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Ohio Administrative Code (Last Updated: January 12, 2021) |
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5160 Medicaid |
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Chapter5160-26. Managed Care Plan |
| 5160-26-01. Managed health care programs: definitions |
| 5160-26-02. Managed health care program: eligibility and enrollment |
| 5160-26-02.1. Managed health care programs: termination of enrollment |
| 5160-26-03. Managed health care programs: covered services |
| 5160-26-03.1. Managed health care programs: primary care and utilization management |
| 5160-26-04. Managed health care programs: procurement and plan selection [RESCINDED] |
| 5160-26-05. Managed health care programs: provider panel and subcontracting requirements |
| 5160-26-05.1. Managed health care programs: provider services |
| 5160-26-06. Managed health care programs: program integrity - fraud, waste and abuse, audits, reporting, and record retention |
| 5160-26-07. Managed health care programs: annual external quality review survey [RESCINDED] |
| 5160-26-07.1. Managed health care programs: Quality assessment and performance improvement program (QAPI) [RESCINDED] |
| 5160-26-08. Managed health care programs: marketing [RESCINDED] |
| 5160-26-08.1. Managed health care programs: information and enrollment services [RESCINDED] |
| 5160-26-08.2. Managed health care programs: member services [RESCINDED] |
| 5160-26-08.3. Managed health care programs: member rights |
| 5160-26-08.4. Managed health care programs: managed care plan appeal and grievance system |
| 5160-26-08.5. Managed health care programs: responsibilities for state hearings [RESCINDED] |
| 5160-26-09. Managed health care programs: payment and financial responsibility [RESCINDED] |
| 5160-26-09.1. Managed health care programs: third party liability and recovery |
| 5160-26-10. Managed health care programs: sanctions and provider agreement actions |
| 5160-26-11. Managed health care programs: managed care plan non-contracting providers |
| 5160-26-12. Managed health care programs: member co-payments |