5111.011 Determining eligibility for medical assistance. - Ohio Statutes

5111.011 Determining eligibility for medical assistance.

(A) The director of job and family services shall adopt rules establishing eligibility requirements for the medicaid program . The rules shall be adopted pursuant to section 111.15 of the Revised Code and shall be consistent with federal and state law. The rules shall include rules that do all of the following:

(1) Establish standards consistent with federal law for allocating income and resources as income and resources of the spouse, children, parents, or stepparents of a recipient of or applicant for medicaid;

(2) Define the term “resources” as used in division (A)(1) of this section;

(3) Specify the number of months that is to be used for the purpose of the term “look-back date” used in section 5111.0116 of the Revised Code;

(4) Establish processes to be used to determine both of the following:

(a) The date an institutionalized individual’s ineligibility for services under section 5111.0116 of the Revised Code is to begin;

(b) The number of months an institutionalized individual’s ineligibility for such services is to continue.

(5) Establish exceptions to the period of ineligibility that an institutionalized individual would otherwise be subject to under section 5111.0116 of the Revised Code;

(6) Define the term “other medicaid-funded long-term care services” as used in sections 5111.0117 and 5111.0118 of the Revised Code;

(7) For the purpose of division (C)(2)(c) of section 5111.0117 of the Revised Code, establish the process to determine whether the child of an aged, blind, or disabled individual is financially dependent on the individual for housing.

(B) Notwithstanding any provision of state law, including statutes, administrative rules, common law, and court rules, regarding real or personal property or domestic relations, the standards established under rules adopted under division (A)(1) of this section shall be used to determine eligibility for medicaid.

Effective Date: 07-01-2000; 09-29-2005; 03-30-2006