There is a newer version of the Ohio Revised Code
2015 Ohio Revised Code
Title [51] LI PUBLIC WELFARE
Chapter 5164 - MEDICAID STATE PLAN SERVICES
- Section 5164.01 - Definitions.
- Section 5164.02 - [Renumbered from 5111.02] Rules to implement chapter.
- Section 5164.03 - Mandatory and optional services.
- Section 5164.05 - [Renumbered from 5111.04] Coverage of services provided by outpatient health facilities.
- Section 5164.06 - [Renumbered from 5111.029] Medicaid coverage of occupational therapy services.
- Section 5164.07 - [Renumbered from 5111.018] Coverage of inpatient care and follow-up care for a mother and her newborn.
- Section 5164.08 - [Renumbered from 5111.024] Screening mammography and cytologic screening for cervical cancer.
- Section 5164.09 - Equivalant coverage for orally and intravenously administered cancer medications.
- Section 5164.15 - [Renumbered from 5111.023] Mental health services.
- Section 5164.20 - [Renumbered from 5111.027] Medicaid not to cover drugs for erectile dysfunction.
- Section 5164.25 - [Renumbered from 5111.042] Recipient with developmental disability who is eligible for medicaid case management services.
- Section 5164.26 - [Renumbered from 5111.016] Healthcheck component.
- Section 5164.30 - Provider agreement with department required.
- Section 5164.301 - [Renumbered from 5111.053] Medicaid provider agreements for physician assistants.
- Section 5164.31 - [Renumbered from 5111.063] Funding for implementing the provider screening requirements.
- Section 5164.32 - [Renumbered from 5111.028] Expiration of medicaid provider agreements.
- Section 5164.33 - Denying, terminating, and suspending provider agreements.
- Section 5164.34 - Criminal records check of provider personnel, owners and officers.
- Section 5164.341 - [Renumbered from 5111.034] Criminal records check by independent provider.
- Section 5164.342 - [Renumbered from 5111.033] Criminal records checks by waiver agencies.
- Section 5164.35 - [Renumbered from 5111.03] Provider offenses.
- Section 5164.36 - [Renumbered from 5111.035] Credible allegation of fraud; supsension of provider agreement.
- Section 5164.37 - [Renumbered from 5111.031] Action against noninstitutional medicaid provider.
- Section 5164.38 - [Renumbered from 5111.06] Adjudication orders of department.
- Section 5164.39 - [Renumbered from 5111.062] Hearing not required unless timely requested.
- Section 5164.44 - [Effective 3/23/2016] Employee status of independent provider.
- Section 5164.45 - [Renumbered from 5111.05] Contracts for examination, processing, and determination of medicaid claims.
- Section 5164.46 - [Renumbered from 5111.052] Electronic claims submission process; electronic fund transfers.
- Section 5164.47 - [Renumbered from 5111.054] Contracting for review and analysis, quality assurance and quality review.
- Section 5164.48 - [Renumbered from 5111.051] Medicaid payments made to organization on behalf of providers.
- Section 5164.55 - Final fiscal audits.
- Section 5164.56 - [Renumbered from 5111.022] Lien for amount owed by provider.
- Section 5164.57 - [Renumbered from 5111.061] Recovery of medicaid overpayments.
- Section 5164.58 - [Renumbered from 5111.914] Agency action to recover overpayment to provider.
- Section 5164.59 - Deduction of incorrect payments.
- Section 5164.60 - Interest on Medicaid provider excess payments.
- Section 5164.61 - Scope of available remedies for recovery of excess payments.
- Section 5164.70 - [Renumbered from 5111.021] Limitations on medicaid payments for services.
- Section 5164.71 - Payments for freestanding medical laboratory charges.
- Section 5164.72 - Limitations on payments for inpatient hospital care.
- Section 5164.73 - Division of payments between physician or podiatrist and nurse.
- Section 5164.74 - [Renumbered from 5111.19] Reimbursement of graduate medical education costs.
- Section 5164.741 - [Renumbered from 5111.191] Payment for graduate medical education costs to noncontracting hospitals.
- Section 5164.75 - [Renumbered from 5111.086] Medicaid payment for a drug subject to a federal upper reimbursement limit.
- Section 5164.751 - [Renumbered from 5111.082] State maximum allowable cost program.
- Section 5164.752 - Determining maximum dispensing fee.
- Section 5164.753 - [Renumbered from 5111.071] Dispensing fee.
- Section 5164.754 - [Renumbered from 5111.0114] Agreement for multiple-state drug purchasing program.
- Section 5164.755 - [Renumbered from 5111.081] Supplemental drug rebate program.
- Section 5164.756 - [Renumbered from 5101.31] Drug rebate agreement or supplemental drug rebate agreement for medicaid program not subject to public records law.
- Section 5164.757 - E-prescribing applications.
- Section 5164.758 - [Renumbered from 5111.085] Adoption of rules for implementation of coordinated services program for medicaid users who abuse prescription drugs.
- Section 5164.759 - [Renumbered from 5111.08] Outpatient drug use review program.
- Section 5164.7510 - [Renumbered from 5111.084] Pharmacy and therapeutics committee.
- Section 5164.76 - [Renumbered from 5111.025] Manner of payment for community mental health service providers or facilities and alcohol and drug addiction services.
- Section 5164.77 - [Renumbered from 5111.0213] Adjustment of medicaid payments; payment for aide or nursing services.
- Section 5164.80 - [Renumbered from 5111.0212] Public notice for changes to payment rates for medicaid assistance.
- Section 5164.82 - [Renumbered from 5111.0214] Payment for provider-preventable condition.
- Section 5164.85 - [Renumbered from 5111.13] Enrolling in group health plan.
- Section 5164.86 - [Renumbered from 5111.18] Qualified state long-term care insurance partnership program.
- Section 5164.88 - [Renumbered from 5111.14] Coordinated care through health homes.
- Section 5164.881 - Health home services.
- Section 5164.89 - [Renumbered from 5111.141] Case management of nonemergency transportation services.
- Section 5164.90 - [Renumbered from 5111.96] Transition of medicaid recipients to community settings.
- Section 5164.91 - [Renumbered from 5111.981] Integrated care delivery system.
- Section 5164.911 - Integrated Care Delivery System evaluation.
- Section 5164.92 - [Renumbered from 5111.0210] Advanced diagnostic imaging services coverage under medicaid program.
- Section 5164.93 - [Renumbered from 5111.0215] Incentive payments for adoption and use of electronic health record technology.
- Section 5164.94 - Delivery of services in culturally and linguistically appropriate manners.
- Section 5164.95 - Standards for payments for telehealth services.
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