Effective: September 30, 2021
Latest Legislation: House Bill 110 - 134th General Assembly
The medicaid program shall cover all of the following optional eligibility groups:
(A) The group consisting of children placed with adoptive parents who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(VIII), 42 U.S.C. 1396a(a)(10)(A)(ii)(VIII);
(B) Subject to section 5163.061 of the Revised Code, the group consisting of women during pregnancy and the maximum postpartum period permitted under 42 U.S.C. 1396a(e) beginning on the last day of the pregnancy, infants, and children who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(IX), 42 U.S.C. 1396a(a)(10)(A)(ii)(IX);
(C) Subject to sections 5163.09 to 5163.098 of the Revised Code, the group consisting of employed individuals with disabilities who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(XV), 42 U.S.C. 1396a(a)(10)(A)(ii)(XV);
(D) Subject to sections 5163.09 to 5163.098 of the Revised Code, the group consisting of employed individuals with medically improved disabilities who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(XVI), 42 U.S.C. 1396a(a)(10)(A)(ii)(XVI);
(E) The group consisting of independent foster care adolescents who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(XVII), 42 U.S.C. 1396a(a)(10)(A)(ii)(XVII);
(F) The group consisting of women in need of treatment for breast or cervical cancer who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(XVIII), 42 U.S.C. 1396a(a)(10)(A)(ii)(XVIII).
Last updated August 16, 2021 at 3:35 PM
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.