Ohio § 5167.101 Basis of hospital inpatient capital payment portion of payment to medicaid managed care organization

Ohio Statutes

§ 5167.101 — Basis of hospital inpatient capital payment portion of payment to medicaid managed care organization

Ohio § 5167.101

Title 51Public Welfare

Ch. 5167Medicaid Managed Care

This text of Ohio § 5167.101 (Basis of hospital inpatient capital payment portion of payment to medicaid managed care organization) 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. § 5167.101 (2026).

Text

(A)Subject to division (B) of this section, the department of medicaid or its actuary shall base the hospital inpatient capital payment portion of the payment made to a medicaid managed care organization on data for services provided to all of the organization's enrollees, as reported by hospitals on relevant cost reports submitted pursuant to rules adopted under section5167.02of the Revised Code.

(B)The hospital inpatient capital payment portion of the payment made to medicaid managed care organizations shall not exceed any maximum rate established in rules adopted under section5167.02of the Revised Code. If a maximum rate is established, a medicaid managed care organization shall not compensate hospitals for inpatient capital costs in an amount that exceeds that rate.

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(A) Subject to division (B) of this section, the department of medicaid or its actuary shall base the hospital inpatient capital payment portion of the payment made to a medicaid managed care organization on data for services provided to all of the organization's enrollees, as reported by hospitals on relevant cost reports submitted pursuant to rules adopted under section5167.02of the Revised Code.

(B) The hospital inpatient capital payment portion of the payment made to medicaid managed care organizations shall not exceed any maximum rate established in rules adopted under section5167.02of the Revised Code.

If a maximum rate is established, a medicaid managed care organization shall not compensate hospitals for inpatient capital costs in an amount that exceeds that rate.