Effective: September 29, 2015
Latest Legislation: House Bill 64 - 131st General Assembly
(A) In determining the amount of income that a medicaid recipient must apply monthly toward payment of the cost of care in a nursing facility or ICF/IID, a county department of job and family services shall deduct from the recipient's monthly income a monthly personal needs allowance in accordance with the "Social Security Act," section 1902(q), 42 U.S.C. 1396a(q).
(B) In the case of a resident of a nursing facility, the monthly personal needs allowance shall be not less than fifty dollars for an individual resident and not less than one hundred dollars for a married couple if both spouses are residents of a nursing facility and their incomes are considered available to each other in determining eligibility.
(C) In the case of a resident of an ICF/IID, the monthly personal needs allowance shall be as follows:
(1) Prior to January 1, 2016, forty dollars unless the resident has earned income, in which case the monthly personal needs allowance shall be determined by the department of medicaid, or the department's designee, but shall not exceed one hundred five dollars;
(2) For calendar year 2016 and each calendar year thereafter, not less than fifty dollars for an individual resident and not less than one hundred dollars for a married couple if both spouses are residents of an ICF/IID and their incomes are considered available to each other in determining eligibility.
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.