Effective: April 6, 2017
Latest Legislation: Senate Bill 332 - 131st General Assembly
(A) The department of medicaid shall conduct periodic reviews to determine the barriers that medicaid recipients face in gaining full access to interventions intended to reduce tobacco use, prevent prematurity, and promote optimal birth spacing. The first review shall occur not later than sixty days after the effective date of this section. Thereafter, reviews shall be conducted every six months. The department shall prepare a report that summarizes the results of each review, which must contain the information specified in division (C)(1) or (2) of this section, as applicable. Each report shall be submitted to the commission on infant mortality, the joint medicaid oversight committee, and the general assembly. Submissions to the general assembly shall be made in accordance with section 101.68 of the Revised Code.
(B) The department shall make a presentation on each report at the first meeting of the commission on infant mortality that follows the report's submission to the commission.
(C)(1) All of the following shall be in the first report submitted in accordance with division (A) of this section:
(a) Identification of the access barriers described in division (A) of this section, the individuals affected by the barriers, and whether the barriers result from policies implemented by the department, medicaid managed care organizations, providers, or others;
(b) Recommendations for the expedient removal of the access barriers;
(c) An analysis of the performance of the fee-for-service component of medicaid and the performance of each medicaid managed care organization on health metrics pertaining to tobacco cessation, prematurity prevention, and birth spacing;
(d) Any other information the department considers pertinent to the report's topic.
(2) All of the following shall be in each subsequent report submitted in accordance with division (A) of this section:
(a) The progress that has been made on removing the access barriers described in division (A) of this section and the impact such progress has had on reducing the infant mortality rate in this state;
(b) A performance analysis of the fee-for-service component of medicaid and each medicaid managed care organization on health metrics pertaining to tobacco cessation, prematurity prevention, and birth spacing;
(c) Any other information the department considers pertinent.
Structure Ohio Revised Code
Chapter 5162 | Medicaid and Medicaid Funds
Section 5162.01 | Definitions.
Section 5162.02 | Rules for Implementation of Chapter.
Section 5162.021 | Adoption of Rules by Other State Agencies.
Section 5162.022 | Director's Rules Binding.
Section 5162.03 | Administration of Medicaid Program.
Section 5162.031 | Powers of Director.
Section 5162.04 | No State Cause of Action to Enforce Federal Laws.
Section 5162.05 | Implementation of Medicaid Program.
Section 5162.06 | Components Requiring Federal Approval or Funding.
Section 5162.07 | Federal Approval for Permissive Components Not Required.
Section 5162.10 | Review of Medicaid Program; Corrective Action; Sanctions.
Section 5162.11 | Contract for Data Collection and Warehouse Functions Assessment.
Section 5162.12 | Contracts for the Management of Medicaid Data Requests.
Section 5162.13 | Annual Report.
Section 5162.131 | Semiannual Reports on Controlling Increase in Costs.
Section 5162.132 | Annual Report Outlining Efforts to Minimize Fraud, Waste, and Abuse.
Section 5162.133 | Annual Program Report; Distribution; Contents.
Section 5162.134 | Annual Report of Integrated Care Delivery System Evaluation.
Section 5162.135 | Infant Mortality Scorecard.
Section 5162.1310 | Evaluation of Success of Expansion Eligibility Group.
Section 5162.15 | Information Required Where Annual Medicaid Payments Exceed $5 Million.
Section 5162.16 | Reporting Fraud, Waste, or Abuse.
Section 5162.20 | Cost-Sharing Requirements.
Section 5162.21 | Medicaid Estate Recovery Program.
Section 5162.211 | Lien Against Property of Recipient or Spouse as Part of Estate Recovery Program.
Section 5162.212 | Certification of Amounts Due Under Estate Recovery Program; Collection.
Section 5162.22 | Transfer of Personal Needs Allowance Account.
Section 5162.23 | Recovering Benefits Incorrectly Paid.
Section 5162.24 | Recovering Health Care Costs Provided to Child.
Section 5162.30 | Medicaid Administrative Claiming Program.
Section 5162.31 | Local Funds Expended for Administration of the Healthy Start Component.
Section 5162.32 | Contracts With Political Subdivisions to Pay Nonfederal Share.
Section 5162.35 | Contracts for Administration of Components.
Section 5162.36 | Medicaid School Component.
Section 5162.361 | Claim by Qualified Medicaid School Provider.
Section 5162.362 | Federal Financial Participation for Medicaid School Claims.
Section 5162.363 | Administration of Medicaid School Component.
Section 5162.364 | Adoption of Rules for Medicaid School Component.
Section 5162.365 | Responsibility for Repaying Overpayments.
Section 5162.366 | Referrals for Certain Services Under the Medicaid School Program.
Section 5162.37 | Contract Approval Required.
Section 5162.40 | Retaining or Collecting Percentage of Federal Financial Participation.
Section 5162.41 | Retaining or Collecting Percentage of Supplemental Payment.
Section 5162.50 | Health Care-Federal Fund.
Section 5162.52 | Health Care/medicaid Support and Recoveries Fund.
Section 5162.56 | Health Care Special Activities Fund.
Section 5162.65 | Refunds and Reconciliation Fund.
Section 5162.66 | Residents Protection Fund.
Section 5162.70 | Reforms to Medicaid Program.
Section 5162.71 | Implementation of Systems to Improve Health and Reduce Health Disparities.
Section 5162.72 | Strategies to Address Social Determinants of Health.
Section 5162.73 | Dental Services for Pregnant Medicaid Recipients.
Section 5162.75 | Notification of Veteran Services.
Section 5162.80 | Good Faith Estimates for Charges and Payments.