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Ohio Revised Code
| Public Welfare
| Medicaid State Plan Services
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Section
5164.01
| Definitions.
Section
5164.02
| Rules to Implement Chapter.
Section
5164.03
| Mandatory and Optional Services.
Section
5164.05
| Coverage of Services Provided by Outpatient Health Facilities.
Section
5164.06
| Medicaid Coverage of Occupational Therapy Services.
Section
5164.07
| Coverage of Inpatient Care and Follow-Up Care for a Mother and Her Newborn.
Section
5164.08
| Screening Mammography and Cytologic Screening for Cervical Cancer.
Section
5164.09
| Equivalent Coverage for Orally and Intravenously Administered Cancer Medications.
Section
5164.091
| Coverage for Opioid Analgesics.
Section
5164.10
| Coverage of Tobacco Cessation Medications and Services.
Section
5164.14
| Medicaid Coverage for Health Care Service Provided by Pharmacist.
Section
5164.15
| Mental Health Services.
Section
5164.16
| Coverage of One or More State Plan Home and Community-Based Services.
Section
5164.17
| Medicaid Coverage of Tobacco Cessation Services.
Section
5164.20
| Medicaid Not to Cover Drugs for Erectile Dysfunction.
Section
5164.25
| Recipient With Developmental Disability Who Is Eligible for Medicaid Case Management Services.
Section
5164.26
| Healthcheck Component.
Section
5164.29
| Revised Medicaid Provider Enrollment System.
Section
5164.30
| Provider Agreement With Department Required.
Section
5164.31
| Funding for Implementing the Provider Screening Requirements.
Section
5164.32
| 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
5164.35
| Provider Offenses.
Section
5164.36
| Credible Allegation of Fraud or Disqualifying Indictment; Suspension of Provider Agreement.
Section
5164.37
| Suspension of Provider Agreement Without Notice.
Section
5164.38
| Adjudication Orders of Department.
Section
5164.39
| Hearing Not Required Unless Timely Requested.
Section
5164.44
| Employee Status of Independent Provider.
Section
5164.45
| Contracts for Examination, Processing, and Determination of Medicaid Claims.
Section
5164.46
| Electronic Claims Submission Process; Electronic Fund Transfers.
Section
5164.47
| Contracting for Review and Analysis, Quality Assurance and Quality Review.
Section
5164.48
| Medicaid Payments Made to Organization on Behalf of Providers.
Section
5164.55
| Final Fiscal Audits.
Section
5164.56
| Lien for Amount Owed by Provider.
Section
5164.57
| Recovery of Medicaid Overpayments.
Section
5164.58
| 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
| 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
| Reimbursement of Graduate Medical Education Costs.
Section
5164.75
| Medicaid Payment for a Drug Subject to a Federal Upper Reimbursement Limit.
Section
5164.76
| Manner of Payment for Community Mental Health Service Providers or Facilities and Alcohol and Drug Addiction Services.
Section
5164.78
| Medicaid Payment Rates for Certain Neonatal and Newborn Services.
Section
5164.80
| Public Notice for Changes to Payment Rates for Medicaid Assistance.
Section
5164.82
| Payment for Provider-Preventable Condition.
Section
5164.85
| Enrolling in Group Health Plan.
Section
5164.86
| Qualified State Long-Term Care Insurance Partnership Program.
Section
5164.88
| Coordinated Care Through Health Homes.
Section
5164.89
| Case Management of Nonemergency Transportation Services.
Section
5164.90
| Transition of Medicaid Recipients to Community Settings.
Section
5164.91
| Integrated Care Delivery System.
Section
5164.92
| Advanced Diagnostic Imaging Services Coverage Under Medicaid Program.
Section
5164.93
| 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.
Section
5164.301
| Medicaid Provider Agreements for Physician Assistants.
Section
5164.341
| Criminal Records Check by Independent Provider.
Section
5164.342
| Criminal Records Checks by Waiver Agencies.
Section
5164.471
| Summary Data Regarding Perinatal Services.
Section
5164.721
| Claims by Freestanding Birthing Centers.
Section
5164.741
| Payment for Graduate Medical Education Costs to Noncontracting Hospitals.
Section
5164.751
| State Maximum Allowable Cost Program.
Section
5164.752
| Determining Maximum Dispensing Fee.
Section
5164.753
| Dispensing Fee.
Section
5164.754
| Agreement for Multiple-State Drug Purchasing Program.
Section
5164.755
| Supplemental Drug Rebate Program.
Section
5164.756
| 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
| Adoption of Rules for Implementation of Coordinated Services Program for Medicaid Users Who Abuse Prescription Drugs.
Section
5164.759
| Outpatient Drug Use Review Program.
Section
5164.761
| Beta Testing of Updates to Billing Codes or Payment Rates.
Section
5164.881
| Health Home Services.
Section
5164.911
| Integrated Care Delivery System Evaluation.
Section
5164.912
| Integrated Care Delivery System Standardized Claim Form.
Section
5164.951
| Standards for Medicaid Payments for Services Provided Through Teledentistry.
Section
5164.7510
| Pharmacy and Therapeutics Committee.
Section
5164.7511
| Medication Synchronization for Medicaid Recipients.
Section
5164.7512
| Definitions for Sections 5164.7512 to 5164.7514.
Section
5164.7514
| Step Therapy Exemption Process.
Section
5164.7515
| Annual Benchmark for Prescribed Drug Spending Growth.