reglab/housing_qa huggingface dataset:
Ohio Rev Code § 5166.308 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.308 | Nursing Assistance by Home Care Attendants; Unauthorized Actions.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|When authorizing a home care attendant to assist a consumer with nursing tasks or self-administration of medication, a health care professional may not authorize a home care attendant to do any of the following: (A) Perform a task that is outside of the health care professional's scope of practice;(B) Assist the consumer with the self-administration of a medication, including a schedule II, schedule III, schedule IV, or schedule V drug unless both of the following apply:(1) The medication is administered orally, topically, or via a gastrostomy tube or jejunostomy tube, including through any of the following:(a) In the case of an oral medication, a metered dose inhaler;(b) In the case of a topical medication, including a transdermal medication, either of the following:(i) An eye, ear, or nose drop or spray;(ii) A vaginal or rectal suppository.(c) In the case of a gastrostomy tube or jejunostomy tube, only through a pre-programmed pump.(2) The medication is in its original container and the label attached to the container displays all of the following:(a) The consumer's full name in print;(b) The medication's dispensing date, which must not be more than twelve months before the date the attendant assists the consumer with self-administration of the medication;(c) The exact dosage and means of administration that match the health care professional's authorization to the attendant.(C) Assist the consumer with the self-administration of a schedule II, schedule III, schedule IV, or schedule V medication unless, in addition to meeting the requirements of division (B) of this section, all of the following apply:(1) The medication has a warning label on its container.(2) The attendant counts the medication in the consumer's or authorized representative's presence when the medication is administered to the consumer and records the count on a form used for the count as specified in rules adopted under section 5166.02 of the Revised Code.(3) The attendant recounts the medication in the consumer's or authorized representative's presence at least monthly and reconciles the recount on a log located in the consumer's clinical record.(4) The medication is stored separately from all other medications and is secured and locked at all times when not being administered to the consumer to prevent unauthorized access.(D) Perform an intramuscular injection;(E) Perform a subcutaneous injection unless it is for a routine dose of insulin;(F) Program a pump used to deliver a medication unless the pump is used to deliver a routine dose of insulin;(G) Insert, remove, or discontinue an intravenous access device;(H) Engage in intravenous medication administration;(I) Insert or initiate an infusion therapy;(J) Perform a central line dressing change.
Ohio Rev Code § 5166.309 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.309 | Practice of Nursing as Registered Nurse or Licensed Practical Nurse Not Allowed by Home Care Attendants.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|A home care attendant who provides home care attendant services to a consumer in accordance with the authorizing health care professional's authorization does not engage in the practice of nursing as a registered nurse or in the practice of nursing as a licensed practical nurse in violation of section 4723.03 of the Revised Code. A consumer or the consumer's authorized representative shall report to the appropriate director if a home care attendant engages in the practice of nursing as a registered nurse or the practice of nursing as a licensed practical nurse beyond the authorizing health care professional's authorization. The appropriate director shall forward a copy of each report to the board of nursing.
Ohio Rev Code § 5166.3010 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.3010 | Authorized Representative.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|A consumer who is an adult may select an individual to act on the consumer's behalf for purposes regarding home care attendant services by submitting a written notice of the consumer's selection of an authorized representative to the appropriate director. The notice shall specifically identify the individual the consumer selects as authorized representative and may limit what the authorized representative may do on the consumer's behalf regarding home care attendant services. A consumer may not select the consumer's home care attendant to be the consumer's authorized representative.
Ohio Rev Code § 5166.32 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.32 | Medicaid Waiver for Individuals With Cystic Fibrosis.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|If the department of medicaid terminates the 209(b) option, the department shall establish a medicaid waiver component under which an individual who has cystic fibrosis and is enrolled in the program for medically handicapped children administered by the department of health under section 3701.023 of the Revised Code or the program the department of health administers pursuant to division (G) of that section may qualify for medicaid under the same type of spenddown process that is part of the 209(b) option.
Ohio Rev Code § 5166.37 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.37 | Medicaid Waiver - Additional Eligibility Requirements for Members of Expansion Group.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|The medicaid director shall establish a medicaid waiver component under which an individual eligible for medicaid on the basis of being included in the expansion eligibility group must satisfy at least one of the following requirements to be able to enroll in medicaid as part of the expansion eligibility group:(A) Be at least fifty-five years of age;(B) Be employed;(C) Be enrolled in school or an occupational training program;(D) Be participating in an alcohol and drug addiction treatment program;(E) Have intensive physical health care needs or serious mental illness. Last updated May 6, 2021 at 5:27 PM
Ohio Rev Code § 5166.40 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.40 | Definitions.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|(A) As used in sections 5166.40 to 5166.409 of the Revised Code:(1) "Adult" means an individual who is at least eighteen years of age.(2) "Buckeye account" means a modified health savings account established under section 5166.402 of the Revised Code.(3) "Contribution" means the amounts that an individual contributes to the individual's buckeye account and are contributed to the account on the individual's behalf under divisions (C) and (D) of section 5166.402 of the Revised Code. "Contribution" does not mean the portion of an individual's buckeye account that consists of medicaid funds deposited under division (B) of section 5166.402 of the Revised Code or section 5166.404 of the Revised Code.(4) "Core portion" means the portion of a healthy Ohio program participant's buckeye account that consists of the following:(a) The amount of contributions to the account;(b) The amounts awarded to the account under divisions (C) and (D) of section 5166.404 of the Revised Code.(5) "Eligible employer-sponsored health plan" has the same meaning as in section 5000A(f)(2) of the "Internal Revenue Code of 1986," 26 U.S.C. 5000A(f)(2).(6) "Healthy Ohio program" means the medicaid waiver component established under sections 5166.40 to 5166.409 of the Revised Code under which medicaid recipients specified in division (B) of this section enroll in comprehensive health plans and contribute to buckeye accounts.(7) "Healthy Ohio program debit swipe card" means a debit swipe card issued by a managed care organization to a healthy Ohio program participant under section 5166.403 of the Revised Code.(8) "Not-for-profit organization" means an organization that is exempt from federal income taxation under section 501(a) and (c)(3) of the "Internal Revenue Code of 1986," 26 U.S.C. 501(a) and (c)(3).(9) "Ward of the state" means an individual who is a ward, as defined in section 2111.01 of the Revised Code.(10) "Workforce development activity" and "local board" have the same meanings as in section 6301.01 of the Revised Code.(B) The medicaid director shall establish a medicaid waiver component to be known as the healthy Ohio program. Each adult medicaid recipient, other than a ward of the state, determined to be eligible for medicaid on the basis of either of the following shall participate in the healthy Ohio program:(1) On the basis of being included in the category identified by the department of medicaid as covered families and children;(2) On the basis of being included in the expansion eligibility group.(C) Except as provided in section 5166.406 of the Revised Code, a healthy Ohio program participant shall not receive medicaid services under the fee-for-service component of medicaid or participate in the care management system.
Ohio Rev Code § 5166.401 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.401 | Enrolllment for Healthy Ohio Program Participants.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|A healthy Ohio program participant shall enroll in a comprehensive health plan offered by a managed care organization under contract with the department of medicaid. All of the following apply to the health plan:(A) It shall cover physician, hospital inpatient, hospital outpatient, pregnancy-related, mental health, pharmaceutical, laboratory, and other health care services the medicaid director determines necessary.(B) It shall not begin to pay for any services it covers until the amount of the noncore portion of the participant's buckeye account is zero.(C) It shall require copayments for services covered by the health plan, except that a participant's copayments shall be waived whenever the amount of the core portion of the participant's buckeye account is zero.(D) It shall have the following payout limits:(1) Three hundred thousand dollars per year;(2) One million dollars for a participant's lifetime.
Ohio Rev Code § 5166.403 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.403 | Debit Swipe Cards.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|(A) A managed care organization that offers the health plan in which a healthy Ohio program participant enrolls shall issue a debit swipe card to be used to pay only for the following:(1) Until the amount of the noncore portion of the participant's buckeye account is zero, the costs of health care services that are covered by the health plan and provided to the participant by a provider participating in the health plan;(2) The participant's copayments under division (C) of section 5166.401 of the Revised Code;(3) Subject to rules authorized by section 5166.409 of the Revised Code, the costs of health care services that are medically necessary for the participant but not covered by the health plan.(B)(1) A healthy Ohio program participant's debit swipe card shall be credited with one point for each of the following:(a) Each dollar of medicaid funds deposited into the participant's buckeye account under division (B) of section 5166.402 of the Revised Code;(b) Each dollar contributed to the participant's buckeye account under divisions (C) and (D) of section 5166.402 of the Revised Code;(c) Each point awarded to the participant under section 5166.404 of the Revised Code.(2) Each time a healthy Ohio program participant uses the participant's debit swipe card, the amount for which the card is used shall be deducted from the number of points on the card as follows:(a) If the card is used for the purpose specified in division (A)(1) of this section, the deduction shall come from the points representing the noncore portion of the participant's buckeye account.(b) If the card is used for the purpose specified in division (A)(2) or (3) of this section, the deduction shall come from the points representing the core portion of the participant's buckeye account.(C) A healthy Ohio program participant's debit swipe card shall do all of the following:(1) Verify the participant's eligibility for the healthy Ohio program;(2) Determine whether the service the participant seeks is covered under the health plan;(3) Determine whether the provider from which the participant seeks the service is a participating provider under the health plan;(4) Be linked to the participant's buckeye account in a manner that enables the participant to know at the point of service what will be deducted from the noncore portion and core portion of the participant's buckeye account for the service and how much will remain in each portion of the account after the deduction.
Ohio Rev Code § 5166.404 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.404 | Points Award System.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|(A) The medicaid director shall establish a system under which points are awarded in accordance with this section to healthy Ohio program debit swipe cards. One dollar of medicaid funds shall be deposited into a healthy Ohio program participant's buckeye account for each point awarded to the participant under this section.(B) The director shall provide a one-time award of twenty points to a healthy Ohio program participant who provides for the participant's contributions under division (C) of section 5166.402 of the Revised Code to be made by electronic funds transfers from the participant's checking or savings account. Twenty points shall be deducted from the participant's card if the participant terminates the electronic funds transfers.(C) The director may award up to two hundred points annually to a healthy Ohio program participant who achieves health care goals. The points shall be awarded in accordance with the rules authorized by section 5166.409 of the Revised Code. A participant shall not be awarded more than two hundred points per year under this division regardless of the number of health care goals the participant achieves that year.(D) Up to one hundred points may be awarded annually to a healthy Ohio program participant by one or more primary care physicians who verify that the participant has satisfied health care benchmarks set by the physicians. A participant shall not be awarded more than one hundred points per year under this division regardless of how many primary care physicians award points to the participant that year and the number of points the primary care physicians award the participant that year.
Ohio Rev Code § 5166.405 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.405 | Cessation of Participation.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|(A) A healthy Ohio program participant's participation in the program shall cease if any of the following applies:(1) Unless the participant is pregnant, a monthly installment payment to the participant's buckeye account is sixty days late.(2) The participant fails to submit documentation needed for a redetermination of the participant's eligibility for medicaid before the sixty-first day after the documentation is requested.(3) The participant becomes eligible for medicaid on a basis other than being included in the category identified by the department of medicaid as covered families and children or being included in the expansion eligibility group.(4) The participant becomes a ward of the state.(5) The participant ceases to be eligible for medicaid.(6) The participant exhausts the annual or lifetime payout limit specified in division (D) of section 5166.401 of the Revised Code.(7) The participant requests that the participant's participation be terminated.(B) A healthy Ohio program participant who ceases to participate in the program under division (A)(1) or (2) of this section may not resume participation until the former participant pays the full amount of the monthly installment payment or submits the documentation needed for the former participant's medicaid eligibility redetermination. The former participant shall not be transferred to the fee-for-service component of medicaid or the care management system as a result of ceasing to participate in the healthy Ohio program under division (A)(1) or (2) of this section.(C) Except as provided in section 5166.407 of the Revised Code, a healthy Ohio program participant who ceases to participate in the program shall be provided the contributions that are in the participant's buckeye account at the time the participant ceases participation.
Ohio Rev Code § 5166.406 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.406 | Exhaustion of Payout Limits.

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.
Ohio Rev Code § 5166.407 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.407 | Disqualification for Medicaid; Disposition of Remainder in Buckeye Account.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|(A) If a healthy Ohio program participant ceases to qualify for medicaid due to increased family countable income and purchases a health insurance policy or obtains health care coverage under an eligible employer-sponsored health plan, the amount remaining in the former participant's buckeye account shall be transferred to an account to be known as a bridge account. The amount so transferred may be used only to pay for the following:(1) If the former participant has purchased a health insurance policy, the former participant's costs in purchasing the policy and paying for the former participant's out-of-pocket expenses under the policy for health care services and prescription drugs covered by the policy;(2) If the former participant has obtained health care coverage under an eligible employer-sponsored health plan, the former participant's out-of-pocket expenses under the plan for health care services and prescription drugs covered by the plan.(B) Only the amount remaining in a former healthy Ohio program participant's buckeye account at the time the former participant ceased to participate in the healthy Ohio program shall be deposited into the bridge account. The bridge account shall be closed once the amount transferred to it under division (A) of this section is exhausted.(C) The medicaid director shall notify a former healthy Ohio program participant when a bridge account is established for the former participant under this section.
Ohio Rev Code § 5166.408 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.408 | Referral to Workforce Development Agency.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|Each county department of job and family services shall offer to refer to a local board each healthy Ohio program participant who resides in the county served by the county department and is either unemployed or employed for less than an average of twenty hours per week. The referral shall include information about the workforce development activities available from the local board. A participant may refuse to accept the referral and to participate in the workforce development activities without any affect on the participant's eligibility for, or participation in, the healthy Ohio program.
Ohio Rev Code § 5166.409 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5166 | Federal Medicaid Waiver Programs|Section 5166.409 | Rules.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|The medicaid director shall adopt rules under section 5166.02 of the Revised Code to do all of the following:(A) For the purpose of division (F)(1)(a) of section 5166.402 of the Revised Code, establish requirements regarding preventative health services for healthy Ohio program participants. The requirements may differ for participants of different ages and genders.(B) For the purpose of division (G)(2) of section 5166.402 of the Revised Code, authorize additional uses of a buckeye account and establish the means for using the account for those purposes.(C) For the purpose of division (A)(3) of section 5166.403 of the Revised Code, establish requirements for the use of a healthy Ohio program debit swipe card to pay for the costs of medically necessary health care services not covered by the health plan in which a healthy Ohio program participant enrolls.(D) For the purpose of division (C) of section 5166.404 of the Revised Code, establish a system under which the director may award points to healthy Ohio program participants who achieve health care goals. The rules shall specify the goals that qualify for points and the number of points each goal is worth. The number of points may vary for different goals.(E) For the purpose of section 5166.407 of the Revised Code, establish procedures and requirements for the transfer of the amounts remaining in former healthy Ohio program participants' buckeye accounts to bridge accounts.
Ohio Rev Code § 5167.02 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5167 | Medicaid Managed Care|Section 5167.02 | Rules.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The medicaid director shall adopt rules as necessary to implement this chapter. The rules shall be adopted in accordance with Chapter 119. of the Revised Code.