Division 120 - MEDICAL ASSISTANCE PROGRAMS

  1. § 410-120-0000 - Acronyms and Definitions
  2. § 410-120-0003 - OHP Standard Benefit Package
  3. § 410-120-0006 - Medical Eligibility Standards
  4. § 410-120-0011 - Effect of COVID-19 Emergency Authorities on Administrative Rules
  5. § 410-120-0025 - Administration of Division of Medical Assistance Programs, Regulation and Rule Precedence
  6. § 410-120-0030 - Children's Health Insurance Program
  7. § 410-120-0035 - Public Entity
  8. § 410-120-0045 - Applications for Medical Assistance at Provider locations
  9. § 410-120-0250 - Managed Care Entity
  10. § 410-120-1140 - Verification of Eligibility and Coverage
  11. § 410-120-1160 - Medical Assistance Benefits and Provider Rules
  12. § 410-120-1180 - Medical Assistance Benefits: Out-of-State Services
  13. § 410-120-1190 - Medically Needy Benefit Program
  14. § 410-120-1195 - SB 5548 Population
  15. § 410-120-1200 - Excluded Services and Limitations
  16. § 410-120-1210 - Medical Assistance Benefit Packages and Delivery System
  17. § 410-120-1230 - Client Co-payment
  18. § 410-120-1260 - [Effective until3/13/2022]Provider Enrollment
  19. § 410-120-1260 - [Effective3/13/2022]Provider Enrollment, version 2
  20. § 410-120-1280 - Billing
  21. § 410-120-1285 - Recoupment and Data Sharing with Third-Party Insurers
  22. § 410-120-1295 - Non-Participating Provider
  23. § 410-120-1300 - Timely Submission of Claims
  24. § 410-120-1320 - Authorization of Payment
  25. § 410-120-1340 - Payment
  26. § 410-120-1350 - Buying-Up
  27. § 410-120-1360 - Requirements for Financial, Clinical and Other Records
  28. § 410-120-1380 - Compliance with Federal and State Statutes
  29. § 410-120-1385 - Compliance with Public Meetings Law
  30. § 410-120-1390 - Premium Sponsorships
  31. § 410-120-1395 - Program Integrity
  32. § 410-120-1396 - Provider and Contractor Audits
  33. § 410-120-1397 - Recovery of Overpayments to Providers - Recoupments and Refunds
  34. § 410-120-1400 - Provider Sanctions
  35. § 410-120-1460 - Type and Conditions of Sanction
  36. § 410-120-1510 - Fraud and Abuse
  37. § 410-120-1560 - Provider Appeals
  38. § 410-120-1570 - Claim Re-Determinations
  39. § 410-120-1580 - Provider Appeals- Administrative Review
  40. § 410-120-1600 - Provider Appeals - Contested Case Hearings
  41. § 410-120-1855 - Client's Rights and Responsibilities
  42. § 410-120-1860 - Contested Case Hearing Procedures
  43. § 410-120-1865 - Denial, Reduction, or Termination of Services
  44. § 410-120-1870 - Client Premium Payments
  45. § 410-120-1875 - Agency Hearing Representatives
  46. § 410-120-1880 - Contracted Services
  47. § 410-120-1920 - Institutional Reimbursement Changes
  48. § 410-120-1940 - Interest Payments on Overdue Claims
  49. § 410-120-1960 - Payment of Private Insurance Premiums
  50. § 410-120-1980 - Requests for Information and Public Records
  51. § 410-120-1990 - Telehealth

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