§ 5162.01 Definitions
§ 5162.02 Rules for implementation of chapter
§ 5162.021 Adoption of rules by other state agencies
§ 5162.022 Director’s rules binding
§ 5162.03 Administration of medicaid program
§ 5162.031 Powers of director
§ 5162.04 No state cause of action to enforce federal laws
§ 5162.05 Implementation of medicaid program
§ 5162.06 Components requiring federal approval or funding
§ 5162.07 Federal approval for permissive components not required
§ 5162.10 Review of medicaid program; corrective action; sanctions
§ 5162.11 Contract for data collection and warehouse functions assessment
§ 5162.12 Contracts for the management of Medicaid data requests
§ 5162.13 Annual report
§ 5162.131 Semiannual reports on controlling increase in costs
§ 5162.132 Annual report outlining efforts to minimize fraud, waste, and abuse
§ 5162.133 Annual program report; distribution; contents
§ 5162.134 Annual report of integrated care delivery system evaluation
§ 5162.135 Infant mortality scorecard
§ 5162.136 Review of barriers to interventions intended to reduce tobacco use, prevent prematurity, and promote optimal birth spacing
§ 5162.1310 Evaluation of success of expansion eligibility group
§ 5162.15 Information required where annual medicaid payments exceed $5 million
§ 5162.16 Reporting fraud, waste, or abuse
§ 5162.20 Cost-sharing requirements
§ 5162.21 Medicaid estate recovery program
§ 5162.211 Lien against property of recipient or spouse as part of estate recovery program
§ 5162.212 Certification of amounts due under estate recovery program; collection
§ 5162.22 Transfer of personal needs allowance account
§ 5162.23 Recovering benefits incorrectly paid
§ 5162.24 Recovering health care costs provided to child
§ 5162.30 Medicaid administrative claiming program
§ 5162.31 Local funds expended for administration of the healthy start component
§ 5162.32 Contracts with political subdivisions to pay nonfederal share
§ 5162.35 Contracts for administration of components
§ 5162.36 Medicaid school component
§ 5162.361 Claim by qualified medicaid school provider
§ 5162.362 Federal financial participation for medicaid school claims
§ 5162.363 Administration of medicaid school component
§ 5162.364 Adoption of rules for medicaid school component
§ 5162.365 Responsibility for repaying overpayments
§ 5162.366 Referrals for certain services under the Medicaid School Program
§ 5162.37 Contract approval required
§ 5162.371 Contracts with department of mental health and addiction services; payment of nonfederal share of medicaid payment
§ 5162.40 Retaining or collecting percentage of federal financial participation
§ 5162.41 Retaining or collecting percentage of supplemental payment
§ 5162.50 Health care-federal fund
§ 5162.52 Health care/medicaid support and recoveries fund
§ 5162.56 Health care special activities fund
§ 5162.65 Refunds and reconciliation fund
§ 5162.66 Residents protection fund
§ 5162.70 Reforms to medicaid program
§ 5162.71 Implementation of systems to improve health and reduce health disparities
§ 5162.72 Strategies to address social determinants of health
§ 5162.73 Dental services for pregnant Medicaid recipients
§ 5162.75 Notification of veteran services
§ 5162.80 Good faith estimates for charges and payments
§ 5162.82 Payment rate increase report to JMOC

Terms Used In Ohio Code > Chapter 5162 - Medicaid and Medicaid Funds

  • Another: when used to designate the owner of property which is the subject of an offense, includes not only natural persons but also every other owner of property. See Ohio Code 1.02
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Child: includes child by adoption. See Ohio Code 1.59
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Decedent: A deceased person.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Executor: A male person named in a will to carry out the decedent
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Healthy start component: means the component of the medicaid program that covers pregnant women and children and is identified in rules adopted under section 5162. See Ohio Code 5162.01
  • Home and community-based services: means services provided under a home and community-based services medicaid waiver component. See Ohio Code 5162.01
  • in writing: includes any representation of words, letters, symbols, or figures; this provision does not affect any law relating to signatures. See Ohio Code 1.59
  • Internet: means the international computer network of both federal and nonfederal interoperable packet switched data networks, including the graphical subnetwork known as the world wide web. See Ohio Code 1.59
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Life estate: A property interest limited in duration to the life of the individual holding the interest (life tenant).
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Ordering or referring only provider: means a medicaid provider who orders, prescribes, refers, or certifies a service or item reported on a claim for medicaid payment but does not bill for medicaid services. See Ohio Code 5162.01
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Person: includes an individual, corporation, business trust, estate, trust, partnership, and association. See Ohio Code 1.59
  • Personal property: All property that is not real property.
  • Political subdivision: means a municipal corporation, township, county, school district, or other body corporate and politic responsible for governmental activities only in a geographical area smaller than that of the state. See Ohio Code 5162.01
  • Population: means that shown by the most recent regular federal census. See Ohio Code 1.59
  • Probate: Proving a will
  • Property: means real and personal property. See Ohio Code 1.59
  • Qualified medicaid school provider: means the board of education of a city, local, or exempted village school district, the governing board of an educational service center, the 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 to which both of the following apply:

    (a) It holds a valid provider agreement. See Ohio Code 5162.01

  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Rule: includes regulation. See Ohio Code 1.59
  • state: means the state of Ohio. See Ohio Code 1.59
  • state agency: except as otherwise provided in the title, means every organized body, office, or agency established by the laws of the state for the exercise of any function of state government. See Ohio Code 1.60
  • State agency: means every organized body, office, or agency, other than the department of medicaid, established by the laws of the state for the exercise of any function of state government. See Ohio Code 5162.01
  • Statute: A law passed by a legislature.
  • Tenancy in common: A type of property ownership in which two or more individuals have an undivided interest in property. At the death of one tenant in common, his (her) fractional percentage of ownership in the property passes to the decedent
  • Testify: Answer questions in court.
  • United States: includes all the states. See Ohio Code 1.59