Ohio § 5163.50 Improving medicaid eligibility determinations and processing

Ohio Statutes

§ 5163.50 — Improving medicaid eligibility determinations and processing

Ohio § 5163.50

Title 51Public Welfare

Ch. 5163Medicaid Eligibility

This text of Ohio § 5163.50 (Improving medicaid eligibility determinations and processing) 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. § 5163.50 (2026).

Text

(A)The department of medicaid shall issue one or more requests for information relating to medicaid eligibility data and operations to identify and assess systems and solutions that may be available to improve or augment the management, efficiency, frequency, and accuracy of medicaid eligibility determinations and processing. The requests for information shall include systems and data relating to all of the following:

(1)Medicaid enrollee or applicant identity verification;

(2)Medicaid enrollee death verification;

(3)Employment and wages;

(4)Lottery winnings;

(5)Residency verification including residency relating to concurrent enrollment in medicaid programs in other states;

(6)Household composition;

(7)Medicaid enrollee incarceration status;

(8)Third-party liability verif

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(A) The department of medicaid shall issue one or more requests for information relating to medicaid eligibility data and operations to identify and assess systems and solutions that may be available to improve or augment the management, efficiency, frequency, and accuracy of medicaid eligibility determinations and processing. The requests for information shall include systems and data relating to all of the following:

(1) Medicaid enrollee or applicant identity verification;

(2) Medicaid enrollee death verification;

(3) Employment and wages;

(4) Lottery winnings;

(5) Residency verification including residency relating to concurrent enrollment in medicaid programs in other states;

(6) Household composition;

(7) Medicaid enrollee incarceration status;

(8) Third-party liability verification;

(9) Asset verification;

(10) Any other records or systems the department considers appropriate in order to strengthen program integrity, reduce costs, and reduce fraud, waste, and abuse in the medicaid program.

(B) As part of the considerations under division (A) of this section, the department shall consider augmenting existing vendor arrangements relating to processing and managing medicaid eligibility cases.

(C) The department may procure one or more vendors to implement any solutions identified as cost effective and feasible. Any vendor compensation under this section shall be performance-based.

(D) The department shall prepare and submit a report to the chairpersons of the standing committees in the house of representatives and senate with jurisdiction over medicaid detailing its findings from the requests for information and considerations conducted under this section.

Last updated August 26, 2025 at 5:44 PM