Section 5168.01 | [Repealed Effective 10/16/2023] Hospital Care Assurance Program Definitions.
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly As used in sections 5168.01 to 5168.14 of the Revised Code: (A) “Bad debt,” “charity care,” “courtesy care,” and “contractual allowances” have the same meanings given these terms in regulations adopted under Title XVIII of the “Social Security Act,” 42 U.S.C. 1395 […]
Section 5168.02 | [Repealed Effective 10/16/2023] Adoption of Rules.
Effective: December 31, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) The medicaid director shall adopt rules in accordance with Chapter 119. of the Revised Code for the purpose of administering sections 5168.01 to 5168.14 of the Revised Code, including rules that do all of the following: (1) Define as a “disproportionate […]
Section 5168.03 | [Repealed Effective 10/16/2023] Provisions Dependent on Assessment as Permissible Health Care-Related Tax.
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly The requirements of sections 5168.06 to 5168.09 of the Revised Code apply only as long as the United States centers for medicare and medicaid services determines that the assessment imposed under section 5168.06 of the Revised Code is a permissible health care-related […]
Section 5168.04 | [Repealed Effective 10/16/2023] Program Year Basis of Operation.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid shall operate the hospital care assurance program established by sections 5168.01 to 5168.14 of the Revised Code on a program year basis. The department shall complete all program requirements on or before the thirtieth day of September each […]
Section 5168.05 | [Repealed Effective 10/16/2023] Submitting Financial Statement and Cost Report.
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) Except as provided in division (C) of this section, each hospital, on or before the first day of July of each year or at a later date approved by the medicaid director, shall submit to the department of medicaid a financial […]
Section 5168.06 | [Repealed Effective 10/16/2023] Annual Assessment.
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly (A) For the purpose of distributing funds to hospitals under the medicaid program pursuant to sections 5168.01 to 5168.14 of the Revised Code and depositing funds into the health care/medicaid support and recoveries fund created under section 5162.52 of the Revised Code, […]
Section 5167.26 | Records for Determining Costs.
Effective: October 17, 2019 Latest Legislation: House Bill 166 – 133rd General Assembly For the purpose of determining the amount the department of medicaid pays hospitals under section 5168.09 of the Revised Code and the amount of disproportionate share hospital payments paid by the medicare program pursuant to section 1915 of the “Social Security Act,” […]
Section 5167.30 | Managed Care Performance Payment Program.
Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A)(1) The department of medicaid shall establish a managed care performance payment program. Under the program, the department may provide payments to medicaid managed care organizations that meet performance standards established by the department. (2) In establishing performance standards, the department may […]
Section 5167.31 | Financial Incentive Awards.
Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid may provide financial incentive awards to medicaid managed care organizations that meet or exceed performance standards specified in provider agreements or rules adopted by the medicaid director under section 5167.02 of the Revised Code. The department may specify […]
Section 5167.32 | Improving Integrity of Care Management System.
Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly Not later than July 1, 2016, the department of medicaid shall implement strategies to improve the integrity of the care management system, including strategies to do both of the following: (A) Increase the department’s oversight of medicaid managed care organizations; (B) Provide […]