reglab/housing_qa huggingface dataset:
Ohio Rev Code § 5162.07 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.07 | Federal Approval for Permissive Components Not Required.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The medicaid director shall seek federal approval for all components, and aspects of components, of the medicaid program for which federal approval is needed, except that the director is permitted rather than required to seek federal approval for components, and aspects of components, that state statutes permit rather than require be implemented. Federal approval shall be sought in the following forms as appropriate: (A) The medicaid state plan;(B) Amendments to the medicaid state plan;(C) Federal medicaid waivers;(D) Amendments to federal medicaid waivers;(E) Other types of federal approval, including demonstration grants.
Ohio Rev Code § 5162.10 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.10 | Review of Medicaid Program; Corrective Action; Sanctions.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The medicaid director may conduct reviews of the medicaid program. The reviews may include physical inspections of records and sites where medicaid services are provided and interviews of medicaid providers and medicaid recipients. If the director determines pursuant to a review that a person or government entity has violated a rule governing the medicaid program, the director may establish a corrective action plan for the violator and impose fiscal, administrative, or both types of sanctions on the violator in accordance with rules adopted under section 5162.02 of the Revised Code.
Ohio Rev Code § 5162.11 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.11 | Contract for Data Collection and Warehouse Functions Assessment.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|(A) The department of medicaid shall enter into an agreement with the department of administrative services for the department of administrative services to contract through competitive selection pursuant to section 125.07 of the Revised Code with a vendor to perform an assessment of the data collection and data warehouse functions of the medicaid data warehouse system, including the ability to link the data sets of all agencies serving medicaid recipients.The assessment of the data system shall include functions related to fraud and abuse detection, program management and budgeting, and performance measurement capabilities of all agencies serving medicaid recipients, including the departments of aging, health, job and family services, medicaid, mental health and addiction services, and developmental disabilities.A qualified vendor with whom the department of administrative services contracts to assess the data system shall also assist the medicaid agencies in the definition of the requirements for an enhanced data system or a new data system and assist the department of administrative services in the preparation of a request for proposals to enhance or develop a data system.(B) Based on the assessment performed pursuant to division (A) of this section, the department of administrative services shall seek a qualified vendor through competitive selection pursuant to Chapter 125. of the Revised Code to develop or enhance a data collection and data warehouse system for the department of medicaid and all agencies serving medicaid recipients.The department of medicaid shall seek enhanced federal financial participation for ninety per cent of the funds required to establish or enhance the data system. The department of administrative services shall not award a contract for establishing or enhancing the data system until the department of medicaid receives approval from the United States secretary of health and human services for the ninety per cent federal financial participation.
Ohio Rev Code § 5162.12 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.12 | Contracts for the Management of Medicaid Data Requests.

Effective: October 17, 2019|Latest Legislation:  House Bill 166 - 133rd General Assembly|(A) The medicaid director shall enter into a contract with one or more persons to receive and process, on the director's behalf, requests for medicaid recipient or claims payment data, data from reports of audits conducted under section 5165.109 of the Revised Code, or extracts or analyses of any of the foregoing data made by persons who intend to use the items prepared pursuant to the requests for commercial or academic purposes. (B) At a minimum, a contract entered into under this section shall do both of the following: (1) Authorize the contracting person to engage in the activities described in division (A) of this section for compensation, which must be stated as a percentage of the fees paid by persons who are provided the items; (2) Require the contracting person to charge for an item prepared pursuant to a request a fee in an amount equal to one hundred two per cent of the cost the department of medicaid incurs in making the data used to prepare the item available to the contracting person. (C) Except as required by federal or state law and subject to division (E) of this section, both of the following conditions apply with respect to a request for data described in division (A) of this section: (1) The request shall be made through a person who has entered into a contract with the medicaid director under this section. (2) An item prepared pursuant to the request may be provided to the department of medicaid and is confidential and not subject to disclosure under section 149.43 or 1347.08 of the Revised Code. (D) The medicaid director shall use fees the director receives pursuant to a contract entered into under this section to pay obligations specified in contracts entered under this section. Any money remaining after the obligations are paid shall be deposited in the health care/medicaid support and recoveries fund created under section 5162.52 of the Revised Code. (E) This section does not apply to requests for medicaid recipient or claims payment data, data from reports of audits conducted under section 5165.109 of the Revised Code, or extracts or analyses of any of the foregoing data that are for any of the following purposes: (1) Treatment of medicaid recipients; (2) Payment of medicaid claims; (3) Establishment or management of medicaid third party liability pursuant to sections 5160.35 to 5160.43 of the Revised Code;  (4) Compliance with the terms of an agreement the medicaid director enters into for purposes of administering the medicaid program.
Ohio Rev Code § 5162.131 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.131 | Semiannual Reports on Controlling Increase in Costs.

Effective: March 20, 2014|Latest Legislation:  Senate Bill 206 - 130th General Assembly|Semiannually, the medicaid director shall complete a report on the establishment and implementation of programs designed to control the increase of the cost of the medicaid program, increase the efficiency of the medicaid program, and promote better health outcomes. The director shall submit the report to the general assembly in accordance with section 101.68 of the Revised Code and to the joint medicaid oversight committee. In each calendar year, one report shall be submitted not later than the last day of June and the subsequent report shall be submitted not later than the last day of December.
Ohio Rev Code § 5162.132 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.132 | Annual Report Outlining Efforts to Minimize Fraud, Waste, and Abuse.

Effective: March 20, 2014|Latest Legislation:  Senate Bill 206 - 130th General Assembly|Annually, the department of medicaid shall prepare a report on the department's efforts to minimize fraud, waste, and abuse in the medicaid program. Each report shall be made available on the department's web site. The department shall submit a copy of each report to the governor, general assembly, and joint medicaid oversight committee. The copy to the general assembly shall be submitted in accordance with section 101.68 of the Revised Code. Copies of the report also shall be made available to the public on request.
Ohio Rev Code § 5162.133 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.133 | Annual Program Report; Distribution; Contents.

Effective: March 20, 2014|Latest Legislation:  Senate Bill 206 - 130th General Assembly|Not less than once each year, the medicaid director shall submit a report on the medicaid buy-in for workers with disabilities program to the governor, general assembly, and joint medicaid oversight committee. The copy to the general assembly shall be submitted in accordance with section 101.68 of the Revised Code. The report shall include all of the following information: (A) The number of individuals who participated in the medicaid buy-in for workers with disabilities program;(B) The cost of the program;(C) The amount of revenue generated by premiums that participants pay under section 5163.094 of the Revised Code;(D) The average amount of earned income of participants' families;(E) The average amount of time participants have participated in the program;(F) The types of other health insurance participants have been able to obtain.
Ohio Rev Code § 5162.134 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.134 | Annual Report of Integrated Care Delivery System Evaluation.

Effective: March 20, 2014|Latest Legislation:  Senate Bill 206 - 130th General Assembly|Not later than the first day of each July, the medicaid director shall complete a report of the evaluation conducted under section 5164.911 of the Revised Code regarding the integrated care delivery system. The director shall provide a copy of the report to the general assembly and joint medicaid oversight committee. The copy to the general assembly shall be provided in accordance with section 101.68 of the Revised Code. The director also shall make the report available to the public.
Ohio Rev Code § 5162.135 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.135 | Infant Mortality Scorecard.

Effective: April 6, 2017|Latest Legislation:  Senate Bill 332 - 131st General Assembly|(A) As used in this section, "stillbirth" has the same meaning as in section 3701.97 of the Revised Code.(B) The department of medicaid shall create an infant mortality scorecard. The scorecard shall report all of the following:(1) The performance of the fee-for-service component of medicaid and each medicaid managed care organization on population health measures, including the infant mortality rate, preterm birth rate, and low-birthweight rate, stillbirth rate, delineated in accordance with division (C) of this section;(2) The performance of the fee-for-service component of medicaid and each medicaid managed care organization on service utilization and outcome measures using claims data and data from vital records;(3) The number and percentage of women who are at least fifteen but less than forty-four years of age who are medicaid recipients;(4) The number of medicaid recipients who delivered a newborn and the percentage of those who reported tobacco use at the time of delivery;(5) The number of prenatal, postpartum, and adolescent wellness visits made by medicaid recipients;(6) The percentage of pregnant medicaid recipients who initiated progesterone therapy during pregnancy;(7) The percentage of female medicaid recipients of childbearing age who participate in a tobacco cessation program or use a tobacco cessation product;(8) The percentage of female medicaid recipients of childbearing age who use long-acting reversible contraception;(9) A comparison of the low-birthweight rate of medicaid recipients with the low-birthweight rate of women who are not medicaid recipients;(10) Any other information on maternal and child health that the department considers appropriate.(C) To the extent possible, the performance measures described in division (B)(1) of this section shall be delineated in the scorecard as follows:(1) For each region of the state and the state as a whole, by race and ethnic group;(2) For the urban and rural communities specified in rules adopted under section 3701.142 of the Revised Code, as well as for any other communities that are the subject of targeted infant mortality reduction initiatives administered by one or more state agencies, by race, ethnic group, and census tract.The scorecard shall be updated each calendar quarter and made available on the department's internet web site.(D) The department shall make available the data sources and methodology used to complete the scorecard to any person or government entity on request.
Ohio Rev Code § 5162.136 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.136 | Review of Barriers to Interventions Intended to Reduce Tobacco Use, Prevent Prematurity, and Promote Optimal Birth Spacing.

Effective: April 6, 2017|Latest Legislation:  Senate Bill 332 - 131st General Assembly|(A) The department of medicaid shall conduct periodic reviews to determine the barriers that medicaid recipients face in gaining full access to interventions intended to reduce tobacco use, prevent prematurity, and promote optimal birth spacing. The first review shall occur not later than sixty days after the effective date of this section. Thereafter, reviews shall be conducted every six months. The department shall prepare a report that summarizes the results of each review, which must contain the information specified in division (C)(1) or (2) of this section, as applicable. Each report shall be submitted to the commission on infant mortality, the joint medicaid oversight committee, and the general assembly. Submissions to the general assembly shall be made in accordance with section 101.68 of the Revised Code.(B) The department shall make a presentation on each report at the first meeting of the commission on infant mortality that follows the report's submission to the commission.(C)(1) All of the following shall be in the first report submitted in accordance with division (A) of this section:(a) Identification of the access barriers described in division (A) of this section, the individuals affected by the barriers, and whether the barriers result from policies implemented by the department, medicaid managed care organizations, providers, or others;(b) Recommendations for the expedient removal of the access barriers;(c) An analysis of the performance of the fee-for-service component of medicaid and the performance of each medicaid managed care organization on health metrics pertaining to tobacco cessation, prematurity prevention, and birth spacing;(d) Any other information the department considers pertinent to the report's topic.(2) All of the following shall be in each subsequent report submitted in accordance with division (A) of this section:(a) The progress that has been made on removing the access barriers described in division (A) of this section and the impact such progress has had on reducing the infant mortality rate in this state;(b) A performance analysis of the fee-for-service component of medicaid and each medicaid managed care organization on health metrics pertaining to tobacco cessation, prematurity prevention, and birth spacing;(c) Any other information the department considers pertinent.
Ohio Rev Code § 5162.1310 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.1310 | Evaluation of Success of Expansion Eligibility Group.

Effective: October 17, 2019|Latest Legislation:  House Bill 166 - 133rd General Assembly|(A) The department of medicaid shall periodically evaluate the success that members of the expansion eligibility group have with the following: (1) Obtaining employer-sponsored health insurance coverage; (2) Improving health conditions that would otherwise prevent or inhibit stable employment; (3) Improving the conditions of their employment, including duration and hours of employment. (B) For the purpose of aiding the department's evaluations under this section, medicaid managed care organizations shall collect and submit to the department relevant data about members of the expansion eligibility group who are enrolled in the organizations' medicaid MCO plans. The department may request that a medicaid managed care organization collect and submit to the department additional data the department needs for the evaluation. (C) The department shall complete a report for each evaluation conducted under this section. The director shall provide a copy of the report to the general assembly and joint medicaid oversight committee. The copy to the general assembly shall be provided in accordance with section 101.68 of the Revised Code.
Ohio Rev Code § 5162.16 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.16 | Reporting Fraud, Waste, or Abuse.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|A government entity that administers one or more components of the medicaid program and has reasonable cause to believe that an instance of fraud, waste, or abuse has occurred in the medicaid program shall inform the department of medicaid. The department shall collect the information in the medicaid data warehouse system established under section 5162.11 of the Revised Code.
Ohio Rev Code § 5162.20 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.20 | Cost-Sharing Requirements.

Effective: September 18, 2020|Latest Legislation:  House Bill 11 - 133rd General Assembly|(A) The department of medicaid shall institute cost-sharing requirements for the medicaid program. The department shall not institute cost-sharing requirements in a manner that does either of the following: (1) Disproportionately impacts the ability of medicaid recipients with chronic illnesses to obtain medically necessary medicaid services; (2) Violates section 5164.09 or 5164.10 of the Revised Code. (B)(1) No provider shall refuse to provide a service to a medicaid recipient who is unable to pay a required copayment for the service. (2) Division (B)(1) of this section shall not be considered to do either of the following with regard to a medicaid recipient who is unable to pay a required copayment: (a) Relieve the medicaid recipient from the obligation to pay a copayment; (b) Prohibit the provider from attempting to collect an unpaid copayment. (C) Except as provided in division (F) of this section, no provider shall waive a medicaid recipient's obligation to pay the provider a copayment. (D) No provider or drug manufacturer, including the manufacturer's representative, employee, independent contractor, or agent, shall pay any copayment on behalf of a medicaid recipient. (E) If it is the routine business practice of a provider to refuse service to any individual who owes an outstanding debt to the provider, the provider may consider an unpaid copayment imposed by the cost-sharing requirements as an outstanding debt and may refuse service to a medicaid recipient who owes the provider an outstanding debt. If the provider intends to refuse service to a medicaid recipient who owes the provider an outstanding debt, the provider shall notify the recipient of the provider's intent to refuse service. (F) In the case of a provider that is a hospital, the cost-sharing program shall permit the hospital to take action to collect a copayment by providing, at the time services are rendered to a medicaid recipient, notice that a copayment may be owed. If the hospital provides the notice and chooses not to take any further action to pursue collection of the copayment, the prohibition against waiving copayments specified in division (C) of this section does not apply. (G) The department of medicaid may collaborate with a state agency that is administering, pursuant to a contract entered into under section 5162.35 of the Revised Code, one or more components, or one or more aspects of a component, of the medicaid program as necessary for the state agency to apply the cost-sharing requirements to the components or aspects of a component that the state agency administers.
Ohio Rev Code § 5162.212 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.212 | Certification of Amounts Due Under Estate Recovery Program; Collection.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid shall certify amounts due under the medicaid estate recovery program instituted under section 5162.21 of the Revised Code to the attorney general pursuant to section 131.02 of the Revised Code. The attorney general may enter into a contract with any person or government entity to collect the amounts due on behalf of the attorney general. The attorney general, in entering into a contract under this section, shall comply with all of the requirements that must be met for the state to receive federal financial participation for the costs incurred in entering into the contract and carrying out actions under the contract. The contract may provide for the person or government entity with which the attorney general contracts to be compensated from the property recovered under the medicaid estate recovery program or may provide for another manner of compensation agreed to by the parties to the contract.Regardless of whether the attorney general collects the amounts due under the medicaid estate recovery program or contracts with a person or government entity to collect the amounts due on behalf of the attorney general, the amounts due shall be collected in accordance with applicable requirements of federal statutes and regulations and state statutes and rules.