Effective: September 29, 2013
Latest Legislation: House Bill 59 - 130th General Assembly
Under the medicaid buy-in for workers with disabilities program, an individual who does all of the following in accordance with rules authorized by section 5163.098 of the Revised Code qualifies for the medicaid program:
(A) Applies for the medicaid buy-in for workers with disabilities program;
(B) Provides satisfactory evidence of all of the following:
(1) That the individual is at least sixteen years of age and under sixty-five years of age;
(2) Except as provided in section 5163.096 of the Revised Code, that one of the following applies to the individual:
(a) The individual is considered disabled for the purpose of the supplemental security income program, regardless of whether the individual receives supplemental security income benefits, and the individual has earnings from employment.
(b) The individual is an employed individual with a medically improved disability.
(3) That the value of the individual's resources, less amounts disregarded pursuant to rules authorized by section 5163.098 of the Revised Code, does not exceed the amount provided for by section 5163.092 of the Revised Code;
(4) That the individual's income, less amounts disregarded pursuant to section 5163.093 of the Revised Code, does not exceed two hundred fifty per cent of the federal poverty line;
(5) That the individual meets the additional eligibility requirements for the medicaid buy-in for workers with disabilities program established in rules authorized by section 5163.098 of the Revised Code.
(C) To the extent required by section 5163.094 of the Revised Code, pays the premium established under that section.
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.