reglab/housing_qa huggingface dataset:
Ohio Rev Code § 5162.56 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.56 | Health Care Special Activities Fund.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|There is created in the state treasury the health care special activities fund. The department of medicaid shall deposit all funds it receives pursuant to the administration of the medicaid program into the fund, other than any such funds that are required by law to be deposited into another fund. The department shall use the money in the fund to pay for expenses related to the services provided under, and the administration of, the medicaid program.
Ohio Rev Code § 5162.65 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.65 | Refunds and Reconciliation Fund.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|There is hereby created in the state treasury the refunds and reconciliation fund.Money the department of medicaid receives from a refund or reconciliation shall be deposited into the refunds and reconciliation fund if the department does not know the appropriate fund for the money at the time the department receives the money or if the money is to go to another government entity. Money transferred from the department of job and family services under section 5101.074 of the Revised Code also shall be deposited into the refunds and reconciliation fund.Money in the refunds and reconciliation fund, including money transferred from the department of job and family services, shall be transferred to the appropriate fund once the appropriate fund is identified or shall be transferred to another government entity, as appropriate.
Ohio Rev Code § 5162.66 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.66 | Residents Protection Fund.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|(A) There is hereby created in the state treasury the residents protection fund. All of the following shall be deposited into the fund:(1) The proceeds of all fines, including interest, collected under sections 5165.60 to 5165.89 of the Revised Code;(2) The proceeds of all fines, including interest, collected under section 173.42 of the Revised Code;(3) The portions of civil money penalties and corresponding interest that are disbursed on or after July 1, 2017, to the department of medicaid pursuant to 42 C.F.R. 488.845.(B)(1) Money deposited into the fund pursuant to divisions (A)(1) and (2) of this section shall be used for all of the following:(a) Protection of the health or property of residents of nursing facilities in which the department of health finds deficiencies, including payment for the costs of relocation of residents to other facilities;(b) Maintenance of operation of a facility pending correction of deficiencies or closure;(c) Reimbursement of residents for the loss of money managed by the facility under section 3721.15 of the Revised Code;(d) Provision of funds for costs incurred by a temporary resident safety assurance manager appointed under section 5165.78 of the Revised Code.(2) Subject to 42 C.F.R. 488.845(g)(2), money deposited into the fund pursuant to division (A)(3) of this section shall be used to improve the quality of medicaid services provided by medicare-certified home health agencies.(C) The fund shall be maintained and administered by the department of medicaid under rules developed in consultation with the departments of health and aging and adopted under section 5162.02 of the Revised Code. The rules shall be adopted in accordance with Chapter 119. of the Revised Code.
Ohio Rev Code § 5162.71 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.71 | Implementation of Systems to Improve Health and Reduce Health Disparities.

Effective: March 20, 2014|Latest Legislation:  Senate Bill 206 - 130th General Assembly|The medicaid director shall implement within the medicaid program systems that do both of the following: (A) Improve the health of medicaid recipients through the use of population health measures;(B) Reduce health disparities, including, but not limited to, those within racial and ethnic populations.
Ohio Rev Code § 5162.72 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.72 | Strategies to Address Social Determinants of Health.

Effective: October 17, 2019|Latest Legislation:  House Bill 166 - 133rd General Assembly|The medicaid director shall implement within the medicaid program strategies that address social determinants of health, including employment, housing, transportation, food, interpersonal safety, and toxic stress.
Ohio Rev Code § 5162.73 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.73 | Dental Services for Pregnant Medicaid Recipients.

Effective: September 18, 2020|Latest Legislation:  House Bill 11 - 133rd General Assembly|(A) The Department of Medicaid may establish and administer a program to provide dental services to pregnant Medicaid recipients. If the program is established, all of the following shall apply: (1) Medicaid recipients who are members of the group described in section 5163.06 of the Revised Code shall be eligible to receive two dental cleanings per year.  (2) The Department shall give priority to those Medicaid recipients residing in areas of the state with high preterm birth rates. (3) The Department shall inform Medicaid recipients about the program and market the program to Medicaid recipients. (B) The Department of Medicaid shall establish reimbursement rates for entities that educate Medicaid recipients about the importance of prenatal and postnatal dental care as part of the program described in section 3701.615 of the Revised Code, including reimbursement rates for all or part of the costs associated with developing and distributing educational materials related to the importance of prenatal and postnatal dental care.
Ohio Rev Code § 5162.80 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.80 | Good Faith Estimates for Charges and Payments.

Effective: January 1, 2017|Latest Legislation:  House Bill 52 - 131st General Assembly|(A) A provider of medical services licensed, accredited, or certified under Chapter 3721., 3727., 4715., 4725., 4731., 4732., 4734., 4747., 4753., 4755., 4757., or 4779. of the Revised Code shall provide in writing, before products, services, or procedures are provided, a reasonable, good-faith estimate of all of the following for the provider's non-emergency products, services, or procedures:(1) The amount the provider will charge the patient or the consumer's health plan issuer for the product, service, or procedure;(2) The amount the health plan issuer intends to pay for the product, service, or procedure;(3) The difference, if any, that the consumer or other party responsible for the consumer's care would be required to pay to the provider for the product, service, or procedure.(B) Any health plan issuer contacted by a provider described in division (A) of this section in order for the provider to obtain information so that the provider can comply with division (A) of this section shall provide such information to the provider within a reasonable time of the provider's request.(C) As used in this section, "health plan issuer" means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the superintendent of insurance, that contracts, or offers to contract, to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services under a health benefit plan, including a sickness and accident insurance company and a health insuring corporation. "Health plan issuer" also includes a managed care organization under contract with the department of medicaid and, if the services are to be provided on a fee-for-service basis, the Medicaid program.(D) The medicaid director shall adopt rules, in accordance with Chapter 119. of the Revised Code, to carry out this section.
Ohio Rev Code § 5162.82 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5162 | Medicaid and Medicaid Funds|Section 5162.82 | Payment Rate Increase Report to Jmoc.

Effective: September 30, 2021|Latest Legislation:  House Bill 110 - 134th General Assembly|Before making any payment rate increases greater than ten per cent under the medicaid program, the medicaid director shall notify the joint medicaid oversight committee of the increase and be available to testify before the joint medicaid oversight committee regarding the increase. Last updated September 9, 2021 at 3:02 PM
Ohio Rev Code § 5163.01 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.01 | Definitions.

Effective: September 29, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|As used in this chapter:"Caretaker relative" has the same meaning as in 42 C.F.R. 435.4 as that regulation is amended effective January 1, 2014."Expansion eligibility group" means the medicaid eligibility group described in section 1902(a)(10)(A)(i)(VIII) of the "Social Security Act," 42 U.S.C. 1396a(a)(10)(A)(i)(VIII)."Federal financial participation" has the same meaning as in section 5160.01 of the Revised Code."Federal poverty line" has the same meaning as in section 5162.01 of the Revised Code."Healthy start component" has the same meaning as in section 5162.01 of the Revised Code."Home and community-based services medicaid waiver component" has the same meaning as in section 5166.01 of the Revised Code."Intermediate care facility for individuals with intellectual disabilities" and "ICF/IID" have the same meanings as in section 5124.01 of the Revised Code."Mandatory eligibility groups" means the groups of individuals that must be covered by the medicaid state plan as a condition of the state receiving federal financial participation for the medicaid program."Medicaid buy-in for workers with disabilities program" means the component of the medicaid program established under sections 5163.09 to 5163.098 of the Revised Code."Medicaid services" has the same meaning as in section 5164.01 of the Revised Code."Medicaid waiver component" has the same meaning as in section 5166.01 of the Revised Code."Nursing facility" and "nursing facility services" have the same meanings as in section 5165.01 of the Revised Code."Optional eligibility groups" means the groups of individuals who may be covered by the medicaid state plan or a federal medicaid waiver and for whom the medicaid program receives federal financial participation."Other medicaid-funded long-term care services" has the meaning specified in rules adopted under section 5163.02 of the Revised Code."Supplemental security income program" means the program established by Title XVI of the "Social Security Act," 42 U.S.C. 1381 et seq.
Ohio Rev Code § 5163.02 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.02 | Rules Establishing Eligibility Requirements for Medicaid.

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 establish eligibility requirements for the medicaid program. The rules may establish requirements for applying for medicaid and determining and verifying eligibility for medicaid. The rules shall be adopted in accordance with section 111.15 of the Revised Code.  ( Notwithstanding any provision of state law, including statutes, administrative rules, common law, and court rules, regarding real or personal property or domestic relations, the standards established under rules adopted under this section shall be used to determine eligibility for medicaid.
Ohio Rev Code § 5163.03 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.03 | Medicaid Coverage.

Effective: November 22, 2017|Latest Legislation:  House Bill 49 - 132nd General Assembly|(A) Subject to section 5163.05 of the Revised Code, the medicaid program shall cover all mandatory eligibility groups.(B) The medicaid program shall cover all of the optional eligibility groups that state statutes require the medicaid program to cover.(C) The medicaid program may cover any of the optional eligibility groups to which either of the following applies:(1) State statutes expressly permit the medicaid program to cover the optional eligibility group.(2) The medicaid program covers the optional eligibility group on the effective date of this amendment.(D) The medicaid program shall not cover an optional eligibility group to which either of the following applies:(1) State statutes prohibit the medicaid program from covering the optional eligibility group.(2) Except as provided in divisions (B) and (C)(1) of this section, the medicaid program does not cover the optional eligibility group on the effective date of this amendment.
Ohio Rev Code § 5163.05 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.05 | Eligibility Requirements for Aged, Blind, and Disabled.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The medicaid program's eligibility requirements for aged, blind, and disabled individuals may be more restrictive than the eligibility requirements for the supplemental security income program. Any such more restrictive eligibility requirements shall be consistent with the 209(b) option described in the "Social Security Act," section 1902(f), 42 U.S.C. 1396a(f).
Ohio Rev Code § 5163.06 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.06 | Optional Eligibility Groups.

Effective: September 30, 2021|Latest Legislation:  House Bill 110 - 134th General Assembly|The medicaid program shall cover all of the following optional eligibility groups: (A) The group consisting of children placed with adoptive parents who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(VIII), 42 U.S.C. 1396a(a)(10)(A)(ii)(VIII); (B) Subject to section 5163.061 of the Revised Code, the group consisting of women during pregnancy and the maximum postpartum period permitted under 42 U.S.C. 1396a(e) beginning on the last day of the pregnancy, infants, and children who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(IX), 42 U.S.C. 1396a(a)(10)(A)(ii)(IX); (C) Subject to sections 5163.09 to 5163.098 of the Revised Code, the group consisting of employed individuals with disabilities who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(XV), 42 U.S.C. 1396a(a)(10)(A)(ii)(XV); (D) Subject to sections 5163.09 to 5163.098 of the Revised Code, the group consisting of employed individuals with medically improved disabilities who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(XVI), 42 U.S.C. 1396a(a)(10)(A)(ii)(XVI); (E) The group consisting of independent foster care adolescents who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(XVII), 42 U.S.C. 1396a(a)(10)(A)(ii)(XVII); (F) The group consisting of women in need of treatment for breast or cervical cancer who are specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(XVIII), 42 U.S.C. 1396a(a)(10)(A)(ii)(XVIII). Last updated August 16, 2021 at 3:35 PM
Ohio Rev Code § 5163.061 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.061 | Income Eligibility Threshold for Pregnant Women.

Effective: September 30, 2021|Latest Legislation:  House Bill 110 - 134th General Assembly|The income eligibility threshold is two hundred per cent of the federal poverty line for women during pregnancy and the postpartum period beginning on the last day of the pregnancy who are covered by the medicaid program under division (B) of section 5163.06 of the Revised Code. Last updated August 16, 2021 at 3:36 PM
Ohio Rev Code § 5163.07 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.07 | Income Eligibility Threshold for Parents and Caretaker Relatives.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|The medicaid director shall implement the option authorized by the "Social Security Act," section 1931(b)(2)(C), 42 U.S.C. 1396u-1(b)(2)(C), to set the income eligibility threshold at ninety per cent of the federal poverty line for parents and caretaker relatives who are covered by the medicaid program under that section of the "Social Security Act."
Ohio Rev Code § 5163.09 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.09 | Medicaid Buy-in for Workers With Disabilities Program.

Effective: March 20, 2014|Latest Legislation:  Senate Bill 206 - 130th General Assembly|(A) As used in sections 5163.09 to 5163.098 of the Revised Code: "Applicant" means an individual who applies to participate in the medicaid buy-in for workers with disabilities program."Earned income" has the meaning established by rules authorized by section 5163.098 of the Revised Code."Employed individual with a medically improved disability" has the same meaning as in the "Social Security Act," section 1905(v), 42 U.S.C. 1396d(v)."Family" means an applicant or participant and the spouse and dependent children of the applicant or participant. If an applicant or participant is under eighteen years of age, "family" also means the parents of the applicant or participant."Health insurance" has the meaning established by rules authorized by section 5163.098 of the Revised Code."Income" means earned income and unearned income."Participant" means an individual who has been determined eligible for the medicaid buy-in for workers with disabilities program and is participating in the program."Resources" has the meaning established by rules authorized by section 5163.098 of the Revised Code."Spouse" has the meaning established by rules authorized by section 5163.098 of the Revised Code."Unearned income" has the meaning established by rules authorized by section 5163.098 of the Revised Code.(B) The medicaid program's coverage of the optional eligibility groups specified in the "Social Security Act," section 1902(a)(10)(A)(ii)(XV) and (XVI), 42 U.S.C. 1396a(a)(10)(A)(ii)(XV) and (XVI) shall be known as the medicaid buy-in for workers with disabilities program.
Ohio Rev Code § 5163.091 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.091 | Qualifications for Program.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|Under the medicaid buy-in for workers with disabilities program, an individual who does all of the following in accordance with rules authorized by section 5163.098 of the Revised Code qualifies for the medicaid program: (A) Applies for the medicaid buy-in for workers with disabilities program;(B) Provides satisfactory evidence of all of the following:(1) That the individual is at least sixteen years of age and under sixty-five years of age;(2) Except as provided in section 5163.096 of the Revised Code, that one of the following applies to the individual:(a) The individual is considered disabled for the purpose of the supplemental security income program, regardless of whether the individual receives supplemental security income benefits, and the individual has earnings from employment.(b) The individual is an employed individual with a medically improved disability.(3) That the value of the individual's resources, less amounts disregarded pursuant to rules authorized by section 5163.098 of the Revised Code, does not exceed the amount provided for by section 5163.092 of the Revised Code;(4) That the individual's income, less amounts disregarded pursuant to section 5163.093 of the Revised Code, does not exceed two hundred fifty per cent of the federal poverty line;(5) That the individual meets the additional eligibility requirements for the medicaid buy-in for workers with disabilities program established in rules authorized by section 5163.098 of the Revised Code.(C) To the extent required by section 5163.094 of the Revised Code, pays the premium established under that section.
Ohio Rev Code § 5163.092 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.092 | Resource Eligibility Limit - Annual Adjustment.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|(A) Except as provided in division (B) of this section, the maximum value of resources, less amounts disregarded pursuant to rules authorized by section 5163.098 of the Revised Code, that an individual may have without the individual exceeding the resource eligibility limit for the medicaid buy-in for workers with disabilities program shall not exceed ten thousand dollars. (B) Each calendar year, the medicaid director shall adjust the resource eligibility limit specified in division (A) of this section by the change in the consumer price index for all items for all urban consumers for the previous calendar year, as published by the United States bureau of labor statistics. The annual adjustment shall go into effect on the earliest date possible.
Ohio Rev Code § 5163.093 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.093 | Individual Income Eligibility Limit.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|For the purpose of determining whether an individual is within the income eligibility limit for the medicaid buy-in for workers with disabilities program, all of the following apply: (A) Twenty thousand dollars of the individual's earned income shall be disregarded.(B) No amount that the individual's employer pays to obtain health insurance for one or more members of the individual's family, including any amount of a premium established under section 5163.094 of the Revised Code that the employer pays, shall be treated as the individual's income.(C) Any other amounts, if any, specified in rules authorized by section 5163.098 of the Revised Code shall be disregarded from the individual's earned income, unearned income, or both.
Ohio Rev Code § 5163.094 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.094 | Amount of Annual Individual Premium.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|An individual whose income exceeds one hundred fifty per cent of the federal poverty line shall pay an annual premium as a condition of qualifying for the medicaid buy-in for workers with disabilities program. The amount of the premium shall be determined as follows: (A) Subtract one hundred fifty per cent of the federal poverty line, as applicable for a family size equal to the size of the individual's family, from the amount of the income of the individual's family;(B) Subtract an amount specified in rules authorized by section 5163.098 of the Revised Code from the difference determined under division (A) of this section;(C) Multiply the difference determined under division (B) of this section by one tenth.
Ohio Rev Code § 5163.095 (2021)
2021 Ohio Revised Code|Title 51 | Public Welfare|Chapter 5163 | Medicaid Eligibility|Section 5163.095 | Eligibility Not Denied Due to Services Received Under Home and Community-Based Services Medicaid Waiver Component.

Effective: September 29, 2013|Latest Legislation:  House Bill 59 - 130th General Assembly|No individual shall be denied eligibility for the medicaid buy-in for workers with disabilities program on the basis that the individual receives services under a home and community-based services medicaid waiver component.