Ohio Revised Code Chapter 5168 - Hospital Care Assurance Program

• Section 5168.01 - [Repealed Effective 10/16/2017] Hospital Care Assurance Program Definitions.
  As used in sections 5168.01 to 5168.14 of the Revised Code: (A) "Bad debt," "charity care," "courtesy care," and "contractual allowances" have the same...
• Section 5168.02 - [Repealed Effective 10/16/2017] Adoption Of Rules.
  (A) The medicaid director shall adopt rules in accordance with Chapter 119. of the Revised Code for the purpose of administering sections 5168.01 to...
• Section 5168.03 - [Repealed Effective 10/16/2017] Provisions Dependent On Assessment As Permissible Health Care-related Tax.
  The requirements of sections 5168.06 to 5168.09 of the Revised Code apply only as long as the United States health care financing administration determines...
• Section 5168.04 - [Repealed Effective 10/16/2017] Program Year Basis Of Operation.
  The department of medicaid shall operate the hospital care assurance program established by sections 5168.01 to 5168.14 of the Revised Code on a program...
• Section 5168.05 - [Repealed Effective 10/16/2017] Submitting Financial Statement And Cost Report.
  (A) Except as provided in division (C) of this section, each hospital, on or before the first day of July of each year or...
• Section 5168.06 - [Repealed Effective 10/16/2017] Annual Assessment.
  (A) For the purpose of distributing funds to hospitals under the medicaid program pursuant to sections 5168.01 to 5168.14 of the Revised Code and...
• Section 5168.07 - [Repealed Effective 10/16/2017] Requiring Governmental Hospitals To Make Intergovernmental Transfers.
  (A) The department of medicaid may require governmental hospitals to make intergovernmental transfers each program year for the purpose of distributing funds to hospitals...
• Section 5168.08 - [Repealed Effective 10/16/2017] Preliminary Determination Of Assessment.
  (A) Before or during each program year, the department of medicaid shall mail to each hospital by certified mail, return receipt requested, the preliminary...
• Section 5168.09 - [Repealed Effective 10/16/2017] Methodology To Pay Hospitals Sufficient To Expend All Money In Indigent Care Pool.
  The medicaid director shall adopt rules under section 5168.02 of the Revised Code establishing a methodology to pay hospitals that is sufficient to expend...
• Section 5168.10 - [Repealed Effective 10/16/2017] Prohibiting Replacing Funds Appropriated For Medicaid Program.
  Except for moneys deposited into the health care services administration fund created under section 5162.54 of the Revised Code, the department of medicaid shall...
• Section 5168.11 - [Repealed Effective 10/16/2017] Hospital Care Assurance Program Fund.
  (A) Except as provided in section 5162.54 of the Revised Code, all payments of assessments by hospitals under section 5168.06 of the Revised Code...
• Section 5168.12 - [Repealed].
  Repealed by 131st General Assembly File No. TBD, HB 64, §105.01, eff. 9/29/2015. Amended by 131st General Assembly File No. TBD, HB 64, §610.10,...
• Section 5168.13 - [Repealed Effective 10/16/2017] Confidentiality.
  Except as specifically required by sections 5168.01 to 5168.14 of the Revised Code, information filed under those sections shall not include any patient-identifying material....
• Section 5168.14 - [Renumbered From 5112.17] Providing Basic, Medically Necessary Hospital-level Services To Individuals Who Are Residents.
  (A) Each hospital that receives funds distributed under sections 5168.01 to 5168.14 of the Revised Code shall provide, without charge to the individual, basic,...
• Section 5168.20 - [Repealed Effective 10/1/2017] Definitions For Sections To 5168.28.
  As used in sections 5168.20 to 5168.28 of the Revised Code: (A) "Applicable assessment percentage" means the percentage specified in rules adopted under section...
• Section 5168.21 - [Repealed Effective 10/1/2017] Additional Annual Assessment.
  (A) For the purposes specified in section 5168.25 of the Revised Code and subject to section 5168.28 of the Revised Code, there is hereby...
• Section 5168.22 - [Repealed Effective 10/1/2017] Preliminary Determination Of Assessment Amount.
  (A) Before or during each assessment program year, the department of medicaid shall mail to each hospital by certified mail, return receipt requested, the...
• Section 5168.23 - [Repealed Effective 10/1/2017] Assessment Payment Schedule.
  Each hospital shall pay the amount it is assessed under section 5168.21 of the Revised Code in accordance with a payment schedule the department...
• Section 5168.24 - [Repealed Effective 10/1/2017] Audit.
  The department of medicaid may audit a hospital to ensure that the hospital properly pays the amount it is assessed under section 5168.21 of...
• Section 5168.25 - [Repealed Effective 10/1/2017] Hospital Assessment Fund.
  There is hereby created in the state treasury the hospital assessment fund. All installment payments made by hospitals under section 5168.23 of the Revised...
• Section 5168.26 - [Repealed Effective 10/1/2017] Excluded Costs.
  (A) The medicaid director shall adopt rules in accordance with Chapter 119. of the Revised Code as necessary to implement sections 5168.20 to 5168.28...
• Section 5168.27 - [Repealed Effective 10/1/2017] Implemenation Shall Not Cause Reduction In Federal Participation For Medicaid Program.
  The medicaid director shall implement the assessment imposed by section 5168.21 of the Revised Code in a manner that does not cause a reduction...
• Section 5168.28 - [Repealed Effective 10/1/2017] Determination Of Assessment As Impermissible Health Care-related Tax.
  If the United States secretary of health and human services determines that the assessment imposed by section 5168.21 of the Revised Code is an...
• Section 5168.40 - [Renumbered From 3721.50] Franchise Permit Fee Definitions.
  As used in sections 5168.40 to 5168.56 of the Revised Code: (A) "Bed surrender" means the following: (1) In the case of a nursing...
• Section 5168.41 - Determination Of Nursing Home And Hospital Long-term Care Franchise Permit Fee Rate.
  (A) The franchise permit fee rate shall be determined for each fiscal year as follows: (1) Determine the estimated total net patient revenues for...
• Section 5168.42 - [Renumbered From 3721.51] Annual Franchise Permit Fee.
  The department of medicaid shall do all of the following: (A) Subject to sections 5168.44, 5168.45, and 5168.48 of the Revised Code and divisions...
• Section 5168.43 - [Renumbered From 3721.511] Waiver Of Franchise Permit Fee.
  (A) Not later than four months after July 17, 2009, the department of medicaid shall apply to the United States secretary of health and...
• Section 5168.44 - [Renumbered From 3721.512] Approval Of Waiver; Reduction In Franchise Permit Fee Rate.
  If the United States secretary of health and human services approves the waiver sought under section 5168.43 of the Revised Code, the department of...
• Section 5168.45 - [Renumbered From 3721.513] Increase In Franchise Permit Fee Rate.
  (A) If the United States secretary of health and human services approves the waiver sought under section 5168.43 of the Revised Code, the department...
• Section 5168.46 - [Renumbered From 3721.52] Annual Reports.
  The department of health shall do all of the following: (A) For the purpose of the determinations made under divisions (A) and (B) of...
• Section 5168.47 - [Renumbered From 3721.53] Determination, Notice, And Payment Of Annual Fee.
  (A) Not later than the fifteenth day of September of each year, the department of medicaid shall determine the annual franchise permit fee for...
• Section 5168.48 - [Renumbered From 3721.531] Redetermination Of Franchise Permit Fees.
  (A) Not later than the last day of February of each year, the department of medicaid shall redetermine each nursing home's and hospital's franchise...
• Section 5168.49 - [Renumbered From 3721.532] Change Of Operator; Division Of Franchise Permit Fees.
  If a nursing home or hospital undergoes a change of operator during a fiscal year, the responsibility for paying the franchise permit fee that...
• Section 5168.50 - [Renumbered From 3721.533] Direct Billing For Franchise Permit Fee Prohibited.
  No nursing home or hospital shall directly bill its residents for the franchise permit fee paid under section 5168.47 or 5168.48 of the Revised...
• Section 5168.51 - [Renumbered From 3721.54] Assessment For Past Due Fee Installment.
  If a nursing home or hospital fails to pay the full amount of a franchise permit fee installment when due, the department of medicaid...
• Section 5168.52 - [Renumbered From 3721.541] Additional Sanctions For Past Due Fee Installment.
  (A) In addition to assessing a penalty pursuant to section 5168.51 of the Revised Code, the department of medicaid may do any of the...
• Section 5168.53 - [Renumbered From 3721.55] Appeals.
  (A) A nursing home or hospital may appeal the fee assessed under section 5168.42 of the Revised Code, as adjusted under section 5168.44 or...
• Section 5168.54 - [Renumbered From 3721.56] Nursing Home Franchise Permit Fee Fund.
  (A) There is hereby created in the state treasury the nursing home franchise permit fee fund. All payments and penalties paid by nursing homes...
• Section 5168.55 - [Renumbered From 3721.57] Investigations; Enforcement.
  The department of medicaid may make any investigation it considers appropriate to obtain information necessary to fulfill its duties under sections 5168.40 to 5168.56...
• Section 5168.56 - [Renumbered From 3721.58] Implementing Provisions.
  The medicaid director shall adopt rules in accordance with Chapter 119. of the Revised Code to do both of the following: (A) Prescribe the...
• Section 5168.60 - [Renumbered From 5112.30] Definitions For Sections 5112.30 To 5112.39.
  As used in sections 5168.60 to 5168.71 of the Revised Code: (A) "Franchise permit fee rate" means the following: (1) For fiscal year 2016,...
• Section 5168.61 - [Renumbered From 5112.31] Icf/iid Annual Franchise Permit Fees.
  The department of developmental disabilities shall do all of the following: (A) Subject to section 5168.64 of the Revised Code and divisions (B) and...
• Section 5168.62 - [Renumbered From 5112.32] Reporting Number Of Beds In Each Facility.
  For the purpose of the franchise permit fee imposed under section 5168.61 of the Revised Code and not later than the first day of...
• Section 5168.63 - [Renumbered From 5112.33] Determination, Notice And Payment Of Annual Franchise Permit Fee.
  (A) Not later than the fifteenth day of August of each year, the department of developmental disabilities shall determine the annual franchise permit fee...
• Section 5168.64 - [Renumbered From 5112.331] Consequences Of Converting Beds To Providing Home And Community-based Services.
  (A) If the operator of an ICF/IID converts, pursuant to section 5124.60 or 5124.61 of the Revised Code, all of the ICF/IID's beds to...
• Section 5168.65 - [Renumbered From 5112.34] Assessing Penalty For Overdue Installment.
  If an ICF/IID fails to pay the full amount of an installment when due, the department of developmental disabilities may assess a five per...
• Section 5168.66 - [Renumbered From 5112.341] Additional Sanctions For Overdue Installment.
  (A) In addition to assessing a penalty pursuant to section 5168.65 of the Revised Code, the department of developmental disabilities may do any of...
• Section 5168.67 - [Renumbered From 5112.35] Appeal Of Fee.
  (A) An ICF/IID may appeal the franchise permit fee imposed under section 5168.61 of the Revised Code solely on the grounds that the department...
• Section 5168.68 - [Renumbered From 5112.37] Home And Community-based Services For Mentally Retarded And Developmentally Disabled Fund.
  There is hereby created in the state treasury the home and community-based services for the mentally retarded and developmentally disabled fund. All installment payments...
• Section 5168.69 - [Renumbered From 5112.371] Department Of Developmental Disabilities Operating And Services Fund.
  There is hereby created in the state treasury the department of developmental disabilities operating and services fund. The fund shall consist of the money...
• Section 5168.70 - [Renumbered From 5112.38] Investigation; Enforcement.
  The department of developmental disabilities may make any investigation it considers appropriate to obtain information necessary to fulfill its duties under sections 5168.60 to...
• Section 5168.71 - [Renumbered From 5112.39] Adoption Of Rules.
  To the extent authorized by rules authorized by section 5162.021 of the Revised Code, the director of developmental disabilities shall adopt rules in accordance...
• Section 5168.99 - [Repealed Effective 10/16/2017] Penalties.
  (A) The medicaid director shall impose a penalty for each day that a hospital fails to report the information required under section 5168.05 of...
• Section 5168.991 - [Repealed Effective 10/16/2017] Offsetting Unpaid Penalty.
  The department of medicaid may offset the amount of a hospital's unpaid penalty imposed under section 5168.99 of the Revised Code from one or...

Last modified: October 10, 2016