Ohio Revised Code Chapter 5163 - Medicaid Eligibility

• Section 5163.01 - Definitions.
  As used in this chapter: "Caretaker relative" has the same meaning as in 42 C.F.R. 435.4 as that regulation is amended effective January 1,...
• Section 5163.02 - [Renumbered From 5111.011] Rules Establishing Eligibility Requirements For Medicaid.
  The medicaid director shall adopt rules as necessary to implement this chapter. The rules shall establish eligibility requirements for the medicaid program. The rules...
• Section 5163.03 - Medicaid Coverage.
  (A) Subject to section 5163.05 of the Revised Code, the medicaid program shall cover all mandatory eligibility groups. (B) The medicaid program shall cover...
• Section 5163.05 - Eligibility Requirements For Aged, Blind, And Disabled.
  The medicaid program's eligibility requirements for aged, blind, and disabled individuals may be more restrictive than the eligibility requirements for the supplemental security income...
• Section 5163.06 - Optional Eligibility Groups.
  The medicaid program shall cover all of the following optional eligibility groups: (A) The group consisting of children placed with adoptive parents who are...
• Section 5163.061 - Income Eligibility Threshold For Pregnant Women.
  The income eligibility threshold is two hundred per cent of the federal poverty line for women during pregnancy and the sixty-day period beginning on...
• Section 5163.07 - Income Eligibility Threshold For Parents And Caretaker Relatives.
  The medicaid director shall implement the option authorized by the "Social Security Act," section 1931(b)(2)(C), 42 U.S.C. 1396u-1(b)(2)(C), to set the income eligibility threshold...
• Section 5163.08 - [Repealed].
  Repealed by 131st General Assembly File No. TBD, HB 64, §105.01, eff. 9/29/2015. Added by 130th General Assembly File No. 25, HB 59, §101.01,...
• Section 5163.09 - [Renumbered From 5111.70] Medicaid Buy-in For Workers With Disabilities Program.
  (A) As used in sections 5163.09 to 5163.098 of the Revised Code: "Applicant" means an individual who applies to participate in the medicaid buy-in...
• Section 5163.0910 - [Renumbered As 5162.133] Annual Program Report; Distribution; Contents.
  Renumbered as § 5162.133 by 130th General Assembly File No. 50, SB 206, §1, eff. 3/20/2014.
• Section 5163.091 - [Renumbered From 5111.701] Qualifications For Program.
  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...
• Section 5163.092 - [Renumbered From 5111.702] Resource Eligibility Limit - Annual Adjustment.
  (A) Except as provided in division (B) of this section, the maximum value of resources, less amounts disregarded pursuant to rules authorized by section...
• Section 5163.093 - [Renumbered From 5111.703] Individual Income Eligibility Limit.
  For the purpose of determining whether an individual is within the income eligibility limit for the medicaid buy-in for workers with disabilities program, all...
• Section 5163.094 - [Renumbered From 5111.704] Amount Of Annual Individual Premium.
  An individual whose income exceeds one hundred fifty per cent of the federal poverty line shall pay an annual premium as a condition of...
• Section 5163.095 - [Renumbered From 5111.705] Eligibility Not Denied Due To Services Received Under Home And Community-based Services Medicaid Waiver Component.
  No individual shall be denied eligibility for the medicaid buy-in for workers with disabilities program on the basis that the individual receives services under...
• Section 5163.096 - [Renumbered From 5111.706] Continued Participation Where Employment Ceases.
  An individual participating in the medicaid buy-in for workers with disabilities program may continue to participate in the program for up to six months...
• Section 5163.097 - [Renumbered From 5111.707] Director To Make Federally Required Changes.
  If the United States secretary of health and human services requires that a provision of the medicaid buy-in for workers with disabilities program be...
• Section 5163.098 - [Renumbered From 5111.708] Program Implementing Rules; Disregarded Income.
  (A) The medicaid director shall adopt rules under section 5163.02 of the Revised Code as necessary to implement the medicaid buy-in for workers with...
• Section 5163.099 - [Repealed].
  Repealed by 130th General Assembly File No. 50, SB 206, §3, eff. 3/20/2014.
• Section 5163.10 - [Renumbered From 5111.0124] Implementation Of The Presumptive Eligibility For Pregnant Women Option.
  (A) As used in this section: "Presumptive eligibility for pregnant women option" means the option available under the "Social Security Act," section 1920, 42...
• Section 5163.101 - [Renumbered From 5111.0125] Implementation Of The Presumptive Eligibility For Children Option.
  (A) As used in this section: "Presumptive eligibility for children option" means the option available under the "Social Security Act," section 1920A, 42 U.S.C....
• Section 5163.20 - [Renumbered From 5111.15] Beneficiary Of Disability Trust.
  If a medicaid recipient is the beneficiary of a trust created pursuant to section 5815.28 of the Revised Code, then, notwithstanding any contrary provision...
• Section 5163.21 - [Renumbered From 5111.151] Eligibility Determinations For Cases Involving Medicaid Programs.
  (A) (1) This section applies only to either of the following: (a) Initial eligibility determinations for the medicaid program ; (b) An appeal from...
• Section 5163.22 - [Renumbered From 5111.181] Life Insurance Policies.
  (A) The general assembly hereby finds that the state has an insurable interest in medicaid recipients because of the state's statutory right to recover...
• Section 5163.30 - [Renumbered From 5111.0116] Disposal Of Assets Under Market Value After Look-back Date.
  (A) As used in this section: (1) "Assets" include all of an individual's income and resources and those of the individual's spouse, including any...
• Section 5163.31 - [Renumbered From 5111.0117] Real Property Not Homestead After 13-month Institutional Residence.
  (A) Except as provided by division (A) of this section and for the purpose of determining whether an aged, blind, or disabled individual is...
• Section 5163.32 - [Renumbered From 5111.0118] Equity Interest In Home Exceeds $500,000.
  (A) Except as otherwise provided by this section, no individual shall qualify for nursing facility services or other medicaid-funded long-term care services if the...
• Section 5163.33 - [Renumbered From 5111.114] Deducting Personal Needs Allowance From Recipient's Income.
  (A) In determining the amount of income that a medicaid recipient must apply monthly toward payment of the cost of care in a nursing...
• Section 5163.40 - [Renumbered From 5111.013] Healthy Start Component.
  (A) The department of medicaid shall do all of the following with regard to the application procedures for the healthy start component of the...
• Section 5163.45 - [Renumbered From 5111.0119] Confinement Of Medicaid Recipient In Correctional Facility.
  (A) (1) As used in this section, subject to division (A)(2) of this section, "state or local correctional facility" means any of the following:...

Last modified: October 10, 2016