Effective: October 17, 2019
Latest Legislation: House Bill 166 - 133rd General Assembly
(A) The health care/medicaid support and recoveries fund is hereby created in the state treasury. All of the following shall be credited to the fund:
(1) Except as otherwise provided by statute or as authorized by the controlling board, the nonfederal share of all medicaid-related revenues, collections, and recoveries;
(2) Federal reimbursement received for payment adjustments made pursuant to section 1923 of the "Social Security Act," 42 U.S.C. 1396r-4, under the medicaid program to state mental health hospitals maintained and operated by the department of mental health and addiction services under division (A) of section 5119.14 of the Revised Code;
(3) Revenues the department of medicaid receives from another state agency for medicaid services pursuant to an interagency agreement;
(4) The money the department of medicaid receives in a fiscal year for performing eligibility verification services necessary for compliance with the independent, certified audit requirement of 42 C.F.R. 455.304;
(5) The nonfederal share of all rebates paid by drug manufacturers to the department of medicaid in accordance with a rebate agreement required by section 1927 of the "Social Security Act," 42 U.S.C. 1396r-8;
(6) The nonfederal share of all supplemental rebates paid by drug manufacturers to the department of medicaid in accordance with the supplemental drug rebate program established under section 5164.755 of the Revised Code;
(7) Amounts deposited into the fund pursuant to sections 5162.12, 5162.40, and 5162.41 of the Revised Code;
(8) The application fees charged to providers under section 5164.31 of the Revised Code;
(9) The fines collected under section 5165.1010 of the Revised Code;
(10) Amounts from assessments on hospitals under section 5168.06 of the Revised Code and intergovernmental transfers by governmental hospitals under section 5168.07 of the Revised Code that are deposited into the fund in accordance with the law.
(B) The department of medicaid shall use money credited to the health care/medicaid support and recoveries fund to pay for all of the following:
(1) Medicaid services;
(2) Costs associated with the administration of the medicaid program;
(3) Programs that serve youth involved with multiple government agencies;
(4) Innovative programs that the department has statutory authority to implement and that promote access to health care or help achieve long-term cost savings to the state.
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.