Ohio § 5165.49 Post-payment reviews of nursing facility Medicaid claims

Ohio Statutes

§ 5165.49 — Post-payment reviews of nursing facility Medicaid claims

Ohio § 5165.49

Title 51Public Welfare

Ch. 5165Medicaid Coverage of Nursing Facility Services

This text of Ohio § 5165.49 (Post-payment reviews of nursing facility Medicaid claims) 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. § 5165.49 (2026).

Text

The department of medicaid may conduct a  post-payment review of a claim submitted by a nursing facility  provider and paid by the medicaid program to determine whether the  provider was overpaid. The department shall provide the provider a  written summary of the review's results. The review's results are  not subject to an adjudication under Chapter 119. of the Revised  Code; however, the provider may request that the medicaid director  reconsider the review's results. The director shall reconsider the  review's results on receipt of a request made in good faith. The  department shall not deduct any amounts the department claims to  be due from the provider as a result of the review from the  provider's medicaid payments pursuant to section5165.44of the  Revised Code until the conclusion

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The department of medicaid may conduct a post-payment review of a claim submitted by a nursing facility provider and paid by the medicaid program to determine whether the provider was overpaid. The department shall provide the provider a written summary of the review's results. The review's results are not subject to an adjudication under Chapter 119. of the Revised Code; however, the provider may request that the medicaid director reconsider the review's results. The director shall reconsider the review's results on receipt of a request made in good faith. The department shall not deduct any amounts the department claims to be due from the provider as a result of the review from the provider's medicaid payments pursuant to section5165.44of the Revised Code until the conclusion of the director's reconsideration, if any, of the review.