Ohio Revised Code Search

...fter January 1, 2007, shall complete in-service training during the first year of the caseworker's continuous employment as a PCSA caseworker, except that the executive director of the public children services agency may waive the training requirement for a school of social work graduate who participated in the university partnership program described in division (E) of section 5101.141 of the Revised Code and as pro...

...y adopt rules governing public children services agencies' performance of their family services duties, including the family services duties that public children services agencies have under sections 5153.16 to 5153.19 of the Revised Code.

...f care furnished by the public children services agency or the board of county commissioners to any child having a legal residence in another county shall be charged to the county of legal residence. No expense shall be incurred by the agency or the board of county commissioners, on account of such care, except for temporary or emergency care, without the consent of the agency or board of county commissioners, or as ...

...l entity providing coverage for medical services or items to individuals on a self-insurance basis; (c) A health insuring corporation as defined in section 1751.01 of the Revised Code; (d) A group health plan as defined in 29 U.S.C. 1167; (e) A service benefit plan as referenced in 42 U.S.C. 1396a(a)(25); (f) A managed care organization; (g) A pharmacy benefit manager; (h) A third party administrato...

... a county department of job and family services, or an entity performing duties on behalf of the department or a county department. (B) Except as permitted by this section, section 5160.47, or rules authorized by section 5160.48 or 5160.481 of the Revised Code, or when required by federal law, no person or government entity shall use or disclose information regarding a medical assistance recipient for any pur...

..., county departments of job and family services, other state and county entities, contractors, grantees, private entities, or officials participating in the administration of medical assistance programs. The rules shall be adopted in accordance with Chapter 119. of the Revised Code. The rules may define who is an "authorized representative" for purposes of sections 5160.45 and 5160.46 of the Revised Code. The ...

...o county departments of job and family services; (3) Make payments to the United States department of health and human services from appropriations made to the department of medicaid for this purpose. (B) Rules authorized by division (A)(1) of this section shall be adopted as follows: (1) If the rules concern the department's duties regarding medicaid providers, under sections 5164.02 and 5165.02 of the Revi...

...id program paying for the individual's services in the institution, to spend for costs of medical or nursing care all of the individual's income except for an amount for personal needs specified by the department of medicaid; (c) Cannot reasonably be expected to be discharged from the institution and return home as determined by the department of medicaid. (4) "Qualified state long-term care insurance partner...

...g county departments of job and family services to take action to recover benefits incorrectly paid on behalf of medicaid recipients. The rules shall provide for recovery by the following methods: (1) Soliciting voluntary payments from recipients or from persons holding property in which a recipient has a legal or equitable interest; (2) Obtaining a lien on property pursuant to division (B) of this section. ...

...ct, a governing board of an educational service center, governing authority of a community school established under Chapter 3314. of the Revised Code,, and Ohio deaf and blind education services must meet to participate in the component; (B) Services the component covers; (C) Payment rates for the services the component covers. The rules shall be adopted in accordance with Chapter 119. of the Revised Code.

...artment 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.

...partment of mental health and addiction services under division (A) of section 5119.14 of the Revised Code; (3) Revenues the department of medicaid receives from another state agency for medicaid services pursuant to an interagency agreement; (4) The money the department of medicaid receives in a fiscal year for performing eligibility verification services necessary for compliance with the independent, certified ...

...evised Code. "Home and community-based services medicaid waiver component" has the same meaning as in section 5166.01 of the Revised Code. "Intermediate care facility for individuals with intellectual disabilities" and "ICF/IID" have the same meanings as in section 5124.01 of the Revised Code. "Mandatory eligibility groups" means the groups of individuals that must be covered by the medicaid state plan as a condit...

...the basis that the individual receives services under a home and community-based services medicaid waiver component.

...ogram shall cover occupational therapy services provided by an occupational therapist licensed under section 4755.08 of the Revised Code. Coverage shall not be limited to services provided in a hospital or nursing facility. Any licensed occupational therapist may enter into a provider agreement with the department of medicaid to provide occupational therapy services under the medicaid program.

...aid program may cover tobacco cessation services in addition to the services that must be covered under section 5164.10 of the Revised Code or may exclude coverage of additional tobacco cessation services.

...ent to provide home and community-based services as an independent provider under a home and community-based medicaid waiver component administered by the department of medicaid. "Criminal records check" has the same meaning as in section 109.572 of the Revised Code. "Disqualifying offense" means any of the offenses listed or described in divisions (A)(3)(a) to (e) of section 109.572 of the Revised Code. "In...

...partment of mental health and addiction services updates medicaid billing codes or medicaid payment rates for community behavioral health services as part of the behavioral health redesign, the departments shall conduct a beta test of the updates. Any medicaid provider of community behavioral health services may volunteer to participate in the beta test. An update may not begin to be implemented outside of the beta t...

...e county departments of job and family services to provide case management of nonemergency transportation services provided under the medicaid program. County departments shall provide the case management if required by the department in accordance with rules adopted under section 5164.02 of the Revised Code. The department shall determine, for the purposes of claiming federal financial participation, whether...

...with this chapter for nursing facility services the nursing facility provides to its residents who are medicaid recipients eligible for nursing facility services. (C) A provider agreement shall require the provider to do all of the following: (1) Maintain eligibility for the provider agreement as provided in section 5165.06 of the Revised Code; (2) Keep records relating to a cost reporting period for the gre...

...tates centers for medicare and medicaid services. (3) "Long-stay resident" means an individual who has resided in a nursing facility for at least one hundred one days. (4) "Nursing facilities for which a quality score was determined" includes nursing facilities that are determined to have a quality score of zero. (5) "SFF list" means the list of nursing facilities that the United States department of health ...

...d administers that provides state plan services and medicaid waiver component services pursuant to rules adopted for the medicaid program and a medicaid waiver that went into effect July 1, 1998. (B) The department of medicaid may create and administer two or more medicaid waiver components under which home and community-based services are provided to eligible individuals who need the level of care provided b...

...ection 340B(a)(4) of the "Public Health Service Act," 42 U.S.C. 256b(a)(4) and includes any pharmacy under contract with the entity to dispense drugs on behalf of the entity. (B) "Affiliated company" means an entity, including a third-party payer or specialty pharmacy, with common ownership, members of a board of directors, or managers, or that is a parent company, subsidiary company, jointly held company, or holdi...

...receive, both of the following types of services: (1) Home visits, which shall include depression screenings, for which federal financial participation is available under the targeted case management benefit; (2) Cognitive behavioral therapy, provided by a community mental health services provider, that is determined to be medically necessary through a depression screening conducted as part of a home visit. ...

...anization refers an enrollee to receive services, other than emergency services provided on or after January 1, 2007, at a hospital that participates in the medicaid program but is not under contract with the organization, the hospital shall provide the service for which the referral was made and shall accept from the organization, as payment in full, the amount derived from the payment rate used by the department of...