Ohio · Statutes
Chapter 5167 — Medicaid Managed Care
44 sections
44 sections
- Ohio Rev. Code § 5167.01Definitions
- Ohio Rev. Code § 5167.02Rules
- Ohio Rev. Code § 5167.03Care management system
- Ohio Rev. Code § 5167.04Inclusion of alcohol, drug addiction, and mental health services in care management system
- Ohio Rev. Code § 5167.05Inclusion of prescribed drugs in care management system
- Ohio Rev. Code § 5167.09Managed care financial dashboard information
- Ohio Rev. Code § 5167.10Authority to contract with managed care orgainizations
- Ohio Rev. Code § 5167.11Managed care organization contract to provide grievance process
- Ohio Rev. Code § 5167.12Requirements when prescribed drugs are included in care management system
- Ohio Rev. Code § 5167.13Implementation of coordinated services program for enrollees who abuse prescribed drugs
- Ohio Rev. Code § 5167.14Data security agreements for managed care organization's use of drug database
- Ohio Rev. Code § 5167.15Chiropractic services
- Ohio Rev. Code § 5167.16Home visits and cognitive behavioral therapy
- Ohio Rev. Code § 5167.17Enhanced care management services for pregnant women and women capable of becoming pregnant
- Ohio Rev. Code § 5167.18Identification of fraud, waste, and abuse
- Ohio Rev. Code § 5167.20Reference by managed care organization to noncontracting participant
- Ohio Rev. Code § 5167.21Payments to skilled nursing facility
- Ohio Rev. Code § 5167.22Recoupment of overpayment
- Ohio Rev. Code § 5167.24Third-party administrator as single pharmacy benefit manager
- Ohio Rev. Code § 5167.26Records for determining costs
- Ohio Rev. Code § 5167.30Managed care performance payment program
- Ohio Rev. Code § 5167.031Recognition of pediatric accountable care organizations
- Ohio Rev. Code § 5167.31Financial incentive awards
- Ohio Rev. Code § 5167.32Improving integrity of care management system
- Ohio Rev. Code § 5167.33Strategies regarding payment to providers
- Ohio Rev. Code § 5167.34Immunity from liability
- Ohio Rev. Code § 5167.35Meaningful employment of Medicaid recipients
- Ohio Rev. Code § 5167.40Appointment of temporary manager
- Ohio Rev. Code § 5167.41Disenrolling some or all medicaid recipients from MCO plan offered by a managed care organization
- Ohio Rev. Code § 5167.45Information about medicaid recipients' races, ethnicities, and primary languages
- Ohio Rev. Code § 5167.47Compliance with federal mental health and addiction parity laws
- Ohio Rev. Code § 5167.051Coverage of services provided by pharmacist
- Ohio Rev. Code § 5167.101Basis of hospital inpatient capital payment portion of payment to medicaid managed care organization
- Ohio Rev. Code § 5167.103Performance metrics; publication
- Ohio Rev. Code § 5167.122Disclosure of sources of payment
- Ohio Rev. Code § 5167.123Medicaid MCO contracts with 340B program participants
- Ohio Rev. Code § 5167.171Uniform prior approval form for progesterone
- Ohio Rev. Code § 5167.173Community health worker services or services provided by public health nurse
- Ohio Rev. Code § 5167.201Payment of nonsystem provider for emergency services
- Ohio Rev. Code § 5167.221Assessment of recoupment efforts
- Ohio Rev. Code § 5167.241State pharmacy benefit manager contract; payment arrangements
- Ohio Rev. Code § 5167.243Quarterly reports
- Ohio Rev. Code § 5167.244Violations; penalty
- Ohio Rev. Code § 5167.245Appeals process