Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) As used in the Revised Code: (1) “Medicaid” and “medicaid program” mean the program of medical assistance established by Title XIX of the “Social Security Act,” 42 U.S.C. 1396 et seq., including any medical assistance provided under the medicaid state plan […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director shall adopt rules as necessary to implement this chapter.
Effective: November 22, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly The medicaid director shall adopt rules under sections 5160.02, 5162.02, 5163.02, 5164.02, 5165.02, 5166.02, and 5167.02 of the Revised Code as necessary to authorize the directors of other state agencies to adopt rules regarding medicaid components, or aspects of medicaid components, the […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director’s rules governing medicaid are binding on other state agencies and political subdivisions that administer one or more components of the medicaid program, or one or more aspects of a component, pursuant to contracts entered into under section 5162.35 of […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly For the purpose of the “Social Security Act,” section 1902(a)(5), 42 U.S.C. 1396a(a)(5), the department of medicaid shall act as the single state agency to supervise the administration of the medicaid program. As the single state agency, the department shall comply with […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The medicaid director may do all of the following as necessary for the department of medicaid to fulfill the duties it has, as the single state agency for the medicaid program, under the “Medicare Prescription Drug, Improvement, and Modernization Act of […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly As used in this section, “state agency” has the same meaning as in section 9.23 of the Revised Code. No provision of Title LI of the Revised Code or any other law of this state that incorporates any provision of federal medicaid […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid program shall be implemented in accordance with all of the following: (A) The medicaid state plan approved by the United States secretary of health and human services, including amendments to the plan approved by the United States secretary; (B) Federal […]
Effective: June 13, 2022 Latest Legislation: House Bill 136 – 134th General Assembly (A) Notwithstanding any other state statute except for section 5164.061 of the Revised Code, no component, or aspect of a component, of the medicaid program shall be implemented without all of the following: (1) Subject to division (B) of this section, if […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director shall seek federal approval for all components, and aspects of components, of the medicaid program for which federal approval is needed, except that the director is permitted rather than required to seek federal approval for components, and aspects of […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director may conduct reviews of the medicaid program. The reviews may include physical inspections of records and sites where medicaid services are provided and interviews of medicaid providers and medicaid recipients. If the director determines pursuant to a review that […]
Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly (A) The department of medicaid shall enter into an agreement with the department of administrative services for the department of administrative services to contract through competitive selection pursuant to section 125.07 of the Revised Code with a vendor to perform an assessment […]
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) The medicaid director shall enter into a contract with one or more persons to receive and process, on the director’s behalf, requests for medicaid recipient or claims payment data, data from reports of audits conducted under section 5165.109 of the Revised […]
Effective: April 6, 2017 Latest Legislation: Senate Bill 332 – 131st General Assembly (A) On or before the first day of January of each year, the department of medicaid shall complete a report on the effectiveness of the medicaid program in meeting the health care needs of low-income pregnant women, infants, and children. The report […]
Effective: March 20, 2014 Latest Legislation: Senate Bill 206 – 130th General Assembly Semiannually, the medicaid director shall complete a report on the establishment and implementation of programs designed to control the increase of the cost of the medicaid program, increase the efficiency of the medicaid program, and promote better health outcomes. The director shall […]
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) The department of medicaid shall periodically evaluate the success that members of the expansion eligibility group have with the following: (1) Obtaining employer-sponsored health insurance coverage; (2) Improving health conditions that would otherwise prevent or inhibit stable employment; (3) Improving the […]
Effective: March 20, 2014 Latest Legislation: Senate Bill 206 – 130th General Assembly Annually, the department of medicaid shall prepare a report on the department’s efforts to minimize fraud, waste, and abuse in the medicaid program. Each report shall be made available on the department’s web site. The department shall submit a copy of each […]
Effective: March 20, 2014 Latest Legislation: Senate Bill 206 – 130th General Assembly Not less than once each year, the medicaid director shall submit a report on the medicaid buy-in for workers with disabilities program to the governor, general assembly, and joint medicaid oversight committee. The copy to the general assembly shall be submitted in […]
Effective: March 20, 2014 Latest Legislation: Senate Bill 206 – 130th General Assembly Not later than the first day of each July, the medicaid director shall complete a report of the evaluation conducted under section 5164.911 of the Revised Code regarding the integrated care delivery system. The director shall provide a copy of the report […]
Effective: April 6, 2017 Latest Legislation: Senate Bill 332 – 131st General Assembly (A) As used in this section, “stillbirth” has the same meaning as in section 3701.97 of the Revised Code. (B) The department of medicaid shall create an infant mortality scorecard. The scorecard shall report all of the following: (1) The performance of […]
