Ohio Revised Code
Chapter 5163 | Medicaid Eligibility
Section 5163.52 | Eligibility Redetermination After Federal Limitation Removed.

Effective: January 1, 2022
Latest Legislation: House Bill 110 - 134th General Assembly
If the department of medicaid receives federal funding for the medicaid program that is contingent on a temporary maintenance of effort restriction or that otherwise limits the department's ability to disenroll ineligible medicaid recipients, such as the requirements under Section 6008 of the "Families First Coronavirus Response Act," Pub. L. No. 116-127, the department shall do both of the following:
(A) Continue to conduct eligibility redeterminations under the medicaid program and act on those redeterminations to the fullest extent permitted under federal law and regulations.
(B) Within sixty days of the expiration of the restriction or limitation, complete an audit in which the department does all of the following:
(1) Completes and acts on eligibility redeterminations for all medicaid recipients for whom a redetermination has not been conducted in the past twelve months;
(2) Requests approval from the United States centers for medicare and medicaid services to conduct and act on eligibility redeterminations on all medicaid recipients who were enrolled for three or more months, or other time period consistent with federal law or federal guidelines, during the period of restriction or limitation; the department shall, within ninety days of any such approval, conduct and act on the redeterminations. Any county department of job and family services assisting the department of medicaid with acting on redeterminations under this section may request from the department of job and family services, in consultation with the department of medicaid, up to thirty additional days to act on redeterminations.
(3) Submits a report summarizing the results of the audit to the speaker of the house of representatives and senate president in accordance with section 101.68 of the Revised Code.
Last updated October 19, 2021 at 5:36 PM

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Structure Ohio Revised Code

Ohio Revised Code

Title 51 | Public Welfare

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.