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H. B. No. 433 As IntroducedAs Introduced
130th General Assembly | Regular Session | 2013-2014 |
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Cosponsors:
Representatives Patmon, Milkovich
A BILL
To amend section 5164.01 and to enact section 5164.09
of the Revised Code regarding Medicaid coverage of
dental services for the eligibility expansion
group authorized by the Patient Protection and
Affordable Care Act.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That section 5164.01 be amended and section
5164.09 of the Revised Code be enacted to read as follows:
Sec. 5164.01. As used in this chapter:
(A) "Dental services" has the same meaning as in 42 C.F.R.
440.100.
(B) "Early and periodic screening, diagnostic, and treatment
services" has the same meaning as in the "Social Security Act,"
section 1905(r), 42 U.S.C. 1396d(r).
(B)(C) "Federal financial participation" has the same meaning
as in section 5160.01 of the Revised Code.
(C)(D) "Healthcheck" means the component of the medicaid
program that provides early and periodic screening, diagnostic,
and treatment services.
(D)(E) "Home and community-based services medicaid waiver
component" has the same meaning as in section 5166.01 of the
Revised Code.
(E)(F) "Hospital" has the same meaning as in section 3727.01
of the Revised Code.
(F)(G) "ICDS participant" means a dual eligible individual
who participates in the integrated care delivery system.
(G)(H) "ICF/IID" has the same meaning as in section 5124.01
of the Revised Code.
(H)(I) "Integrated care delivery system" and "ICDS" mean the
demonstration project authorized by section 5164.91 of the Revised
Code.
(I)(J) "Mandatory services" means the health care services
and items that must be covered by the medicaid state plan as a
condition of the state receiving federal financial participation
for the medicaid program.
(J)(K) "Medicaid managed care organization" has the same
meaning as in section 5167.01 of the Revised Code.
(K)(L) "Medicaid provider" means a person or government
entity with a valid provider agreement to provide medicaid
services to medicaid recipients. To the extent appropriate in the
context, "medicaid provider" includes a person or government
entity applying for a provider agreement, a former medicaid
provider, or both.
(L)(M) "Medicaid services" means either or both of the
following:
(2) Optional services that the medicaid program covers.
(M)(N) "Nursing facility" has the same meaning as in section
5165.01 of the Revised Code.
(N)(O) "Optional services" means the health care services and
items that may be covered by the medicaid state plan or a federal
medicaid waiver and for which the medicaid program receives
federal financial participation.
(O)(P) "Prescribed drug" has the same meaning as in 42 C.F.R.
440.120.
(P)(Q) "Provider agreement" means an agreement to which all
of the following apply:
(1) It is between a medicaid provider and the department of
medicaid;
(2) It provides for the medicaid provider to provide medicaid
services to medicaid recipients;
(3) It complies with 42 C.F.R. 431.107(b).
(Q)(R) "Terminal distributor of dangerous drugs" has the same
meaning as in section 4729.01 of the Revised Code.
Sec. 5164.09. Benchmark coverage and benchmark equivalent
coverage provided to the group described in the "Social Security
Act," section 1902(a)(10)(A)(i)(VIII), 42 U.S.C.
1396a(a)(10)(A)(i)(VIII), shall include dental services.
Section 2. That existing section 5164.01 of the Revised Code
is hereby repealed.
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