2013 Ohio Revised Code
Title [51] LI PUBLIC WELFARE
Chapter 5111 - MEDICAL ASSISTANCE PROGRAMS.
Section 5111.0125 - Medicaid state plan amendment; qualified entities for purposes of the presumptive eligibility for children option.
(A) As used in this section:
"Children's hospital" has the same meaning as in section 2151.86 of the Revised Code.
"Federally-qualified health center" has the same meaning as in 42 U.S.C. 1396d(l)(2)(B).
"Federally qualified health center look-alike" has the same meaning as in section 3701.047 of the Revised Code.
"Presumptive eligibility for children option" means the option available under 42 U.S.C. 1396r-1a to make medical assistance with respect to health care items and services available to children under the medicaid program during presumptive eligibility periods.
"Qualified entity" has the same meaning as in 42 U.S.C. 1396r - 1a(b)(3).
(B) The director of job and family services shall retain the presumptive eligibility for children option that was included in the state medicaid plan on the effective date of this section. The director shall submit a medicaid state plan amendment to the United States secretary of health and human services to authorize children's hospitals, federally qualified health centers, and federally qualified health center look-alikes, if they are eligible to be qualified entities under 42 U.S.C. 1396r - 1a(b)(3) and request to serve as qualified entities, to serve as qualified entities for purposes of the presumptive eligibility for children option. The director may include in the medicaid state plan amendment a request to authorize other types of entities that are eligible to be qualified entities under 42 U.S.C. 1396r - 1a(b)(3) and request to serve as qualified entities to serve as qualified entities for purposes of the presumptive eligibility for children option. The director shall begin to implement the medicaid state plan amendment on the later of April 1, 2012, or a date that is not later than ninety days after the effective date of the approval of the amendment.
The director shall adopt rules under section 5111.011 of the Revised Code as necessary to implement this section.
Added by 129th General AssemblyFile No.28,HB 153, ยง101.01, eff. 9/29/2011.
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