Ohio § 5166.406 Exhaustion of payout limits

Ohio Statutes

§ 5166.406 — Exhaustion of payout limits

Ohio § 5166.406

Title 51Public Welfare

Ch. 5166Federal Medicaid Waiver Programs

This text of Ohio § 5166.406 (Exhaustion of payout limits) 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. § 5166.406 (2026).

Text

If a healthy Ohio program participant exhausts the annual or lifetime payout limits specified in division (D) of section5166.401of the Revised Code, the participant shall be transferred to the fee-for-service component of medicaid or the care management system. A participant who exhausts the annual payout limit for a year shall resume participation in the healthy Ohio program at the beginning of the immediately following year if division (B) of section5166.40of the Revised Code continues to apply to the participant.

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If a healthy Ohio program participant exhausts the annual or lifetime payout limits specified in division (D) of section5166.401of the Revised Code, the participant shall be transferred to the fee-for-service component of medicaid or the care management system. A participant who exhausts the annual payout limit for a year shall resume participation in the healthy Ohio program at the beginning of the immediately following year if division (B) of section5166.40of the Revised Code continues to apply to the participant.