Ohio · Statutes
Chapter 5164 — Medicaid State Plan Services
92 sections
92 sections
- Ohio Rev. Code § 5164.01Definitions
- Ohio Rev. Code § 5164.02Rules to implement chapter
- Ohio Rev. Code § 5164.03Mandatory and optional services
- Ohio Rev. Code § 5164.06Medicaid coverage of occupational therapy services
- Ohio Rev. Code § 5164.07Coverage of inpatient care and follow-up care for a mother and her newborn
- Ohio Rev. Code § 5164.08Breast cancer and cervical cancer screening
- Ohio Rev. Code § 5164.09Equivalent coverage for orally and intravenously administered cancer medications
- Ohio Rev. Code § 5164.10Coverage of tobacco cessation medications and services
- Ohio Rev. Code § 5164.14Medicaid coverage for health care service provided by pharmacist
- Ohio Rev. Code § 5164.15Mental health services
- Ohio Rev. Code § 5164.16Coverage of one or more state plan home and community-based services
- Ohio Rev. Code § 5164.17Medicaid coverage of tobacco cessation services
- Ohio Rev. Code § 5164.20Medicaid not to cover drugs for erectile dysfunction
- Ohio Rev. Code § 5164.25Recipient with developmental disability who is eligible for medicaid case management services
- Ohio Rev. Code § 5164.26Healthcheck component
- Ohio Rev. Code § 5164.29Revised Medicaid provider enrollment system
- Ohio Rev. Code § 5164.30Provider agreement with department required
- Ohio Rev. Code § 5164.31Funding for implementing the provider screening requirements
- Ohio Rev. Code § 5164.32Expiration of medicaid provider agreements
- Ohio Rev. Code § 5164.33Denying, terminating, and suspending provider agreements
- Ohio Rev. Code § 5164.34Criminal records check of provider personnel, owners and officers
- Ohio Rev. Code § 5164.35Provider offenses
- Ohio Rev. Code § 5164.36Credible allegation of fraud or disqualifying indictment; suspension of provider agreement
- Ohio Rev. Code § 5164.37Suspension of provider agreement without notice
- Ohio Rev. Code § 5164.38Adjudication orders of department
- Ohio Rev. Code § 5164.39Hearing not required unless timely requested
- Ohio Rev. Code § 5164.44Employee status of independent provider
- Ohio Rev. Code § 5164.45Contracts for examination, processing, and determination of medicaid claims
- Ohio Rev. Code § 5164.46Electronic claims submission process; electronic fund transfers
- Ohio Rev. Code § 5164.47Contracting for review and analysis, quality assurance and quality review
- Ohio Rev. Code § 5164.48Medicaid payments made to organization on behalf of providers
- Ohio Rev. Code § 5164.55Final fiscal audits
- Ohio Rev. Code § 5164.56Lien for amount owed by provider
- Ohio Rev. Code § 5164.57Recovery of medicaid overpayments
- Ohio Rev. Code § 5164.58Agency action to recover overpayment to provider
- Ohio Rev. Code § 5164.59Deduction of incorrect payments
- Ohio Rev. Code § 5164.60Interest on Medicaid provider excess payments
- Ohio Rev. Code § 5164.061Chiropractic services
- Ohio Rev. Code § 5164.61Scope of available remedies for recovery of excess payments
- Ohio Rev. Code § 5164.70Limitations on medicaid payments for services
- Ohio Rev. Code § 5164.071Doula program
- Ohio Rev. Code § 5164.71Payments for freestanding medical laboratory charges
- Ohio Rev. Code § 5164.072Coverage of donor breast milk and fortifiers
- Ohio Rev. Code § 5164.72Limitations on payments for inpatient hospital care
- Ohio Rev. Code § 5164.73Division of payments between physician or podiatrist and nurse
- Ohio Rev. Code § 5164.74Reimbursement of graduate medical education costs
- Ohio Rev. Code § 5164.75Medicaid payment for a drug subject to a federal upper reimbursement limit
- Ohio Rev. Code § 5164.76Manner of payment for community mental health service providers or facilities and alcohol and drug addiction services
- Ohio Rev. Code § 5164.78Medicaid payment rates for certain neonatal and newborn services
- Ohio Rev. Code § 5164.80Public notice for changes to payment rates for medicaid assistance
- Ohio Rev. Code § 5164.82Payment for provider-preventable condition
- Ohio Rev. Code § 5164.85Enrolling in group health plan
- Ohio Rev. Code § 5164.86Qualified state long-term care insurance partnership program
- Ohio Rev. Code § 5164.88Coordinated care through health homes
- Ohio Rev. Code § 5164.89Case management of nonemergency transportation services
- Ohio Rev. Code § 5164.90Transition of medicaid recipients to community settings
- Ohio Rev. Code § 5164.091Coverage for opioid analgesics
- Ohio Rev. Code § 5164.91Integrated care delivery system
- Ohio Rev. Code § 5164.092Coverage of remote ultrasounds and fetal nonstress tests
- Ohio Rev. Code § 5164.92Advanced diagnostic imaging services coverage under medicaid program
- Ohio Rev. Code § 5164.093Coverage of rapid whole genome sequencing
- Ohio Rev. Code § 5164.93Incentive payments for adoption and use of electronic health record technology
- Ohio Rev. Code § 5164.94Delivery of services in culturally and linguistically appropriate manners
- Ohio Rev. Code § 5164.95Standards for payments for telehealth services; eligible practitioners
- Ohio Rev. Code § 5164.96Ground emergency medical transportation supplemental payment program
- Ohio Rev. Code § 5164.291Provider credentialing committee
- Ohio Rev. Code § 5164.301Medicaid provider agreements for physician assistants
- Ohio Rev. Code § 5164.341Criminal records check by independent provider
- Ohio Rev. Code § 5164.342Criminal records checks by waiver agencies
- Ohio Rev. Code § 5164.471Summary data regarding perinatal services
- Ohio Rev. Code § 5164.721Claims by freestanding birthing centers
- Ohio Rev. Code § 5164.741Payment for graduate medical education costs to noncontracting hospitals
- Ohio Rev. Code § 5164.751State maximum allowable cost program
- Ohio Rev. Code § 5164.752Determining maximum dispensing fee
- Ohio Rev. Code § 5164.753Dispensing fee
- Ohio Rev. Code § 5164.754Agreement for multiple-state drug purchasing program
- Ohio Rev. Code § 5164.755Supplemental drug rebate program
- Ohio Rev. Code § 5164.756Drug rebate agreement or supplemental drug rebate agreement for medicaid program not subject to public records law
- Ohio Rev. Code § 5164.757E-prescribing applications
- Ohio Rev. Code § 5164.758Adoption of rules for implementation of coordinated services program for medicaid users who abuse prescription drugs
- Ohio Rev. Code § 5164.759Outpatient drug use review program
- Ohio Rev. Code § 5164.761Beta testing of updates to billing codes or payment rates
- Ohio Rev. Code § 5164.881Health home services
- Ohio Rev. Code § 5164.911Integrated care delivery system evaluation
- Ohio Rev. Code § 5164.912Integrated care delivery system standardized claim form
- Ohio Rev. Code § 5164.913Home health aide and personal care aide training
- Ohio Rev. Code § 5164.951Standards for medicaid payments for services provided through teledentistry
- Ohio Rev. Code § 5164.7510Pharmacy and therapeutics committee
- Ohio Rev. Code § 5164.7511Medication synchronization for medicaid recipients
- Ohio Rev. Code § 5164.7512Definitions for sections 5164.7512 to 5164.7514
- Ohio Rev. Code § 5164.7514Step therapy exemption process
- Ohio Rev. Code § 5164.7515Annual benchmark for prescribed drug spending growth