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.
Section 5164.881 | Health Home Services.
Effective: October 12, 2016 Latest Legislation: House Bill 158 – 131st General Assembly The medicaid director, in consultation with the director of developmental disabilities, may develop and implement within the medicaid program a system under which eligible individuals with chronic conditions, as defined in the “Social Security Act,” section 1945 (h)(1), 42 U.S.C. 1396w-4(h)(1), who […]
Section 5164.89 | Case Management of Nonemergency Transportation Services.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid may require county departments of job and family services to provide case management of nonemergency transportation services provided under the medicaid program. County departments shall provide the case management if required by the department in accordance with rules […]
Section 5164.90 | Transition of Medicaid Recipients to Community Settings.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) As used in this section, “MFP demonstration project” means a money follows the person demonstration project that the United States secretary of health and human services is authorized to award under section 6071 of the “Deficit Reduction Act of 2005” (Pub. […]
Section 5164.91 | Integrated Care Delivery System.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director may implement a demonstration project called the integrated care delivery system to test and evaluate the integration of the care that dual eligible individuals receive under medicare and medicaid. No provision of Title LI of the Revised Code applies […]
Section 5164.76 | Manner of Payment for Community Mental Health Service Providers or Facilities and Alcohol and Drug Addiction Services.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) In rules adopted under section 5164.02 of the Revised Code, the medicaid director shall modify the manner or establish a new manner in which the following are paid under medicaid: (1) Community mental health service providers or facilities for providing community […]
Section 5164.761 | Beta Testing of Updates to Billing Codes or Payment Rates.
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly Before the department of medicaid or department of mental health and addiction services updates medicaid billing codes or medicaid payment rates for community behavioral health services as part of the behavioral health redesign, the departments shall conduct a beta test of the […]
Section 5164.757 | E-Prescribing Applications.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) As used in this section, “licensed health professional authorized to prescribe drugs” has the same meaning as in section 4729.01 of the Revised Code. (B) The medicaid director may acquire or specify technologies to provide information regarding medicaid recipient eligibility, claims […]