Section 5166.403 | Debit Swipe Cards.
Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly (A) A managed care organization that offers the health plan in which a healthy Ohio program participant enrolls shall issue a debit swipe card to be used to pay only for the following: (1) Until the amount of the noncore portion of […]
Section 5166.404 | Points Award System.
Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly (A) The medicaid director shall establish a system under which points are awarded in accordance with this section to healthy Ohio program debit swipe cards. One dollar of medicaid funds shall be deposited into a healthy Ohio program participant’s buckeye account for […]
Section 5166.405 | Cessation of Participation.
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) A healthy Ohio program participant’s participation in the program shall cease if any of the following applies: (1) Unless the participant is pregnant, a monthly installment payment to the participant’s buckeye account is sixty days late. (2) The participant fails to […]
Section 5166.406 | Exhaustion of Payout Limits.
Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly If a healthy Ohio program participant exhausts the annual or lifetime payout limits specified in division (D) of section 5166.401 of the Revised Code, the participant shall be transferred to the fee-for-service component of medicaid or the care management system. A participant […]
Section 5166.407 | Disqualification for Medicaid; Disposition of Remainder in Buckeye Account.
Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly (A) If a healthy Ohio program participant ceases to qualify for medicaid due to increased family countable income and purchases a health insurance policy or obtains health care coverage under an eligible employer-sponsored health plan, the amount remaining in the former participant’s […]
Section 5166.408 | Referral to Workforce Development Agency.
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly Each county department of job and family services shall offer to refer to a local board each healthy Ohio program participant who resides in the county served by the county department and is either unemployed or employed for less than an average […]
Section 5166.409 | Rules.
Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly The medicaid director shall adopt rules under section 5166.02 of the Revised Code to do all of the following: (A) For the purpose of division (F)(1)(a) of section 5166.402 of the Revised Code, establish requirements regarding preventative health services for healthy Ohio […]
Section 5166.37 | Medicaid Waiver – Additional Eligibility Requirements for Members of Expansion Group.
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly The medicaid director shall establish a medicaid waiver component under which an individual eligible for medicaid on the basis of being included in the expansion eligibility group must satisfy at least one of the following requirements to be able to enroll in […]
Section 5166.40 | Definitions.
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) As used in sections 5166.40 to 5166.409 of the Revised Code: (1) “Adult” means an individual who is at least eighteen years of age. (2) “Buckeye account” means a modified health savings account established under section 5166.402 of the Revised Code. […]
Section 5166.401 | Enrolllment for Healthy Ohio Program Participants.
Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly A healthy Ohio program participant shall enroll in a comprehensive health plan offered by a managed care organization under contract with the department of medicaid. All of the following apply to the health plan: (A) It shall cover physician, hospital inpatient, hospital […]