Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly As used in this chapter: “Caretaker relative” has the same meaning as in 42 C.F.R. 435.4 as that regulation is amended effective January 1, 2014. “Expansion eligibility group” means the medicaid eligibility group described in section 1902(a)(10)(A)(i)(VIII) of the “Social Security Act,” […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director shall adopt rules as necessary to implement this chapter. The rules shall establish eligibility requirements for the medicaid program. The rules may establish requirements for applying for medicaid and determining and verifying eligibility for medicaid. The rules shall be […]
Effective: November 22, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) Subject to section 5163.05 of the Revised Code, the medicaid program shall cover all mandatory eligibility groups. (B) The medicaid program shall cover all of the optional eligibility groups that state statutes require the medicaid program to cover. (C) The medicaid […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid program’s eligibility requirements for aged, blind, and disabled individuals may be more restrictive than the eligibility requirements for the supplemental security income program. Any such more restrictive eligibility requirements shall be consistent with the 209(b) option described in the “Social […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly The medicaid program shall cover all of the following optional eligibility groups: (A) The group consisting of children placed with adoptive parents who are specified in the “Social Security Act,” section 1902(a)(10)(A)(ii)(VIII), 42 U.S.C. 1396a(a)(10)(A)(ii)(VIII); (B) Subject to section 5163.061 of the […]
Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly The income eligibility threshold is two hundred per cent of the federal poverty line for women during pregnancy and the postpartum period beginning on the last day of the pregnancy who are covered by the medicaid program under division (B) of section […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director shall implement the option authorized by the “Social Security Act,” section 1931(b)(2)(C), 42 U.S.C. 1396u-1(b)(2)(C), to set the income eligibility threshold at ninety per cent of the federal poverty line for parents and caretaker relatives who are covered by […]
Effective: March 20, 2014 Latest Legislation: Senate Bill 206 – 130th General Assembly (A) As used in sections 5163.09 to 5163.098 of the Revised Code: “Applicant” means an individual who applies to participate in the medicaid buy-in for workers with disabilities program. “Earned income” has the meaning established by rules authorized by section 5163.098 of […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly Under the medicaid buy-in for workers with disabilities program, an individual who does all of the following in accordance with rules authorized by section 5163.098 of the Revised Code qualifies for the medicaid program: (A) Applies for the medicaid buy-in for workers […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) Except as provided in division (B) of this section, the maximum value of resources, less amounts disregarded pursuant to rules authorized by section 5163.098 of the Revised Code, that an individual may have without the individual exceeding the resource eligibility limit […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly For the purpose of determining whether an individual is within the income eligibility limit for the medicaid buy-in for workers with disabilities program, all of the following apply: (A) Twenty thousand dollars of the individual’s earned income shall be disregarded. (B) No […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly An individual whose income exceeds one hundred fifty per cent of the federal poverty line shall pay an annual premium as a condition of qualifying for the medicaid buy-in for workers with disabilities program. The amount of the premium shall be determined […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly No individual shall be denied eligibility for the medicaid buy-in for workers with disabilities program on the basis that the individual receives services under a home and community-based services medicaid waiver component.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly An individual participating in the medicaid buy-in for workers with disabilities program may continue to participate in the program for up to six months even though the individual ceases to have earnings from employment or to be an employed individual with a […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly If the United States secretary of health and human services requires that a provision of the medicaid buy-in for workers with disabilities program be changed or removed in order for the secretary to approve the program or to avoid an extended delay […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The medicaid director shall adopt rules under section 5163.02 of the Revised Code as necessary to implement the medicaid buy-in for workers with disabilities program. The rules shall do all of the following: (1) Specify assets, asset values, and amounts to […]
Effective: April 6, 2017 Latest Legislation: Senate Bill 332 – 131st General Assembly (A) As used in this section: ( 1) “Presumptive eligibility for pregnant women option” means the option available under section 1920 of the “Social Security Act,” 42 U.S.C. 1396r-1, to make ambulatory prenatal care available to pregnant women under the medicaid program […]
Effective: April 6, 2017 Latest Legislation: Senate Bill 332 – 131st General Assembly (A) As used in this section: (1) “Children’s hospital” has the same meaning as in section 2151.86 of the Revised Code. (2) “Federally qualified health center” has the same meaning as in section 1905(l)(2)(B) of the “Social Security Act,” 42 U.S.C. 1396d(l)(2)(B). […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly If a medicaid recipient is the beneficiary of a trust created pursuant to section 5815.28 of the Revised Code, then, notwithstanding any contrary provision of this chapter or of a rule adopted under section 5163.02 of the Revised Code, divisions (C) and […]
Effective: March 22, 2019 Latest Legislation: House Bill 595 – 132nd General Assembly (A)(1) This section applies only to either of the following: (a) Initial eligibility determinations for the medicaid program; (b) An appeal from an initial eligibility determination pursuant to section 5160.31 of the Revised Code. (2)(a) Except as provided in division (A)(2)(b) of […]
