Ohio § 5160.291 Changes affecting eligibility

Ohio Statutes

§ 5160.291 — Changes affecting eligibility

Ohio § 5160.291

Title 51Public Welfare

Ch. 5160Medical Assistance Programs

This text of Ohio § 5160.291 (Changes affecting eligibility) is published on Counsel Stack Legal Research, covering Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ohio Rev. Code Ann. § 5160.291 (2026).

Text

(A)(1) As information described in division (A) of section5160.29of the Revised Code is received by the department of medicaid or an entity with which the department has entered into an agreement under section5160.30of the Revised Code, the department or entity shall do both of the following on at least a quarterly basis and in accordance with federal regulations:

(a)Review the information to determine whether it indicates a change in circumstances that may affect eligibility for a medical assistance program;

(b)Take appropriate action. ( 2) Division (A)(1) of this section applies only to the extent information described in division (A) of section5160.29of the Revised Code is available to the department or entity.

(B)If the department of medicaid or an entity with which the depa

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(A)(1) As information described in division (A) of section5160.29of the Revised Code is received by the department of medicaid or an entity with which the department has entered into an agreement under section5160.30of the Revised Code, the department or entity shall do both of the following on at least a quarterly basis and in accordance with federal regulations:

(a) Review the information to determine whether it indicates a change in circumstances that may affect eligibility for a medical assistance program;

(b) Take appropriate action.

( 2) Division (A)(1) of this section applies only to the extent information described in division (A) of section5160.29of the Revised Code is available to the department or entity.

(B) If the department of medicaid or an entity with which the department has entered into an agreement under section5160.30of the Revised Code receives information concerning a medical assistance recipient that indicates a change in circumstances that may affect the recipient's continued eligibility for the medical assistance program in which the recipient is enrolled, the department or entity shall take appropriate action, including verifying unclear information, providing prior written notice of a change or adverse action, and notifying the recipient of the right to appeal under section5160.31of the Revised Code.