Section 5160.293 | Construction.
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 […]
Section 5160.30 | Administrative Activities for Medical Assistance Programs.
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 […]
Section 5160.31 | Appeals Regarding Determination of Eligibility for Medical Assistance Program.
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 […]
Section 5160.34 | Medical Assistance Programs With Prior Authorization Requirements.
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) […]
Section 5160.35 | Recovery of Medical Support Definitions.
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 […]
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 […]
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 […]