Ohio Code 5163.03 – Medicaid coverage
(A) Subject to section 5163.05 of the Revised Code, the medicaid program shall cover all mandatory eligibility groups.
Terms Used In Ohio Code 5163.03
- Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
- 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. See Ohio Code 5163.01
- 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. See Ohio Code 5163.01
- state: means the state of Ohio. See Ohio Code 1.59
(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.