reglab/housing_qa huggingface dataset:
Ohio Rev Code § 5163.096 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.096 | Continued Participation Where Employment Ceases.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|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 even though the individual ceases to have earnings from employment or to be an employed individual with a medically improved disability due to ceasing to be employed if the individual continues to meet all other eligibility requirements for the program.
Ohio Rev Code § 5163.097 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.097 | Director to Make Federally Required Changes.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|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 changed or removed in order for the secretary to approve the program or to avoid an extended delay in the secretary's approval, the medicaid director shall make the change or removal. The change or removal may cause the medicaid buy-in for workers with disabilities program to include a provision that is inconsistent with sections 5163.09 to 5163.096 of the Revised Code. Such a change or removal shall be made only to the extent necessary to obtain the United States secretary's approval or avoid an extended delay in the secretary's approval and shall be reflected in rules authorized by section 5163.098 of the Revised Code.
Ohio Rev Code § 5163.098 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.098 | Program Implementing Rules; Disregarded Income.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(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 disabilities program. The rules shall do all of the following: (1) Specify assets, asset values, and amounts to be disregarded in determining asset and income eligibility limits for the program;(2) Establish meanings for the terms "earned income," "health insurance," "resources," "spouse," and "unearned income";(3) Establish additional eligibility requirements for the program that must be established for the United States secretary of health and human services to approve the program;(4) For the purpose of division (B) of section 5163.094 of the Revised Code, specify an amount to be subtracted from the difference determined under division (A) of that section.(B) The director may adopt rules under section 5163.02 of the Revised Code to specify amounts to be disregarded from an individual's earned income, unearned income, or both under division (C) of section 5163.093 of the Revised Code for the purpose of determining whether the individual is within the income eligibility limit for the medicaid buy-in for workers with disabilities program.
Ohio Rev Code § 5163.10 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.10 | Implementation of the Presumptive Eligibility for Pregnant Women Option.

Effective: April 6, 2017|Latest Legislation:  Senate Bill 332 - 131st General Assembly|(A) As used in this section: ( 1) "Presumptive eligibility for pregnant women option" means the option available under section 1920 of the "Social Security Act," 42 U.S.C. 1396r-1, to make ambulatory prenatal care available to pregnant women under the medicaid program during presumptive eligibility periods. ( 2) "Qualified provider" has the same meaning as in section 1920(b)(2) of the "Social Security Act," 42 U.S.C. 1396r-1(b)(2).(B) The medicaid director shall implement the presumptive eligibility for pregnant women option. Any entity that is eligible to be a qualified provider and requests to serve as a qualified provider may serve as a qualified provider for purposes of the presumptive eligibility for pregnant women option if the department of medicaid determines the entity is capable of making determinations of presumptive eligibility for pregnant women.
Ohio Rev Code § 5163.101 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.101 | Implementation of the Presumptive Eligibility for Children Option.

Effective: April 6, 2017|Latest Legislation:  Senate Bill 332 - 131st General Assembly|(A) As used in this section: (1) "Children's hospital" has the same meaning as in section 2151.86 of the Revised Code. (2) "Federally qualified health center" has the same meaning as in section 1905(l)(2)(B) of the "Social Security Act," 42 U.S.C. 1396d(l)(2)(B). (3) "Federally qualified health center look-alike" has the same meaning as in section 3701.047 of the Revised Code. (4) "Presumptive eligibility for children option" means the option available under section 1920A of the "Social Security Act," 42 U.S.C. 1396r-1a, to make medical assistance with respect to health care items and services available to children under the medicaid program during presumptive eligibility periods. (5) "Qualified entity" has the same meaning as in section 1920A(b)(3) of the "Social Security Act," 42 U.S.C. 1396r-1a(b)(3).(B) The medicaid director shall implement the presumptive eligibility for children option. Children's hospitals, federally qualified health centers, and federally qualified health center look-alikes, if they are eligible to be qualified entities and request to serve as qualified entities, may serve as qualified entities for purposes of the presumptive eligibility for children option. The director may authorize other types of entities that are eligible to be qualified entities and request to serve as qualified entities to serve as qualified entities for purposes of the presumptive eligibility for children option.
Ohio Rev Code § 5163.20 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.20 | Beneficiary of Disability Trust.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|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 of this chapter or of a rule adopted under section 5163.02 of the Revised Code, divisions (C) and (D) of that section shall apply in determining the assets or resources of the recipient, the recipient's estate, the settlor, or the settlor's estate and to claims arising under this chapter against the recipient, the recipient's estate, the settlor, or the settlor's estate.
Ohio Rev Code § 5163.22 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.22 | Life Insurance Policies.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(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 from the estate of a recipient state funds used to provide the recipient with medicaid services. (B) As used in this section:(1) "Beneficiary" means the person or entity designated in a life insurance policy to receive the proceeds of the policy on the death of the insured or maturity of the policy.(2) "Owner" means the person who has the right to designate the beneficiary of a life insurance policy and to change the designation.(C) The value of a life insurance policy that would otherwise be considered a resource in determining eligibility for the medicaid program shall be excluded from any determination of a person's eligibility for the medicaid program if the owner designates the department of medicaid as beneficiary of the policy. The department may pay premiums to keep the policy in force. Premiums paid by the department are medicaid payments correctly paid on behalf of a medicaid recipient and subject to recovery under section 5162.21 of the Revised Code.(D) The medicaid director shall deposit the proceeds of a life insurance policy that do not exceed the amount the department may recover against the property and estate of the owner under section 5162.21 of the Revised Code into the general revenue fund. The director shall pay any remaining proceeds to the person designated by the owner. If the owner failed to designate a person, the director shall pay the remaining proceeds to the surviving spouse, or, if there is no surviving spouse, to the estate of the owner.(E) If the owner designates the department of medicaid as the policy's beneficiary, the department shall notify the owner that the owner may designate a person to receive proceeds of the policy that exceed the amount the department may recover against the owner's property and estate under section 5162.21 of the Revised Code. The designation shall be made on a form provided by the department.
Ohio Rev Code § 5163.31 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.31 | Real Property Not Homestead After 13-Month Institutional Residence.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) Except as provided by division (A) of this section and for the purpose of determining whether an aged, blind, or disabled individual is eligible for nursing facility services, ICF/IID services, or other medicaid-funded long-term care services, the medicaid director may consider an aged, blind, or disabled individual's real property to not be the individual's homestead or principal place of residence once the individual has resided in a nursing facility, ICF/IID, or other medical institution for at least thirteen months. (B) Division (A) of this section does not apply to an individual if any of the following reside in the individual's real property that, because of this division, continues to be considered the individual's homestead or principal place of residence:(1) The individual's spouse;(2) The individual's child if any of the following apply:(a) The child is under twenty-one years of age.(b) The child is considered blind or disabled under the "Social Security Act," section 1614, 42 U.S.C. 1382c.(c) The child is financially dependent on the individual for housing as determined in accordance with rules adopted under section 5163.02 of the Revised Code.(3) The individual's sibling if the sibling has a verified equity interest in the real property and resided in the real property for at least one year immediately before the date the individual was admitted to the nursing facility, ICF/IID, or other medical institution.
Ohio Rev Code § 5163.32 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.32 | Equity Interest in Home Exceeds $500,000.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(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 individual's equity interest in the individual's home exceeds five hundred thousand dollars. The medicaid director shall increase this amount effective January 1, 2011, and the first day of each year thereafter, by the percentage increase in the consumer price index for all urban consumers (all items; United States city average), rounded to the nearest one thousand dollars. (B) This section does not apply to an individual if either of the following applies:(1) Either of the following lawfully reside in the individual's home:(a) The individual's spouse;(b) The individual's child if the child is under twenty-one years of age or, under the "Social Security Act," section 1614, 42 U.S.C. 1382c, considered blind or disabled.(2) The individual qualifies, pursuant to the process established under division (C) of this section, for a waiver of this section due to a demonstrated hardship.(C) The director shall establish a process by which individuals may obtain a waiver of this section due to a demonstrated hardship. The process shall be consistent with the process for such waivers established by the United States secretary of health and human services under the "Social Security Act," section 1917(f)(4), 42 U.S.C. 1396p(f)(4).(D) Nothing in this section shall be construed as preventing an individual from using a reverse mortgage or home equity loan to reduce the individual's total equity interest in the home.
Ohio Rev Code § 5163.33 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.33 | Deducting Personal Needs Allowance From Recipient's Income.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|(A) In determining the amount of income that a medicaid recipient must apply monthly toward payment of the cost of care in a nursing facility or ICF/IID, a county department of job and family services shall deduct from the recipient's monthly income a monthly personal needs allowance in accordance with the "Social Security Act," section 1902(q), 42 U.S.C. 1396a(q).(B) In the case of a resident of a nursing facility, the monthly personal needs allowance shall be not less than fifty dollars for an individual resident and not less than one hundred dollars for a married couple if both spouses are residents of a nursing facility and their incomes are considered available to each other in determining eligibility.(C) In the case of a resident of an ICF/IID, the monthly personal needs allowance shall be as follows:(1) Prior to January 1, 2016, forty dollars unless the resident has earned income, in which case the monthly personal needs allowance shall be determined by the department of medicaid, or the department's designee, but shall not exceed one hundred five dollars;(2) For calendar year 2016 and each calendar year thereafter, not less than fifty dollars for an individual resident and not less than one hundred dollars for a married couple if both spouses are residents of an ICF/IID and their incomes are considered available to each other in determining eligibility.
Ohio Rev Code § 5163.45 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.45 | Confinement of Medicaid Recipient in Correctional Facility.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(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: (a) A "state correctional institution," as defined in section 2967.01 of the Revised Code;(b) A "local correctional facility," as defined in section 2903.13 of the Revised Code;(c) A correctional facility that is privately operated and managed pursuant to section 9.06 of the Revised Code.(2) "State or local correctional facility" does not include any facility operated directly by or at the direction of the department of youth services.(B) If a person who is confined in a state or local correctional facility was a medicaid recipient immediately prior to being confined in the facility, all of the following apply:(1) The person's eligibility for medicaid while so confined shall be suspended due to the confinement.(2) No medicaid payment shall be made for any care, services, or supplies provided to the person during the suspension described in division (B)(1) of this section.(3) The suspension described in division (B)(1) of this section shall end upon the release of the person from the confinement.(4) Except as provided in division (C) of this section, the person shall not be required to reapply or undergo a redetermination of eligibility for medicaid when the suspension described in division (B)(1) of this section ends.(C) A person may be disenrolled from medicaid any time after the suspension described in division (B)(1) of this section ends if the person is no longer eligible for medicaid. A person may be required to undergo a redetermination of eligibility for medicaid any time after the suspension described in division (B)(1) of this section ends if it is time or past time for the person's eligibility redetermination or the person's circumstances have changed in a manner warranting a redetermination.
Ohio Rev Code § 5163.52 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|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
Ohio Rev Code § 5164.02 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5164 | Medicaid State Plan Services|Section 5164.02 | Rules to Implement Chapter.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|(A) 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.(B) The rules shall establish all of the following:(1) The amount, duration, and scope of the medicaid services covered by the medicaid program;(2) The medicaid payment rate for each medicaid service or, in lieu of the rate, the method by which the rate is to be determined for each medicaid service;(3) Procedures for enforcing the rules adopted under this section that provide due process protections, including procedures for corrective action plans for, and imposing financial and administrative sanctions on, persons and government entities that violate the rules.(C) The rules may be different for different medicaid services.(D) The medicaid director is not required to adopt a rule establishing the medicaid payment rate for a medicaid service if the director adopts a rule establishing the method by which the rate is to be determined for the medicaid service and makes the rate available on the internet web site maintained by the department of medicaid.
Ohio Rev Code § 5164.03 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5164 | Medicaid State Plan Services|Section 5164.03 | Mandatory and Optional Services.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) The medicaid program shall cover all mandatory services. (B) The medicaid program shall cover all of the optional services that state statutes require the medicaid program to cover.(C) The medicaid program may cover any of the optional services to which either of the following applies:(1) State statutes expressly permit the medicaid program to cover the optional service;(2) State statutes do not address whether the medicaid program may cover the optional service.(D) The medicaid program shall not cover any optional services that state statutes prohibit the medicaid program from covering.
Ohio Rev Code § 5164.06 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5164 | Medicaid State Plan Services|Section 5164.06 | Medicaid Coverage of Occupational Therapy Services.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The medicaid program shall cover occupational therapy services provided by an occupational therapist licensed under section 4755.08 of the Revised Code. Coverage shall not be limited to services provided in a hospital or nursing facility. Any licensed occupational therapist may enter into a provider agreement with the department of medicaid to provide occupational therapy services under the medicaid program.
Ohio Rev Code § 5164.08 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5164 | Medicaid State Plan Services|Section 5164.08 | Screening Mammography and Cytologic Screening for Cervical Cancer.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) As used in this section, "screening mammography" means a radiologic examination utilized to detect unsuspected breast cancer at an early stage in asymptomatic women and includes the x-ray examination of the breast using equipment that is dedicated specifically for mammography, including the x-ray tube, filter, compression device, screens, film, and cassettes, and that has an average radiation exposure delivery of less than one rad mid-breast. "Screening mammography" includes two views for each breast. The term also includes the professional interpretation of the film. "Screening mammography" does not include diagnostic mammography.(B) The medicaid program shall cover both of the following:(1) Screening mammography to detect the presence of breast cancer in adult women;(2) Cytologic screening for the presence of cervical cancer.(C) The medicaid program's coverage of screening mammography pursuant to division (B)(1) of this section shall be provided in accordance with all of the following: (1) If a woman is at least thirty-five years of age but under forty years of age, one screening mammography;(2) If a woman is at least forty years of age but under fifty years of age, either of the following:(a) One screening mammography every two years;(b) If a licensed physician has determined that the woman has risk factors to breast cancer, one screening mammography every year.(3) If a woman is at least fifty years of age but under sixty-five years of age, one screening mammography every year.(D) The medicaid program's coverage of screening mammographies pursuant to division (B)(1) of this section shall be provided only for screening mammographies that are performed in a facility or mobile mammography screening unit that is accredited under the American college of radiology mammography accreditation program or in a hospital as defined in section 3727.01 of the Revised Code.(E) The medicaid program's coverage of cytologic screenings pursuant to division (B)(2) of this section shall be provided only for cytologic screenings that are processed and interpreted in a laboratory certified by the college of American pathologists or in a hospital as defined in section 3727.01 of the Revised Code.