Ohio · Regulations
Chapter 5160-26 — Managed Care Programs
17 sections
17 sections
- Ohio Admin. Code 5160-26-01Rule 5160-26-01. Managed care: definitions
- Ohio Admin. Code 5160-26-02Rule 5160-26-02. Managed care: eligibility and enrollment
- Ohio Admin. Code 5160-26-02.1Rule 5160-26-02.1. Managed care: termination of enrollment
- Ohio Admin. Code 5160-26-03Rule 5160-26-03. Managed care: covered services
- Ohio Admin. Code 5160-26-03.1Rule 5160-26-03.1. Managed care: primary care and utilization management
- Ohio Admin. Code 5160-26-03.2Rule 5160-26-03.2. Managed care: long-term services and supports respite services for children
- Ohio Admin. Code 5160-26-05Rule 5160-26-05. Managed care: provider network and contracting requirements
- Ohio Admin. Code 5160-26-05.1Rule 5160-26-05.1. Managed care: provider services
- Ohio Admin. Code 5160-26-06Rule 5160-26-06. Managed care: program integrity - fraud, waste and abuse, audits, reporting, and record retention
- Ohio Admin. Code 5160-26-08.3Rule 5160-26-08.3. Managed care: member rights
- Ohio Admin. Code 5160-26-08.4Rule 5160-26-08.4. Managed care: appeal and grievance system
- Ohio Admin. Code 5160-26-09.1Rule 5160-26-09.1. Managed care: third party liability and recovery
- Ohio Admin. Code 5160-26-10Rule 5160-26-10. Managed care: sanctions and provider agreement actions
- Ohio Admin. Code 5160-26-11Rule 5160-26-11. Managed care: managed care plan non-contracting providers
- Ohio Admin. Code 5160-26-12Rule 5160-26-12. Managed care: member co-payments
- Ohio Admin. Code 5160-26-13Rule 5160-26-13. Managed health care programs: claim billing for pharmaceuticals
- Ohio Admin. Code 5160-26-14Rule 5160-26-14. Medicaid managed care organizations: incident management