5160-1-01. Medicaid medical necessity: definitions and principles

5160-1-02. General reimbursement principles

5160-1-03. Medicaid: relationship to the children with medical handicaps program under Title V of the Social Security Act

5160-1-04. Employee access to confidential personal information

5160-1-05. Medicaid coordination of benefits with the medicare program (Title XVIII)

5160-1-05.1. Payment for "Medicare Part C" cost sharing

5160-1-05.3. Payment for "Medicare Part B" cost sharing

5160-1-06. Home and community-based service waivers: general description [RESCINDED]

5160-1-06.1. Home and community-based service waivers: PASSPORT

5160-1-06.4. Home and community-based services (HCBS) waivers: choices [RESCINDED]

5160-1-06.5. Home and community based services (HCBS) waivers: assisted living

5160-1-08. Coordination of benefits

5160-1-09. Co-payments

5160-1-10. Limitations on elective obstetric deliveries

5160-1-11. Out-of-state coverage [except as provided through medicaid contracting managed care plans (MCPs)]

5160-1-13.1. Medicaid recipient liability

5160-1-14. Healthchek: early and periodic screening, diagnostic, and treatment (EPSDT) covered services

5160-1-15. Medicaid card [RESCINDED]

5160-1-16. Preventive services

5160-1-17. Eligible providers

5160-1-17.1. Notification of rule and program changes [RESCINDED]

5160-1-17.2. Provider agreement for providers

5160-1-17.3. Provider disclosure requirements

5160-1-17.4. Revalidation of provider agreements

5160-1-17.5. Suspension of medicaid provider agreements

5160-1-17.6. Termination and denial of provider agreement

5160-1-17.7. Application by a former participating medicaid provider to resume participation in the Ohio medicaid program [except for medicaid contracting managed care plans (MCPs)]

5160-1-17.8. Provider screening and application fee

5160-1-17.9. Ordering or referring providers

5160-1-17.12. Qualified entity requirements and responsibilities for determining presumptive eligibility

5160-1-18. Telehealth

Appendix. to rule 5160-1-18

5160-1-19. Claim submission

5160-1-19.1. References to the "International Classification of Diseases (ICD)"

5160-1-19.9. Inquiries regarding the status of claims [except for services provided through a medicaid managed care program]

5160-1-20. Electronic data interchange (EDI) trading partner enrollment and testing

5160-1-23. Assignment of provider claims [RESCINDED]

5160-1-25. Interest on overpayments made to medicaid providers

5160-1-27. Review of provider records

5160-1-27.1. Hold and review process

5160-1-27.2. Medicaid hold and review process for medicaid claims paid through state agencies other than the Ohio department of medicaid

5160-1-29. Medicaid fraud, waste, and abuse

5160-1-31. Prior authorization [except for services provided through medicaid contracting managed care plans (MCPs)]

5160-1-32. Medicaid: safeguarding and releasing information

5160-1-32.1. Standard authorization form

5160-1-33. Medicaid: authorized representatives

5160-1-39. Verification of home care service provision to home care dependent adults

5160-1-40. Electronic visit verification (EVV)

5160-1-57. Process for provider appeals from proposed departmental actions [RESCINDED]

5160-1-60. Medicaid payment

5160-1-60.1. Special provisions for reimbursement for physician groups acting as outpatient hospital clinics [RESCINDED]

5160-1-60.2. Direct reimbursement for out-of-pocket expense incurred for medicaid covered service

5160-1-60.3. [RESCINDED]

5160-1-60.4. By-report procedures, services, and supplies

5160-1-61. Non-covered services

5160-1-70. Relocated provisions concerning episode based payments

5160-1-71. Relocated provisions concerning patient centered medical homes (PCMH) and eligible providers

5160-1-72. Relocated provisions concerning patient centered medical homes (PCMH) and payments

5160-1-73. Behavioral health care coordination

5160-1-80. Substitute practitioners (locum tenens)