Ohio § 5160.31 Appeals regarding determination of eligibility for medical assistance program

Ohio Statutes

§ 5160.31 — Appeals regarding determination of eligibility for medical assistance program

Ohio § 5160.31

Title 51Public Welfare

Ch. 5160Medical Assistance Programs

This text of Ohio § 5160.31 (Appeals regarding determination of eligibility for medical assistance program) 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. § 5160.31 (2026).

Text

(A)A medical assistance recipient may appeal a decision regarding the recipient's eligibility for a medical assistance program or services available to the recipient under a medical assistance program.

(B)Regarding appeals authorized by this section, the department of medicaid shall do one or more of the following:

(1)Administer an appeals process similar to the appeals process established under section5101.35of the Revised Code;

(2)Contract with the department of job and family services pursuant to section5162.35of the Revised Code to provide for the department of job and family services to hear the appeals in accordance with section5101.35of the Revised Code;

(3)Delegate authority to hear appeals to an exchange or exchange appeals entity.

(C)If a medical assistance re

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(A) A medical assistance recipient may appeal a decision regarding the recipient's eligibility for a medical assistance program or services available to the recipient under a medical assistance program.

(B) Regarding appeals authorized by this section, the department of medicaid shall do one or more of the following:

(1) Administer an appeals process similar to the appeals process established under section5101.35of the Revised Code;

(2) Contract with the department of job and family services pursuant to section5162.35of the Revised Code to provide for the department of job and family services to hear the appeals in accordance with section5101.35of the Revised Code;

(3) Delegate authority to hear appeals to an exchange or exchange appeals entity.

(C) If a medical assistance recipient files an appeal as authorized by this section, the department of medicaid may do either or both of the following:

(1) Take corrective action regarding the matter being appealed before a hearing decision regarding the matter is issued;

(2) If a hearing decision, administrative appeal decision, or court ruling is against the recipient, take action in favor of the recipient despite the contrary decision or ruling, unless, in the case of a court's ruling, the ruling prohibits the department from taking the action.