Ohio Admin. Code 5160:1-1-06 - [Effective until 1/1/2025] Medicaid: public assistance reporting information system (PARIS)
(A)
This rule
describes section 1903(r)(3) of the Social Security Act (as in effect October
1, 2019) and paragraph (d) of
42 C.F.R
435.945 (as in effect October 1, 2019), that
each medicaid state agency have an eligibility determination system which
provides for data matching through the public assistance reporting information
system (PARIS).
(B)
Definition. "PARIS" is a system for matching data with
select federal and state agencies for the purpose of determining medicaid or
other public assistance eligibility. PARIS provides information regarding
federal wages, veterans administration benefits, and duplicate benefits
received in two or more states.
(C)
Administrative
agency responsibilities.
(1)
Review and compare against the case record all
information received to determine whether it affects the individual 's
eligibility.
(2)
Verify the information received, in accordance with
42 C.F.R.
435.948 (as in effect October 1, 2019) and
42 C.F.R.
435.949 (as in effect October 1,
2019).
(3)
Request additional verification from the individual , if
appropriate, to determine ongoing eligibility and initiate appropriate action
in accordance with
42
C.F.R. 435.952(c) (as in
effect October 1, 2019).
(4)
Continue benefits while appropriate steps are being
taken to verify the matched data in accordance with
42
C.F.R. 435.952(d) (as in
effect October 1, 2019).
Notes
Promulgated Under: 111.15
Statutory Authority: 5160.02, 5163.02
Rule Amplifies: 5160.02, 5163.02
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.