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Home » US Law » 2022 Ohio Revised Code » Title 51 | Public Welfare » Chapter 5160 | Medical Assistance Programs

Section 5160.01 | Definitions.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly As used in this chapter: (A) “Dual eligible individual” has the same meaning as in the “Social Security Act,” section 1915(h)(2)(B), 42 U.S.C. 1396n(h)(2)(B). A dual eligible individual is a medicare-medicaid enrollee (MME). (B) “Exchange” has the same meaning as in 45 […]

Section 5160.011 | References to Department or Director of Other Agencies.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly References to the department or director of public welfare, department or director of human services, department or director of job and family services, office of medical assistance, or medical assistance director in any statute, rule, contract, grant, or other document is deemed […]

Section 5160.02 | Rules.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director shall adopt rules as necessary to implement this chapter.

Section 5160.021 | Adoption of Rules.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) When the medicaid director is authorized by a statute to adopt a rule, the director shall adopt the rule in accordance with the following: (1) Chapter 119. of the Revised Code if either of the following applies: (a) The statute authorizing […]

Section 5160.03 | Authority of Medicaid Director.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director is the executive head of the department of medicaid. All duties conferred on the department by law or order of the director are under the director’s control and shall be performed in accordance with rules the director adopts.

Section 5160.04 | Assistant Director; Powers and Duties.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director shall appoint one assistant director for the department of medicaid. The assistant director shall exercise powers, and perform duties, as ordered by the medicaid director. The assistant director shall act as the medicaid director in the medicaid director’s absence […]

Section 5160.05 | Appointment of Employees.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director may appoint such employees as are necessary for the efficient operation of the department of medicaid. The director may prescribe the title and duties of the employees.

Section 5160.051 | Filling Positions With Peculiar and Exceptional Qualifications.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly If the medicaid director determines that a position with the department of medicaid can best be filled in accordance with division (A)(2) of section 124.30 of the Revised Code or without regard to a residency requirement established by a rule adopted by […]

Section 5160.052 | Procedures and Formats for Section 109.5721 Notices.

Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly The department of medicaid shall collaborate with the superintendent of the bureau of criminal identification and investigation to develop procedures and formats necessary to produce the notices described in division (D) of section 109.5721 of the Revised Code in a format that […]

Section 5160.06 | Fidelity Bonds.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director may require any of the employees of the department of medicaid who may be charged with custody or control of any public money or property or who is required to give bond, to give a bond, properly conditioned, in […]

Section 5160.10 | Expending Funds.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director may expend funds appropriated or available to the department of medicaid from persons and government entities. For purposes of this section, the director may enter into contracts or agreements with persons and government entities and make grants to persons […]

Section 5160.11 | State Health Care Grants Fund.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The state health care grants fund is hereby created in the state treasury. Money the department of medicaid receives from private foundations in support of pilot projects that promote exemplary programs that enhance programs the department administers shall be credited to the […]

Section 5160.13 | Maximizing Receipt of Federal Revenue.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid may enter into contracts with private entities to maximize federal revenue without the expenditure of state money. In selecting private entities with which to contract, the department shall engage in a request for proposals process. The department, subject […]

Section 5160.16 | Appointment of Agents.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid may appoint and commission any competent person to serve as a special agent, investigator, or representative to perform a designated duty for and on behalf of the department. Specific credentials shall be given by the department to each […]

Section 5160.20 | Audits and Investigations; Authority of Department.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The department of medicaid may conduct any audits or investigations that are necessary in the performance of the department’s duties, and to that end, the department has the same power as a judge of a county court to administer oaths and […]

Section 5160.21 | Audit of Medical Assistance Recipient.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly On the request of the medicaid director, the auditor of state may conduct an audit of any medical assistance recipient. If the auditor decides to conduct an audit under this section, the auditor shall enter into an interagency agreement with the department […]

Section 5160.22 | Examination of Records Regarding Medical Assistance Programs.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The auditor of state and attorney general, or their designees, may examine any records, whether in computer or printed format, in the possession of the medicaid director or any county director of job and family services, regarding medical assistance programs. The […]

Section 5160.23 | Audit Costs.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The auditor of state is responsible for the costs the auditor incurs in carrying out the auditor’s duties under sections 5160.21 and 5160.22 of the Revised Code.

Section 5160.29 | Verification of Eligibility for Medical Assistance Program.

Effective: July 1, 2019 Latest Legislation: House Bill 119 – 132nd General Assembly (A) As part of the process of determining an individual’s eligibility for a medical assistance program, at least all of the following information about the individual shall be verified: (1) Identity; (2) Citizenship and alien eligibility; (3) Social security number; (4) State […]