Ohio Admin. Code 5160:1-1-06 - Medicaid: public assistance reporting information system
(A)
This rule describes section 1903(r)(3) of the Social Security Act (as in effect
October 1, 2019
2024) and paragraph (d) of
42 C.F.R
435.945 (as in effect October 1,
2019
2024),
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
2024) and
42 C.F.R.
435.949 (as in effect October 1,
2019
2024).
(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
2024).
(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
2024).
Notes
Promulgated Under: 111.15
Statutory Authority: 5160.02, 5163.02
Rule Amplifies: 5160.02, 5163.02
Prior Effective Dates: 01/02/2020
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