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| Medicaid Managed Care
Law
Ohio Revised Code
| Public Welfare
| Medicaid Managed Care
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Section
5167.01
| Definitions.
Section
5167.02
| Rules.
Section
5167.03
| Care Management System.
Section
5167.04
| Inclusion of Alcohol, Drug Addiction, and Mental Health Services in Care Management System.
Section
5167.05
| Inclusion of Prescribed Drugs in Care Management System.
Section
5167.031
| Recognition of Pediatric Accountable Care Organizations.
Section
5167.051
| Coverage of Services Provided by Pharmacist.
Section
5167.10
| Authority to Contract With Managed Care Orgainizations.
Section
5167.11
| Managed Care Organization Contract to Provide Grievance Process.
Section
5167.12
| Requirements When Prescribed Drugs Are Included in Care Management System.
Section
5167.13
| Implementation of Coordinated Services Program for Enrollees Who Abuse Prescribed Drugs.
Section
5167.14
| Data Security Agreements for Managed Care Organization's Use of Drug Database.
Section
5167.16
| Home Visits and Cognitive Behavioral Therapy.
Section
5167.17
| Enhanced Care Management Services for Pregnant Women and Women Capable of Becoming Pregnant.
Section
5167.18
| Identification of Fraud, Waste, and Abuse.
Section
5167.20
| Reference by Managed Care Organization to Noncontracting Participant.
Section
5167.21
| Payments to Skilled Nursing Facility.
Section
5167.22
| Recoupment of Overpayment.
Section
5167.24
| Third-Party Administrator as Single Pharmacy Benefit Manager.
Section
5167.26
| Records for Determining Costs.
Section
5167.30
| Managed Care Performance Payment Program.
Section
5167.31
| Financial Incentive Awards.
Section
5167.32
| Improving Integrity of Care Management System.
Section
5167.33
| Strategies Regarding Payment to Providers.
Section
5167.34
| Immunity From Liability.
Section
5167.40
| Appointment of Temporary Manager.
Section
5167.41
| Disenrolling Some or All Medicaid Recipients From Mco Plan Offered by a Managed Care Organization.
Section
5167.45
| Information About Medicaid Recipients' Races, Ethnicities, and Primary Languages.
Section
5167.47
| Compliance With Federal Mental Health and Addiction Parity Laws.
Section
5167.101
| Basis of Hospital Inpatient Capital Payment Portion of Payment to Medicaid Managed Care Organization.
Section
5167.102
| Use of Providers to Render Care to Enrollees.
Section
5167.103
| Performance Metrics; Publication.
Section
5167.122
| Disclosure of Sources of Payment.
Section
5167.123
| Medicaid Mco Contracts With 340b Program Participants.
Section
5167.171
| Uniform Prior Approval Form for Progesterone.
Section
5167.172
| Promotion of Use of Technology-Based Resources Regarding Healthy Pregnancies and Babies.
Section
5167.173
| Community Health Worker Services or Services Provided by Public Health Nurse.
Section
5167.201
| Payment of Nonsystem Provider for Emergency Services.
Section
5167.221
| Assessment of Recoupment Efforts.
Section
5167.241
| State Pharmacy Benefit Manager Contract; Payment Arrangements.
Section
5167.243
| Quarterly Reports.
Section
5167.244
| Violations; Penalty.
Section
5167.245
| Appeals Process.