Ohio § 5165.48 Nursing facility not required to submit Medicaid claim for Medicare cost-sharing expenses under certain circumstances

Ohio Statutes

§ 5165.48 — Nursing facility not required to submit Medicaid claim for Medicare cost-sharing expenses under certain circumstances

Ohio § 5165.48

Title 51Public Welfare

Ch. 5165Medicaid Coverage of Nursing Facility Services

This text of Ohio § 5165.48 (Nursing facility not required to submit Medicaid claim for Medicare cost-sharing expenses under certain circumstances) 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. § 5165.48 (2026).

Text

The provider of a nursing facility is not  required to submit a claim to the department of medicaid regarding  the medicare cost-sharing expenses of a resident of the nursing  facility who, under federal law, is eligible to have the medicaid  program pay for a part of the cost-sharing expenses if the  provider determines that, under rules adopted under section5165.02of the Revised Code, the nursing facility would not  receive a medicaid payment for any part of the medicare  cost-sharing expenses. In such a situation, a claim for the  medicare cost-sharing expenses shall be considered to have been  adjudicated at no payment.

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The provider of a nursing facility is not required to submit a claim to the department of medicaid regarding the medicare cost-sharing expenses of a resident of the nursing facility who, under federal law, is eligible to have the medicaid program pay for a part of the cost-sharing expenses if the provider determines that, under rules adopted under section5165.02of the Revised Code, the nursing facility would not receive a medicaid payment for any part of the medicare cost-sharing expenses. In such a situation, a claim for the medicare cost-sharing expenses shall be considered to have been adjudicated at no payment.