Effective: September 29, 2015
Latest Legislation: House Bill 64 - 131st General Assembly
If a healthy Ohio program participant exhausts the annual or lifetime payout limits specified in division (D) of section 5166.401 of the Revised Code, the participant shall be transferred to the fee-for-service component of medicaid or the care management system. A participant who exhausts the annual payout limit for a year shall resume participation in the healthy Ohio program at the beginning of the immediately following year if division (B) of section 5166.40 of the Revised Code continues to apply to the participant.
Structure Ohio Revised Code
Chapter 5166 | Federal Medicaid Waiver Programs
Section 5166.01 | Definitions.
Section 5166.02 | Rules Governing Medicaid Waiver Components.
Section 5166.03 | Notice of Intent to Request Medicaid Waiver.
Section 5166.04 | Home and Community-Based Services Medicaid Waiver Components.
Section 5166.05 | Review of Plans of Care and Individual Service Plans.
Section 5166.06 | Agency Records of Costs of Medicaid Waiver Components.
Section 5166.07 | Agency Accountable for Medicaid Waiver Components Funds.
Section 5166.08 | Agency Contracting for Medicaid Waiver Components; Assurance of Compliance.
Section 5166.10 | Transfer of Enrollee in One Medicaid Waiver Component to Another.
Section 5166.12 | Determination Regarding Continuation of the Ohio Home Care Waiver Program.
Section 5166.121 | Home First Component for the Ohio Home Care Waiver Program.
Section 5166.14 | Unified Long-Term Services and Support Medicaid Waiver Component.
Section 5166.16 | Integrated Care Delivery System Medicaid Waiver.
Section 5166.161 | Home and Community-Based Services for Holocaust Survivors.
Section 5166.20 | Additional Medicaid Waiver Components for Home and Community-Based Services.
Section 5166.21 | Transitions Developmental Disabilities Waiver.
Section 5166.22 | Allocating Enrollment Numbers to County Board of Developmental Disabilities.
Section 5166.30 | Coverage of Home Care Attendant Services.
Section 5166.301 | Home Care Attendant Services Providers.
Section 5166.302 | Continuing Education Requirements for Home Care Attendants.
Section 5166.303 | Responsibilities of Home Care Attendants.
Section 5166.304 | Nursing Assistance by Home Care Attendants.
Section 5166.305 | Nursing Assistance by Home Care Attendants; Consent and Authorization.
Section 5166.306 | Nursing Assistance by Home Care Attendants; Written Statement Providing Consent.
Section 5166.307 | Nursing Assistance by Home Care Attendants; Written Statement of Authorization.
Section 5166.308 | Nursing Assistance by Home Care Attendants; Unauthorized Actions.
Section 5166.3010 | Authorized Representative.
Section 5166.32 | Medicaid Waiver for Individuals With Cystic Fibrosis.
Section 5166.40 | Definitions.
Section 5166.401 | Enrolllment for Healthy Ohio Program Participants.
Section 5166.402 | Buckeye Accounts for Participants.
Section 5166.403 | Debit Swipe Cards.
Section 5166.404 | Points Award System.
Section 5166.405 | Cessation of Participation.
Section 5166.406 | Exhaustion of Payout Limits.
Section 5166.407 | Disqualification for Medicaid; Disposition of Remainder in Buckeye Account.
Section 5166.408 | Referral to Workforce Development Agency.