Effective: July 1, 2019 Latest Legislation: House Bill 119 – 132nd General Assembly (A)(1) As information described in division (A) of section 5160.29 of the Revised Code is received by the department of medicaid or an entity with which the department has entered into an agreement under section 5160.30 of the Revised Code, the department […]
Effective: July 1, 2019 Latest Legislation: House Bill 119 – 132nd General Assembly If a violation of section 2913.401 of the Revised Code or a similar offense is suspected in the process of determining or redetermining a medical assistance recipient’s eligibility, the case shall be referred for investigation to the county prosecutor of the county […]
Effective: July 1, 2019 Latest Legislation: House Bill 119 – 132nd General Assembly Nothing in sections 5160.29 to 5160.292 of the Revised Code prevents the department of medicaid or any entity with which the department has entered into an agreement under section 5160.30 of the Revised Code from doing either of the following: (A) Receiving […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) Except as provided in divisions (B) and (C) of this section, the department of medicaid may accept applications, determine eligibility, redetermine eligibility, and perform related administrative activities for medical assistance programs. (B) The department may enter into agreements with one or […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) A medical assistance recipient may appeal a decision regarding the recipient’s eligibility for a medical assistance program or services available to the recipient under a medical assistance program. (B) Regarding appeals authorized by this section, the department of medicaid shall do […]
Effective: March 21, 2017 Latest Legislation: House Bill 505 – 131st General Assembly (A) As used in this section: (1) “Chronic condition” means a medical condition that has persisted after reasonable efforts have been made to relieve or cure its cause and has continued, either continuously or episodically, for longer than six continuous months. (2) […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly As used in sections 5160.35 to 5160.43 of the Revised Code: (A) “Information” means all of the following: (1) An individual’s name, address, date of birth, and social security number; (2) The group or plan number, or other identifier, assigned by a […]
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) A medical assistance recipient’s enrollment in a medical assistance program gives an automatic right of recovery to the department of medicaid and a county department of job and family services against the liability of a third party for the cost of […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly In addition to the requirement of division (C) of section 5160.37 of the Revised Code to cooperate with the department of medicaid and county department of job and family services, a medical assistance recipient and the recipient’s attorney, if any, shall cooperate […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The application for, or enrollment in, a medical assistance program constitutes an automatic assignment of rights specified in division (B) of this section to the department of medicaid. This assignment includes the rights of the medical assistance recipient and also the […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) A third party shall cooperate with the department of medicaid in identifying individuals for the purpose of establishing third party liability regarding medical assistance programs. (B) In furtherance of the requirement in division (A) of this section and to allow the […]
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) As used in this section, “business day” means any day of the week excluding Saturday, Sunday, and a legal holiday, as defined in section 1.14 of the Revised Code. (B) Subject to divisions (C) and (D) of this section, a third […]
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) A payment made by a third party under division (B)(5) of section 5160.40 of the Revised Code on a claim for payment of a medical item or service provided to a medical assistance recipient is final on the date that is […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly No third party shall consider whether an individual is eligible for or enrolled in a medical assistance program when either of the following applies: (A) The individual seeks to obtain a policy or enroll in a plan or program operated or administered […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) If a third party violates section 5160.39, 5160.40, or 5160.41 of the Revised Code, a governmental entity that is responsible for issuing a license, certificate of authority, registration, or approval that authorizes the third party to do business in this state […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The medicaid director may adopt rules under section 5160.02 of the Revised Code to implement sections 5160.35 to 5160.43 of the Revised Code, including rules that specify what constitutes cooperating with efforts to obtain support or payments, or medical assistance payments, […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) As used in sections 5160.45 to 5160.481 of the Revised Code, “information” means all of the following: (1) Records, as defined in section 149.011 of the Revised Code; (2) Any other documents in any format; (3) Data derived from records and […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) For the purposes of section 5160.45 of the Revised Code, an authorization shall be made on a form that uses language understandable to the average person and contains all of the following: (1) A description of the information to be used […]
Effective: July 1, 2019 Latest Legislation: House Bill 119 – 132nd General Assembly (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 […]
Effective: March 23, 2016 Latest Legislation: Senate Bill 10 – 131st General Assembly (A) As used 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 […]
