Section 5164.911 | Integrated Care Delivery System Evaluation.
Effective: March 20, 2014 Latest Legislation: Senate Bill 206 – 130th General Assembly (A) If the medicaid director implements the integrated care delivery system and except as provided in division (C) of this section, the director shall annually evaluate all of the following: (1) The health outcomes of ICDS participants; (2) How changes to the […]
Section 5164.912 | Integrated Care Delivery System Standardized Claim Form.
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly The medicaid director shall select from among universally accepted claim forms used in the United States a standardized claim form for each type of medicaid provider that provides medicaid services under the integrated care delivery system. The director shall create standardized claim […]
Section 5164.92 | Advanced Diagnostic Imaging Services Coverage Under Medicaid Program.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly As used in this section, “advanced diagnostic imaging services” means magnetic resonance imaging services, computed tomography services, positron emission tomography services, cardiac nuclear medicine services, and similar imaging services. The department of medicaid shall implement evidence-based, best practice guidelines or protocols and […]
Section 5164.93 | Incentive Payments for Adoption and Use of Electronic Health Record Technology.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The department of medicaid may establish a program under which it provides incentive payments, as authorized by the “Social Security Act,” section 1903(a)(3)(F) and (t), 42 U.S.C. 1396b(a)(3)(F) and (t), to encourage the adoption and use of electronic health record technology […]
Section 5164.94 | Delivery of Services in Culturally and Linguistically Appropriate Manners.
Effective: March 20, 2014 Latest Legislation: Senate Bill 206 – 130th General Assembly The medicaid director shall implement within the medicaid program a system that encourages medicaid providers to provide medicaid services to medicaid recipients in culturally and linguistically appropriate manners.
Section 5164.95 | Standards for Payments for Telehealth Services; Eligible Practitioners.
Effective: March 23, 2022 Latest Legislation: House Bill 122 – 134th General Assembly (A) As used in this section, “telehealth service” means a health care service delivered to a patient through the use of interactive audio, video, or other telecommunications or electronic technology from a site other than the site where the patient is located. […]
Section 5164.951 | Standards for Medicaid Payments for Services Provided Through Teledentistry.
Effective: March 20, 2019 Latest Legislation: Senate Bill 259 – 132nd General Assembly As used in this section, “teledentistry” has the same meaning as in section 4715.43 of the Revised Code. The department of medicaid shall establish standards for medicaid payments for services provided through teledentistry. The standards shall provide coverage for services to the […]
Section 5164.85 | Enrolling in Group Health Plan.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) As used in this section, “cost-effective” and “group health plan” have the same meanings as in the “Social Security Act,” section 1906, 42 U.S.C. 1396e, and any regulations adopted under that section. (B) The department of medicaid may implement a program […]
Section 5164.86 | Qualified State Long-Term Care Insurance Partnership Program.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director shall establish a qualified state long-term care insurance partnership program consistent with the definition of that term in the “Social Security Act,” section 1917(b)(1)(C)(iii), 42 U.S.C. 1396p(b)(1)(C)(iii). An individual participating in the program who is subject to the medicaid […]
Section 5164.88 | Coordinated Care Through Health Homes.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director may implement within the medicaid program a system under which medicaid recipients with chronic conditions are provided with coordinated care through health homes, as authorized by the “Social Security Act,” section 1945, 42 U.S.C. 1396w-4.