Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly As used in this chapter: (A) “Adjudication” has the same meaning as in section 119.01 of the Revised Code. (B) “Behavioral health redesign” means revisions to the medicaid program’s coverage of community behavioral health services beginning July 1, 2017, including revisions that […]
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) The medicaid director shall adopt rules as necessary to implement this chapter. The rules shall be adopted in accordance with Chapter 119. of the Revised Code. (B) The rules shall establish all of the following: (1) The amount, duration, and scope […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The medicaid program shall cover all mandatory services. (B) The medicaid program shall cover all of the optional services that state statutes require the medicaid program to cover. (C) The medicaid program may cover any of the optional services to which […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) As used in this section: (1) “Outpatient health facility” means a facility that provides comprehensive primary health services by or under the direction of a physician at least five days per week on a forty-hour per week basis to outpatients, is […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid program shall cover occupational therapy services provided by an occupational therapist licensed under section 4755.08 of the Revised Code. Coverage shall not be limited to services provided in a hospital or nursing facility. Any licensed occupational therapist may enter into […]
Effective: June 13, 2022 Latest Legislation: House Bill 136 – 134th General Assembly (A) As used in this section: (1) “Prescriber” has the same meaning as in section 4729.01 of the Revised Code, but does not include a dentist, optometrist, or veterinarian. (2) “Prior authorization requirement” means any practice in which coverage of a health […]
Effective: April 6, 2017 Latest Legislation: House Bill 216 – 131st General Assembly (A) The medicaid program shall include coverage of inpatient care and follow-up care for a mother and her newborn as follows: (1) The medicaid program shall cover a minimum of forty-eight hours of inpatient care following a normal vaginal delivery and a […]
Effective: September 23, 2022 Latest Legislation: House Bill 371 – 134th General Assembly (A) As used in this section: (1) “Screening mammography” means a radiologic examination utilized to detect unsuspected breast cancer at an early stage in asymptomatic women and includes the x-ray examination of the breast using equipment that is dedicated specifically for mammography, […]
Effective: January 1, 2015 Latest Legislation: Senate Bill 99 – 130th General Assembly (A) Except as provided in division (C) of this section, the medicaid program shall cover prescribed, orally administered cancer medications on at least the same basis that it covers intraveneously administered or injected cancer medications. In implementing this section, the department of […]
Effective: April 6, 2017 Latest Legislation: Senate Bill 319 – 131st General Assembly (A) As used in this section: (1) “Benzodiazepine” has the same meaning as in section 3719.01 of the Revised Code. (2) “Chronic pain” has the same meaning as in section 4731.052 of the Revised Code. (3) “Hospice care program” and “hospice patient” […]
Effective: September 18, 2020 Latest Legislation: House Bill 11 – 133rd General Assembly (A) The medicaid program shall cover both of the following, subject to division (C) of this section: (1) All tobacco cessation medications approved by the United States food and drug administration; (2) All forms of tobacco cessation services recommended by the United […]
Effective: December 16, 2020 Latest Legislation: House Bill 203 – 133rd General Assembly The medicaid program may cover a health care service that a pharmacist provides to a medicaid recipient in accordance with Chapter 4729. of the Revised Code, including any of the following services: (A) Managing drug therapy under a consult agreement pursuant to […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) As used in this section: (1) “Community mental health services provider or facility” means a community mental health services provider or facility that has its community mental health services certified by the department of mental health and addiction services under section […]
Effective: September 18, 2020 Latest Legislation: House Bill 11 – 133rd General Assembly The medicaid program may cover one or more state plan home and community-based services that the department of medicaid selects for coverage. A medicaid recipient of any age may receive a state plan home and community-based service if the recipient has countable […]
Effective: September 18, 2020 Latest Legislation: House Bill 11 – 133rd General Assembly The medicaid program may cover tobacco cessation services in addition to the services that must be covered under section 5164.10 of the Revised Code or may exclude coverage of additional tobacco cessation services.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid program shall not cover prescribed drugs for treatment of erectile dysfunction.
Effective: October 12, 2016 Latest Legislation: House Bill 158 – 131st General Assembly The departments of developmental disabilities and medicaid may approve, reduce, deny, or terminate a medicaid service included in the individual service plan developed for a medicaid recipient with a developmental disability who is eligible for medicaid case management services. If either department […]
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid shall establish a combination of written and oral methods designed to provide information about healthcheck to all persons eligible for the program or their parents or guardians. The department shall ensure that its methods of providing information are […]
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly Not later than December 31, 2018, the department of medicaid shall develop and implement revisions to the system by which persons and government entities become and remain medicaid providers so that there is a single system of records for the system and […]
Effective: March 23, 2022 Latest Legislation: House Bill 122 – 134th General Assembly The department of medicaid shall establish a credentialing program that includes a credentialing committee to review the competence, professional conduct, and quality of care provided by medicaid providers. Any activities performed by the credentialing committee shall be considered activities of a peer […]
