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Home » US Law » 2022 Ohio Revised Code » Title 51 | Public Welfare » Chapter 5166 | Federal Medicaid Waiver Programs

Section 5166.01 | Definitions.

Effective: September 30, 2021 Latest Legislation: House Bill 110 – 134th General Assembly As used in this chapter: “209(b) option” means the option described in section 1902(f) of the “Social Security Act,” 42 U.S.C. 1396a(f), under which the medicaid program’s eligibility requirements for aged, blind, and disabled individuals are more restrictive than the eligibility requirements […]

Section 5166.02 | Rules Governing Medicaid Waiver Components.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) The medicaid director shall adopt rules in accordance with Chapter 119. of the Revised Code governing medicaid waiver components. The rules may establish all of the following: (1) Eligibility requirements for the medicaid waiver components; (2) The type, amount, duration, and […]

Section 5166.03 | Notice of Intent to Request Medicaid Waiver.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The medicaid director may not submit a request to the United States secretary of health and human services for a medicaid waiver under the “Social Security Act,” section 1115, 42 U.S.C. 1315, unless the director provides the speaker of the house of […]

Section 5166.04 | Home and Community-Based Services Medicaid Waiver Components.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The following requirements apply to each home and community-based services medicaid waiver component: (A) Only an individual who qualifies for a component shall receive that component’s medicaid services. (B) A level of care determination shall be made as part of the process […]

Section 5166.041 | Provision of Nursing Services in a Group Visit Under a Home and Community-Based Services Medicaid Waiver Component.

Effective: October 12, 2016 Latest Legislation: House Bill 483 – 131st General Assembly A medicaid provider of nursing services may provide nursing services in a group visit under a home and community-based services medicaid waiver component if the component covers the nursing services, the number of medicaid recipients who receive the nursing services during the […]

Section 5166.05 | Review of Plans of Care and Individual Service Plans.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid may review and approve, modify, or deny written plans of care and individual service plans that section 5166.04 of the Revised Code requires be created for individuals determined eligible for a home and community-based services medicaid waiver component. […]

Section 5166.06 | Agency Records of Costs of Medicaid Waiver Components.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly Each administrative agency shall maintain, for a period of time the department of medicaid shall specify, financial records documenting the costs of medicaid services provided under the home and community-based services medicaid waiver components that the agency administers, including records of independent […]

Section 5166.09 | Reservation of Participant Capacity for Individuals Related to Active Duty Military Who Were Receiving Services in Another State.

Effective: September 15, 2020 Latest Legislation: House Bill 287 – 133rd General Assembly Every home and community-based services medicaid waiver component shall reserve a portion of the participant capacity of the waiver for eligible individuals whose spouse or parent or legal guardian is an active duty military service member and, at the time of the […]

Section 5166.10 | Transfer of Enrollee in One Medicaid Waiver Component to Another.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly To the extent necessary for the efficient and economical administration of medicaid waiver components, the department of medicaid may transfer an individual enrolled in a medicaid waiver component administered by the department to another medicaid waiver component the department administers if the […]

Section 5166.12 | Determination Regarding Continuation of the Ohio Home Care Waiver Program.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly ( If the unified long-term services and support medicaid waiver component is created, the departments of aging and medicaid shall collaborate to determine whether the Ohio home care waiver program should continue to operate as a separate medicaid waiver component or be […]

Section 5166.121 | Home First Component for the Ohio Home Care Waiver Program.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly (A) Unless the Ohio home care waiver program is terminated pursuant to section 5165.12 of the Revised Code, the department of medicaid shall establish a home first component for the Ohio home care waiver program. An individual is eligible for the Ohio […]

Section 5166.14 | Unified Long-Term Services and Support Medicaid Waiver Component.

Effective: September 29, 2013 Latest Legislation: House Bill 59 – 130th General Assembly The department of medicaid shall create a unified long-term services and support medicaid waiver component to provide home and community-based services to eligible individuals of any age who require the level of care provided by nursing facilities. The department of medicaid shall […]

Section 5166.16 | Integrated Care Delivery System Medicaid Waiver.

Effective: September 29, 2017 Latest Legislation: House Bill 49 – 132nd General Assembly (A) As used in this section and section 5166.161 of the Revised Code, “ODA or MCD medicaid waiver component” means all of the following: (1) The medicaid-funded component of the PASSPORT program, unless it is terminated pursuant to division (C) of section […]

Section 5166.161 | Home and Community-Based Services for Holocaust Survivors.

Effective: September 29, 2015 Latest Legislation: House Bill 64 – 131st General Assembly The department of medicaid shall ensure that each ICDS participant who is a survivor of the Holocaust that occurred in Europe during World War II receives, while enrolled in the ICDS medicaid waiver component, home and community-based services of the type and […]

Section 5166.20 | Additional Medicaid Waiver Components for Home and Community-Based Services.

Effective: October 12, 2016 Latest Legislation: House Bill 158 – 131st General Assembly (A) The department of medicaid may create the following: (1) One or more medicaid waiver components under which home and community-based services are provided to individuals with developmental disabilities as an alternative to placement in ICFs/IID; (2) One or more medicaid waiver […]

Section 5166.21 | Transitions Developmental Disabilities Waiver.

Effective: October 12, 2016 Latest Legislation: House Bill 158 – 131st General Assembly The department of medicaid shall enter into a contract with the department of developmental disabilities under section 5162.35 of the Revised Code with regard to one or more of the medicaid waiver components created by the department of medicaid under section 5166.20 […]