Ohio Admin. Code 5160-3-64.1 - Nursing facilities (NFs): payment for cost-sharing other than medicare part A

(A) For medicaid eligible NF residents, the NF per diem rate includes medicaid payments for medicare or other third-party insurance cost-sharing, including coinsurance or deductible payments, associated with services that are included in the NF per diem rate.

(B) Neither the medicaid eligible NF resident nor the Ohio department of medicaid (ODM) is responsible for any medicare or other third-party insurance cost-sharing, including coinsurance or deductibles, associated with services that are included in the NF per diem rate.

Notes

Ohio Admin. Code 5160-3-64.1

Effective: 2/14/2019
Five Year Review (FYR) Dates: 11/23/2018 and 02/14/2024
Promulgated Under: 119.03
Statutory Authority: 5165.02
Rule Amplifies: 5165.47
Prior Effective Dates: 07/31/2009 (Emer.), 10/29/2009, 10/03/2014