reglab/housing_qa huggingface dataset:
Ohio Rev Code § 5162.23 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.23 | Recovering Benefits Incorrectly Paid.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) The medicaid director shall adopt rules under section 5162.02 of the Revised Code permitting county departments of job and family services to take action to recover benefits incorrectly paid on behalf of medicaid recipients. The rules shall provide for recovery by the following methods: (1) Soliciting voluntary payments from recipients or from persons holding property in which a recipient has a legal or equitable interest;(2) Obtaining a lien on property pursuant to division (B) of this section.(B) A county department of job and family services may bring a civil action in a court of common pleas against a medicaid recipient for the recovery of any medicaid payments determined by the court to have been paid incorrectly on behalf of the recipient. All persons holding property in which the recipient has a legal or equitable interest may be joined as parties. The court may issue pre-judgment orders, including injunctive relief or attachment under Chapter 2715. of the Revised Code, for the preservation of real or personal property in which the recipient may have a legal or equitable interest. If the court determines that medicaid payments were made incorrectly and issues a judgment to that effect, the county department may obtain a lien upon property of the recipient in accordance with Chapter 2329. of the Revised Code.(C) The county department of job and family services shall retain fifty per cent of the balance remaining after deduction from the recovery of the amount required to be returned to the federal government and shall pay the other fifty per cent of the balance to the department of medicaid.(D) Recovery of medicaid payments incorrectly made on behalf of a medicaid recipient may not be accomplished by reducing the amount of benefits the recipient is entitled to receive under another government assistance program.(E) The remedies provided pursuant to this section do not affect any other remedies county departments of job and family services may have to recover benefits incorrectly paid on behalf of medicaid recipients.
Ohio Rev Code § 5162.24 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.24 | Recovering Health Care Costs Provided to Child.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) As used in this section, "third party" has the same meaning as in section 5160.35 of the Revised Code. (B) In addition to the authority granted under section 5160.38 of the Revised Code, the department of medicaid may, to the extent necessary to reimburse its costs, garnish the wages, salary, or other employment income of, and withhold amounts from state tax refunds to, any person to whom both of the following apply:(1) The person is required by a court or administrative order to provide coverage of the cost of health care services to a child eligible for medicaid.(2) The person has received payment from a third party for the costs of such services but has not used the payment to reimburse either the other parent or guardian of the child or the provider of the services.(C) Claims for current and past due child support shall take priority over claims under division (B) of this section.
Ohio Rev Code § 5162.30 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.30 | Medicaid Administrative Claiming Program.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) The medicaid director shall create a medicaid administrative claiming program under which federal financial participation is received for the administrative costs incurred by the department of health and the Arthur G. James cancer hospital and Richard J. Solove research institute of the Ohio state university in analyzing and evaluating both of the following pursuant to sections 3701.261 and 3701.262 of the Revised Code: (1) Cancer reports under the Ohio cancer incidence surveillance system;(2) The incidence, prevalence, costs, and medical consequences of cancer on medicaid recipients and other low-income populations.(B) The medicaid director shall consult with the director of health in creating the medicaid administrative claiming program.
Ohio Rev Code § 5162.31 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.31 | Local Funds Expended for Administration of the Healthy Start Component.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|Local funds, whether from public or private sources, expended by a county department of job and family services for administration of the healthy start component shall be considered to have been expended by the state for the purpose of determining the extent to which the state has complied with any federal requirement that the state provide funds to match federal financial participation for the medicaid program. This section does not affect the amount of funds a county is entitled to receive under sections 5101.16 and 5101.161 of the Revised Code.
Ohio Rev Code § 5162.32 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.32 | Contracts With Political Subdivisions to Pay Nonfederal Share.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid may enter into contracts with political subdivisions to use funds of the political subdivision to pay the nonfederal share of expenditures under the medicaid program. The determination and provision of federal financial participation to a subdivision entering into a contract under this section shall be determined by the department, subject to section 5162.40 of the Revised Code.
Ohio Rev Code § 5162.35 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.35 | Contracts for Administration of Components.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid may enter into contracts with one or more other state agencies or political subdivisions to have the state agency or political subdivision administer one or more components of the medicaid program, or one or more aspects of a component, under the department's supervision. A state agency or political subdivision that enters into such a contract shall comply with the terms of the contract and any rules the medicaid director has adopted governing the component, or aspect of the component, that the state agency or political subdivision is to administer, including any rules establishing review, audit, and corrective action plan requirements. A contract with a state agency shall be in the form of an interagency agreement. A state agency or political subdivision that enters into a contract with the department under this section shall reimburse the department for the nonfederal share of the cost to the department of performing, or contracting for the performance of, a fiscal audit of the component of the medicaid program, or aspect of the component, that the state agency or political subdivision administers if rules governing the component, or aspect of the component, require that a fiscal audit be conducted.
Ohio Rev Code § 5162.36 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.36 | Medicaid School Component.

Effective: March 21, 2017|Latest Legislation:  House Bill 89 - 131st General Assembly|The medicaid director shall create, in accordance with sections 5162.36 to 5 162.366 of the Revised Code, the medicaid school component of the medicaid program.
Ohio Rev Code § 5162.361 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.361 | Claim by Qualified Medicaid School Provider.

Effective: March 21, 2017|Latest Legislation:  House Bill 89 - 131st General Assembly|A qualified medicaid school provider participating in the medicaid school component of the medicaid program may submit a claim to the department of medicaid for federal financial participation for providing, in schools, services covered by the medicaid school component to medicaid recipients who are eligible for the services. No qualified medicaid school provider may submit such a claim before the provider incurs the cost of providing the service.The claim shall include certification of the qualified medicaid school provider's expenditures for the service. The certification shall show that the money the qualified medicaid school provider used for the expenditures was nonfederal money the provider may legally use for providing the service and that the amount of the expenditures was sufficient to pay the full cost of the service.Except as otherwise provided in sections 5162.36 to 5 162.366 of the Revised Code, a qualified medicaid school provider is subject to all conditions of participation in the medicaid program that generally apply to providers of goods and services under the medicaid program, including conditions regarding claims, audits, and recovery of overpayments.
Ohio Rev Code § 5162.362 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.362 | Federal Financial Participation for Medicaid School Claims.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The department of medicaid shall seek federal financial participation for each claim a qualified medicaid school provider properly submits to the department under section 5162.361 of the Revised Code. The department shall disburse the federal financial participation the department receives from the federal government for such a claim to the qualified medicaid school provider that submitted the claim. The department may not pay the qualified medicaid school provider the nonfederal share of the cost of the services for which the claim was submitted.
Ohio Rev Code § 5162.363 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.363 | Administration of Medicaid School Component.

Effective: March 21, 2017|Latest Legislation:  House Bill 89 - 131st General Assembly|The department of medicaid shall enter into an interagency agreement with the department of education under section 5162.35 of the Revised Code that provides for the department of education to administer the medicaid school component of the medicaid program other than the aspects of the component that sections 5162.36 to 5 162.366 of the Revised Code require the department of medicaid to administer. The interagency agreement may include a provision that provides for the department of education to pay to the department of medicaid the nonfederal share of a portion of the administrative expenses the department of medicaid incurs in administering the aspects of the component that the department of medicaid administers.To the extent authorized by rules authorized by section 5162.021 of the Revised Code, the department of education shall adopt rules establishing a process by which qualified medicaid school providers participating in the medicaid school component pay to the department of education the nonfederal share of the department's expenses incurred in administering the component. The rules shall be adopted in accordance with Chapter 119. of the Revised Code.
Ohio Rev Code § 5162.364 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.364 | Adoption of Rules for Medicaid School Component.

Effective: October 17, 2019|Latest Legislation:  House Bill 166 - 133rd General Assembly|The medicaid director shall adopt rules under section 5162.02 of the Revised Code as necessary to implement the medicaid school component of the medicaid program, including rules that establish or specify all of the following: (A) Conditions a board of education of a city, local, or exempted school district, a governing board of an educational service center, governing authority of a community school established under Chapter 3314. of the Revised Code, the state school for the deaf, and the state school for the blind must meet to participate in the component; (B) Services the component covers; (C) Payment rates for the services the component covers. The rules shall be adopted in accordance with Chapter 119. of the Revised Code.
Ohio Rev Code § 5162.365 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.365 | Responsibility for Repaying Overpayments.

Effective: September 29, 2015|Latest Legislation:  House Bill 64 - 131st General Assembly|(A) A qualified medicaid school provider is solely responsible for timely repaying any overpayment that the provider receives under the medicaid school component of the medicaid program and that is discovered by a federal or state audit. This is the case regardless of whether the audit's finding identifies the provider, department of medicaid, or department of education as being responsible for the overpayment.(B) The department of medicaid shall not do any of the following regarding an overpayment for which a qualified medicaid school provider is responsible for repaying:(1) Make a payment to the federal government to meet or delay the provider's repayment obligation;(2) Assume the provider's repayment obligation;(3) Forgive the provider's repayment obligation.(C) Each qualified medicaid school provider shall indemnify and hold harmless the department of medicaid for any cost or penalty resulting from a federal or state audit finding that a claim submitted by the provider under section 5162.361 of the Revised Code did not comply with a federal or state requirement applicable to the claim, including a requirement of a medicaid waiver component.
Ohio Rev Code § 5162.366 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.366 | Referrals for Certain Services Under the Medicaid School Program.

Effective: March 21, 2017|Latest Legislation:  House Bill 89 - 131st General Assembly|(A) Subject to division (B) of this section and for the purpose of a medicaid recipient receiving, in accordance with the recipient's individualized education program, physical therapy services, occupational therapy services, speech-language pathology services, or audiology services under the medicaid school component of the medicaid program:(1) A physical therapist is a licensed practitioner of the healing arts for the purpose of 42 C.F.R. 440.110(a)(1) and may make a referral for physical therapy services for the recipient.(2) An occupational therapist is a licensed practitioner of the healing arts for the purpose of 42 C.F.R. 440.110(b)(1) and may make a referral for occupational therapy services for the recipient.(3) A speech-language pathologist is a licensed practitioner of the healing arts for the purpose of 42 C.F.R. 440.110(c)(1) and may make a referral for speech-language pathology services for the recipient.(4) An audiologist is a licensed practitioner of the healing arts for the purpose of 42 C.F.R. 440.110(c)(1) and may make a referral for audiology services for the recipient.(B) To be able to make a referral for a service under this section, a physical therapist, occupational therapist, speech-language pathologist, or audiologist must have a provider agreement. This does not preclude a physical therapist, occupational therapist, speech-language pathologist, or audiologist from being an ordering or referring only provider.
Ohio Rev Code § 5162.37 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.37 | Contract Approval Required.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|Any contract the department of medicaid enters into with the department of mental health and addiction services under section 5162.35 of the Revised Code is subject to the approval of the director of budget and management and shall require or specify all of the following: (A) That section 5162.371 of the Revised Code be complied with;(B) How providers will be paid for providing the services;(C) The responsibilities of the department of mental health and addiction services with regard to providers, including program oversight and quality assurance.
Ohio Rev Code § 5162.371 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.371 | Contracts With Department of Mental Health and Addiction Services; Payment of Nonfederal Share of Medicaid Payment.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|If the department of medicaid enters into a contract with the department of mental health and addiction services under section 5162.35 of the Revised Code, the department of medicaid shall pay the nonfederal share of any medicaid payment to a provider for services under the component, or aspect of the component, the department of mental health and addiction services administers.
Ohio Rev Code § 5162.40 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.40 | Retaining or Collecting Percentage of Federal Financial Participation.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|(A) If a state agency or political subdivision administers one or more components of the medicaid program or administers one or more aspects of such a component, the department of medicaid may retain or collect not more than ten per cent of the federal financial participation the state agency or political subdivision obtains through an approved, administrative claim regarding the component or aspect of the component. If the department retains or collects a percentage of such federal financial participation, the percentage the department retains or collects shall be specified in a contract the department enters into with the state agency or political subdivision under section 5162.35 of the Revised Code.(B) All amounts the department retains or collects under this section shall be deposited into the health care/medicaid support and recoveries fund created under section 5162.52 of the Revised Code.
Ohio Rev Code § 5162.41 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.41 | Retaining or Collecting Percentage of Supplemental Payment.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|The department of medicaid may retain or collect a percentage of the federal financial participation included in a supplemental medicaid payment to one or more medicaid providers owned or operated by a state agency or political subdivision that brings the payment to such provider or providers to the upper payment limit established by 42 C.F.R. 447.272. If the department retains or collects a percentage of that federal financial participation, the medicaid director shall adopt a rule under section 5162.02 of the Revised Code specifying the percentage the department is to retain or collect. All amounts the department retains or collects under this section shall be deposited into the health care/medicaid support and recoveries fund created under section 5162.52 of the Revised Code.
Ohio Rev Code § 5162.50 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.50 | Health Care-Federal Fund.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) The health care - federal fund is hereby created in the state treasury. All of the following shall be credited to the fund: (1) Funds that division (B) of section 5168.11 of the Revised Code requires be credited to the fund;(2) The federal share of all rebates paid by drug manufacturers to the department of medicaid in accordance with a rebate agreement required by the "Social Security Act," section 1927, 42 U.S.C. 1396r-8;(3) The federal share of all supplemental rebates paid by drug manufacturers to the department of medicaid in accordance with the supplemental drug rebate program established under section 5164.755 of the Revised Code;(4) Except as otherwise provided by statute or as authorized by the controlling board, the federal share of all other medicaid-related revenues, collections, and recoveries.(B) All money credited to the health care - federal fund pursuant to division (B) of section 5168.11 of the Revised Code shall be used solely for distributing funds to hospitals under section 5168.09 of the Revised Code. The department of medicaid shall use all other money credited to the fund to pay for other medicaid services and contracts.
Ohio Rev Code § 5162.52 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.52 | Health Care/medicaid Support and Recoveries Fund.

Effective: October 17, 2019|Latest Legislation:  House Bill 166 - 133rd General Assembly|(A) The health care/medicaid support and recoveries fund is hereby created in the state treasury. All of the following shall be credited to the fund: (1) Except as otherwise provided by statute or as authorized by the controlling board, the nonfederal share of all medicaid-related revenues, collections, and recoveries; (2) Federal reimbursement received for payment adjustments made pursuant to section 1923 of the "Social Security Act," 42 U.S.C. 1396r-4, under the medicaid program to state mental health hospitals maintained and operated by the department of mental health and addiction services under division (A) of section 5119.14 of the Revised Code; (3) Revenues the department of medicaid receives from another state agency for medicaid services pursuant to an interagency agreement; (4) The money the department of medicaid receives in a fiscal year for performing eligibility verification services necessary for compliance with the independent, certified audit requirement of 42 C.F.R. 455.304; (5) The nonfederal share of all rebates paid by drug manufacturers to the department of medicaid in accordance with a rebate agreement required by section 1927 of the "Social Security Act," 42 U.S.C. 1396r-8; (6) The nonfederal share of all supplemental rebates paid by drug manufacturers to the department of medicaid in accordance with the supplemental drug rebate program established under section 5164.755 of the Revised Code; (7) Amounts deposited into the fund pursuant to sections 5162.12, 5162.40, and 5162.41 of the Revised Code; (8) The application fees charged to providers under section 5164.31 of the Revised Code; (9) The fines collected under section 5165.1010 of the Revised Code; (10) Amounts from assessments on hospitals under section 5168.06 of the Revised Code and intergovernmental transfers by governmental hospitals under section 5168.07 of the Revised Code that are deposited into the fund in accordance with the law. (B) The department of medicaid shall use money credited to the health care/medicaid support and recoveries fund to pay for all of the following: (1) Medicaid services; (2) Costs associated with the administration of the medicaid program; (3) Programs that serve youth involved with multiple government agencies; (4) Innovative programs that the department has statutory authority to implement and that promote access to health care or help achieve long-term cost savings to the state.