervision. A state agency or political subdivision that enters into such a contract shall comply with the terms of the contra... |
|
Section 5162.36 | Medicaid school component.
...The medicaid director shall create, in accordance with sections 5162.36 to 5 162.366 of the Revised Code, the medicaid school component of the medicaid program. |
|
Section 5162.361 | Claim by qualified medicaid school provider.
...A qualified medicaid school provider participating in the medicaid school component of the medicaid program may submit a claim to the department of medicaid for federal financial participation for providing, in schools, services covered by the medicaid school component to medicaid recipients who are eligible for the services. No qualified medicaid school provider may submit such a claim before the provider incurs the... |
|
Section 5162.362 | Federal financial participation for medicaid school claims.
...The department of medicaid shall seek federal financial participation for each claim a qualified medicaid school provider properly submits to the department under section 5162.361 of the Revised Code. The department shall disburse the federal financial participation the department receives from the federal government for such a claim to the qualified medicaid school provider that submitted the claim. The depart... |
|
Section 5162.363 | Administration of medicaid school component.
...The department of medicaid shall enter into an interagency agreement with the department of education and workforce under section 5162.35 of the Revised Code that provides for the department of education and workforce to administer the medicaid school component of the medicaid program other than the aspects of the component that sections 5162.36 to 5162.366 of the Revised Code require the department of medicaid to ad... |
|
Section 5162.364 | Adoption of rules for medicaid school component.
...The medicaid director shall adopt rules under section 5162.02 of the Revised Code as necessary to implement the medicaid school component of the medicaid program, including rules that establish or specify all of the following: (A) Conditions a board of education of a city, local, or exempted school district, a governing board of an educational service center, governing authority of a community school established u... |
|
Section 5162.365 | Responsibility for repaying overpayments.
...(A) A qualified medicaid school provider is solely responsible for timely repaying any overpayment that the provider receives under the medicaid school component of the medicaid program and that is discovered by a federal or state audit. This is the case regardless of whether the audit's finding identifies the provider, department of medicaid, or department of education and workforce as being responsible for the over... |
|
Section 5162.366 | Referrals for certain services under the Medicaid School Program.
...(A) Subject to division (B) of this section and for the purpose of a medicaid recipient receiving, in accordance with the recipient's individualized education program, physical therapy services, occupational therapy services, speech-language pathology services, or audiology services under the medicaid school component of the medicaid program: (1) A physical therapist is a licensed practitioner of the healing arts fo... |
|
Section 5162.37 | Contract approval required.
...ters into with the department of mental health and addiction services under section 5162.35 of the Revised Code is subject to the approval of the director of budget and management and shall require or specify all of the following: (A) That section 5162.371 of the Revised Code be complied with; (B) How providers will be paid for providing the services; (C) The responsibilities of the department of mental health... |
|
Section 5162.371 | Contracts with department of mental health and addiction services; payment of nonfederal share of medicaid payment.
... contract with the department of mental health and addiction services under section 5162.35 of the Revised Code, the department of medicaid shall pay the nonfederal share of any medicaid payment to a provider for services under the component, or aspect of the component, the department of mental health and addiction services administers. |
|
Section 5162.40 | Retaining or collecting percentage of federal financial participation.
...his section shall be deposited into the health care/medicaid support and recoveries fund created under section 5162.52 of the Revised Code. |
|
Section 5162.41 | Retaining or collecting percentage of supplemental payment.
...his section shall be deposited into the health care/medicaid support and recoveries fund created under section 5162.52 of the Revised Code. |
|
Section 5162.50 | Health care-federal fund.
...(A) The health care - federal fund is hereby created in the state treasury. All of the following shall be credited to the fund: (1) Funds that division (B) of section 5168.11 of the Revised Code requires be credited to the fund; (2) The federal share of all rebates paid by drug manufacturers to the department of medicaid in accordance with a rebate agreement required by the "Social Security Act," section 192... |
|
Section 5162.52 | Health care/medicaid support and recoveries fund.
...(A) The health care/medicaid support and recoveries fund is hereby created in the state treasury. All of the following shall be credited to the fund: (1) Except as otherwise provided by statute or as authorized by the controlling board, the nonfederal share of all medicaid-related revenues, collections, and recoveries; (2) Federal reimbursement received for payment adjustments made pursuant to section 1923 of t... |
|
Section 5162.56 | Health care special activities fund.
...e is created in the state treasury the health care special activities fund. The department of medicaid shall deposit all funds it receives pursuant to the administration of the medicaid program into the fund, other than any such funds that are required by law to be deposited into another fund. The department shall use the money in the fund to pay for expenses related to the services provided under, and the admi... |
|
Section 5162.65 | Refunds and reconciliation fund.
...There is hereby created in the state treasury the refunds and reconciliation fund. Money the department of medicaid receives from a refund or reconciliation shall be deposited into the refunds and reconciliation fund if the department does not know the appropriate fund for the money at the time the department receives the money or if the money is to go to another government entity. Money transferred from the departm... |
|
Section 5162.66 | Residents protection fund.
...f the following: (a) Protection of the health or property of residents of nursing facilities in which the department of health finds deficiencies, including payment for the costs of relocation of residents to other facilities; (b) Maintenance of operation of a facility pending correction of deficiencies or closure; (c) Reimbursement of residents for the loss of money managed by the facility under section 3721.15 o... |
|
Section 5162.70 | Reforms to medicaid program.
... (a) Improving the physical and mental health of medicaid recipients; (b) Providing for medicaid recipients to receive medicaid services in the most cost-effective and sustainable manner; (c) Removing barriers that impede medicaid recipients' ability to transfer to lower cost, and more appropriate, medicaid services, including home and community-based services; (d) Establishing medicaid payment rates that e... |
|
Section 5162.71 | Implementation of systems to improve health and reduce health disparities.
...oth 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.
...ies 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. |