Ohio Revised Code Search
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Section 5160.47 | Membership in the public assistance reporting information system and other multistate cooperatives.
...(A) The department of medicaid shall do both of the following: (1) Enter into any necessary agreements with the United States department of health and human services and neighboring states to join and participate as an active member in the public assistance reporting information system; (2) Explore joining other multistate cooperatives, such as the national accuracy clearinghouse, to identify individuals enrolled i... |
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Section 5160.471 | Review to determine eligibility for federal military-related health care benefits.
...ed in this section: "Federal military-related health care benefits" means any of the health care benefits provided by the United States department of defense or the United States department of veterans affairs to current or former service members and their eligible dependents, including the benefits provided through the programs known as tricare and champva. (B) (1) The department of medicaid shall review informati... |
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Section 5160.48 | Rules for conditions and procedures for the release of information.
...cify conditions and procedures for the release of information, which may include both of the following: (1) Permitting a provider of a service under a medical assistance program limited access to information that is essential for the provider to render the service or to bill for the service rendered; (2) Permitting a contractor, grantee, or other state or county entity limited access to information that is es... |
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Section 5160.481 | Adoption of rules by other agencies.
...s is held by any agency other than the department of medicaid or a county department of job and family services, that other agency shall adopt rules consistent with sections 5160.45 to 5160.481 of the Revised Code to prevent the publication or disclosure of names, lists, or other information concerning those recipients. |
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Section 5160.50 | Refugee medical assistance program.
...The department of medicaid shall administer the refugee medical assistance program authorized by the "Immigration and Nationality Act," section 412(e), 8 U.S.C. 1522(e). |
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Section 5160.52 | Authority to enter into interstate compacts for provision of medical assistance to children.
...e for the department of medicaid to develop, participate in the development of, negotiate, and enter into one or more interstate compacts on behalf of this state with agencies of any other states, for the provision of medical assistance to children in relation to whom all of the following apply: (A) They have special needs. (B) This state or another state that is a party to the interstate compact is providin... |
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Section 5160.99 | Penalty for unlawful disclosure of information.
...B) of section 5160.45 of the Revised Code is guilty of a misdemeanor of the first degree. |
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Section 5161.01 | Definitions.
...(A) As used in the Revised Code, "children's health insurance program" and, when used as an acronym for the children's health insurance program, "CHIP" mean the program of child health assistance authorized by Title XXI of the "Social Security Act," 42 U.S.C. 1397aa et seq. CHIP part I, CHIP part II, and CHIP part III, as authorized by this chapter, are components of CHIP. Any reference in statute enacted by th... |
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Section 5161.02 | Rules for administration of CHIP.
...ance with Chapter 119. of the Revised Code as necessary for the efficient administration of the children's health insurance program, including rules that establish all of the following: (A) The conditions under which the program will pay for health benefits coverage; (B) The method of the payment; (C) The amount of payment, or the method by which the amount is to be determined, for each service included in th... |
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Section 5161.05 | Continued operation of federal component.
...initially authorized by an executive order issued under section 107.17 of the Revised Code as long as federal financial participation is available for the program. If operated, the component shall pay for part or all of the cost of health benefits coverage for uninsured individuals under nineteen years of age with family incomes not exceeding one hundred fifty per cent of the federal poverty line. |
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Section 5161.06 | CHIP part I.
...ed by section 5161.05 of the Revised Code shall be known as CHIP part I. |
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Section 5161.10 | State child health plan.
...In accordance with federal law governing the children's health insurance program, the medicaid director may submit a state child health plan to the United States secretary of health and human services to pay, except as provided in section 5161.22 of the Revised Code, for part or all of the cost of health benefits coverage for uninsured individuals under nineteen years of age with family incomes above one hundre... |
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Section 5161.11 | CHIP part II.
...ed by section 5161.10 of the Revised Code shall be known as CHIP part II. |
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Section 5161.12 | Implementation of CHIP part II.
...cretary of health and human services under section 5161.10 of the Revised Code and the secretary approves the plan, the director shall implement CHIP part II in accordance with the plan. ; . |
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Section 5161.15 | Request for waiver to pay costs for certain individuals.
...In accordance with federal law governing the children's health insurance program, the medicaid director may submit a request for a federal waiver to the United States secretary of health and human services to pay, except as provided in section 5161.22 of the Revised Code, for part or all of the cost of health benefits coverage for individuals under nineteen years of age with family incomes above two hundred per... |
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Section 5161.16 | CHIP part III.
...ed by section 5161.15 of the Revised Code shall be known as CHIP part III. |
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Section 5161.17 | Implementation of CHIP part III.
...cretary of health and human services under section 5161.15 of the Revised Code and the secretary grants the waiver, the director shall implement CHIP part III in accordance with the waiver. |
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Section 5161.20 | Health benefits coverage.
...'s health insurance program shall provide payments for obtaining health benefits coverage through any of the following: (A) Obtaining coverage that meets the requirements the "Social Security Act," section 2103, of 42 U.S.C. 1397cc; (B) Providing benefits under the medicaid program; (C) A combination of divisions (A) and (B) of this section. |
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Section 5161.22 | Imposing restrictions where federal financial participation for CHIP parts II or III insufficient.
...dividuals the director anticipates are eligible for the part or parts, the director may refuse to accept new applications for the part or parts or may make the eligibility requirements more restrictive for the part or parts. |
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Section 5161.24 | Cost-sharing by individual receiving health assistance under CHIP part II.
... part II to pay a premium, deductible, coinsurance payment, or other cost-sharing expense. |
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Section 5161.25 | Premium payments.
...To the extent permitted by the "Social Security Act," section 2103(e), 42 U.S.C. 1397cc(e), the medicaid director shall require an individual seeking to enroll, or who is enrolled, in CHIP part III to pay the following as a term of enrollment: (A) A premium of not less than forty dollars per month for a family with one individual seeking to enroll, or who is enrolled, in the part; (B) A premium of not less th... |
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Section 5161.27 | Application for medicaid.
...n is for an assistance group that includes a child under nineteen years of age and is denied. |
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Section 5161.30 | Contract to perform administrative duties.
...cretary of health and human services under section 5161.10 of the Revised Code, the duty to submit a waiver request under section 5161.15 of the Revised Code, and the duty to adopt rules under section 5161.02 of the Revised Code. |
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Section 5161.35 | Waiver request to provide health assistance to certain individuals.
...y of health and human services to provide health assistance to any individual who meets all of the following requirements: (1) Is the parent of a child who is under nineteen years of age, resides with the parent, and is enrolled in the children's health insurance program part I or II or the medicaid program; (2) Is uninsured; (3) Has a family income that does not exceed one hundred per cent of the federal po... |
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Section 5162.01 | Definitions.
... in 45 C.F.R. 155.20. (2) "Expansion eligibility group" has the same meaning as in section 5163.01 of the Revised Code. (3) "Federal financial participation" has the same meaning as in section 5160.01 of the Revised Code. (4) "Federal poverty line" means the official poverty line defined by the United States office of management and budget based on the most recent data available from the United States bureau... |