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To amend section 5164.01 and to enact section 5164.09 | 1 |
of the Revised Code regarding Medicaid coverage of | 2 |
dental services for the eligibility expansion | 3 |
group authorized by the Patient Protection and | 4 |
Affordable Care Act. | 5 |
Section 1. That section 5164.01 be amended and section | 6 |
5164.09 of the Revised Code be enacted to read as follows: | 7 |
Sec. 5164.01. As used in this chapter: | 8 |
(A) "Dental services" has the same meaning as in 42 C.F.R. | 9 |
440.100. | 10 |
(B) "Early and periodic screening, diagnostic, and treatment | 11 |
services" has the same meaning as in the "Social Security Act," | 12 |
section 1905(r), 42 U.S.C. 1396d(r). | 13 |
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as in section 5160.01 of the Revised Code. | 15 |
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program that provides early and periodic screening, diagnostic, | 17 |
and treatment services. | 18 |
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component" has the same meaning as in section 5166.01 of the | 20 |
Revised Code. | 21 |
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of the Revised Code. | 23 |
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who participates in the integrated care delivery system. | 25 |
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of the Revised Code. | 27 |
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demonstration project authorized by section 5164.91 of the Revised | 29 |
Code. | 30 |
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and items that must be covered by the medicaid state plan as a | 32 |
condition of the state receiving federal financial participation | 33 |
for the medicaid program. | 34 |
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meaning as in section 5167.01 of the Revised Code. | 36 |
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entity with a valid provider agreement to provide medicaid | 38 |
services to medicaid recipients. To the extent appropriate in the | 39 |
context, "medicaid provider" includes a person or government | 40 |
entity applying for a provider agreement, a former medicaid | 41 |
provider, or both. | 42 |
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following: | 44 |
(1) Mandatory services; | 45 |
(2) Optional services that the medicaid program covers. | 46 |
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5165.01 of the Revised Code. | 48 |
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items that may be covered by the medicaid state plan or a federal | 50 |
medicaid waiver and for which the medicaid program receives | 51 |
federal financial participation. | 52 |
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440.120. | 54 |
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of the following apply: | 56 |
(1) It is between a medicaid provider and the department of | 57 |
medicaid; | 58 |
(2) It provides for the medicaid provider to provide medicaid | 59 |
services to medicaid recipients; | 60 |
(3) It complies with 42 C.F.R. 431.107(b). | 61 |
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meaning as in section 4729.01 of the Revised Code. | 63 |
Sec. 5164.09. Benchmark coverage and benchmark equivalent | 64 |
coverage provided to the group described in the "Social Security | 65 |
Act," section 1902(a)(10)(A)(i)(VIII), 42 U.S.C. | 66 |
1396a(a)(10)(A)(i)(VIII), shall include dental services. | 67 |
Section 2. That existing section 5164.01 of the Revised Code | 68 |
is hereby repealed. | 69 |