Effective: September 29, 2017
Latest Legislation: House Bill 49 - 132nd General Assembly
As used in this chapter:
"Caretaker relative" has the same meaning as in 42 C.F.R. 435.4 as that regulation is amended effective January 1, 2014.
"Expansion eligibility group" means the medicaid eligibility group described in section 1902(a)(10)(A)(i)(VIII) of the "Social Security Act," 42 U.S.C. 1396a(a)(10)(A)(i)(VIII).
"Federal financial participation" has the same meaning as in section 5160.01 of the Revised Code.
"Federal poverty line" has the same meaning as in section 5162.01 of the Revised Code.
"Healthy start component" has the same meaning as in section 5162.01 of the Revised Code.
"Home and community-based services medicaid waiver component" has the same meaning as in section 5166.01 of the Revised Code.
"Intermediate care facility for individuals with intellectual disabilities" and "ICF/IID" have the same meanings as in section 5124.01 of the Revised Code.
"Mandatory eligibility groups" means the groups of individuals that must be covered by the medicaid state plan as a condition of the state receiving federal financial participation for the medicaid program.
"Medicaid buy-in for workers with disabilities program" means the component of the medicaid program established under sections 5163.09 to 5163.098 of the Revised Code.
"Medicaid services" has the same meaning as in section 5164.01 of the Revised Code.
"Medicaid waiver component" has the same meaning as in section 5166.01 of the Revised Code.
"Nursing facility" and "nursing facility services" have the same meanings as in section 5165.01 of the Revised Code.
"Optional eligibility groups" means the groups of individuals who may be covered by the medicaid state plan or a federal medicaid waiver and for whom the medicaid program receives federal financial participation.
"Other medicaid-funded long-term care services" has the meaning specified in rules adopted under section 5163.02 of the Revised Code.
"Supplemental security income program" means the program established by Title XVI of the "Social Security Act," 42 U.S.C. 1381 et seq.
Structure Ohio Revised Code
Chapter 5163 | Medicaid Eligibility
Section 5163.01 | Definitions.
Section 5163.02 | Rules Establishing Eligibility Requirements for Medicaid.
Section 5163.03 | Medicaid Coverage.
Section 5163.05 | Eligibility Requirements for Aged, Blind, and Disabled.
Section 5163.06 | Optional Eligibility Groups.
Section 5163.061 | Income Eligibility Threshold for Pregnant Women.
Section 5163.07 | Income Eligibility Threshold for Parents and Caretaker Relatives.
Section 5163.09 | Medicaid Buy-in for Workers With Disabilities Program.
Section 5163.091 | Qualifications for Program.
Section 5163.092 | Resource Eligibility Limit - Annual Adjustment.
Section 5163.093 | Individual Income Eligibility Limit.
Section 5163.094 | Amount of Annual Individual Premium.
Section 5163.096 | Continued Participation Where Employment Ceases.
Section 5163.097 | Director to Make Federally Required Changes.
Section 5163.098 | Program Implementing Rules; Disregarded Income.
Section 5163.10 | Implementation of the Presumptive Eligibility for Pregnant Women Option.
Section 5163.101 | Implementation of the Presumptive Eligibility for Children Option.
Section 5163.20 | Beneficiary of Disability Trust.
Section 5163.21 | Eligibility Determinations for Cases Involving Medicaid Programs.
Section 5163.22 | Life Insurance Policies.
Section 5163.30 | Disposal of Assets Under Market Value After Look-Back Date.
Section 5163.31 | Real Property Not Homestead After 13-Month Institutional Residence.
Section 5163.32 | Equity Interest in Home Exceeds $500,000.
Section 5163.33 | Deducting Personal Needs Allowance From Recipient's Income.
Section 5163.40 | Healthy Start Component.
Section 5163.45 | Confinement of Medicaid Recipient in Correctional Facility.
Section 5163.52 | Eligibility Redetermination After Federal Limitation Removed.