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OAC 317:  Chapter 35. Medical Assistance for Adults and Children - Eligibility

Subchapter 9. ICF/MR, HCBW/MR, and Individuals Age 65 or Older in Mental Health Hospitals
    
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PART 1. SERVICES
317:35-9-1.Overview of long-term medical care services; relationship to QMB, SLMB, and other Medicaid services eligibility, and spenddown calculation  Revised 7-01-03
317:35-9-4.Services in Intermediate Care Facility for Mentally Retarded (public and private)  Revised 6-26-00
317:35-9-5.Home and Community - Based Waiver Services for persons with mental retardation or certain persons with related conditions  Revised 6-25-09
317:35-9-5.1.Home and Community Based Waiver Services for individuals with mental retardation and related conditions  Revised 6-26-00
317:35-9-7.Services for persons age 65 or older in mental health hospitals  Issued 7-27-95
PART 2. MEDICAID RECOVERY PROGRAM
317:35-9-15.Medicaid recovery  Revised 12-18-07
PART 3. APPLICATION PROCEDURES
317:35-9-25.Application for ICF/MR, HCBW/MR, and persons aged 65 or over in mental health hospitals  Revised 6-26-00
317:35-9-26.Application procedures for private ICF/MR  Revised 6-26-00
317:35-9-27.Application procedures for public ICF/MR  Revised 6-26-00
317:35-9-28.Application procedures for services provided by Developmental Disability Services Division (DDSD)  Revised 6-26-00
317:35-9-29.Application procedures for persons age 65 or older in mental health hospitals  Revised 6-26-00
PART 5. DETERMINATION OF MEDICAL ELIGIBILITY FOR ICF/MR, HCBW/MR, AND INDIVIDUALS AGE 65 OR OLDER IN MENTAL HEALTH HOSPITALS
317:35-9-45.Determination of medical eligibility for care in a private ICF/MR  Revised 6-1-07
317:35-9-48.Determination of medical eligibility for care in public ICF/MR  Revised 6-26-00
317:35-9-48.1.Determining ICF/MR institutional level of care for TEFRA children  Issued 8-1-07
317:35-9-49.Determination of medical eligibility for Home and Community Based Waiver Services for the Mentally Retarded  Revised 6-26-00
317:35-9-50.Determination of medical eligibility for persons age 65 or older in mental health hospitals  Issued 7-27-95
PART 7. DETERMINATION OF FINANCIAL ELIGIBILITY
317:35-9-65.General financial eligibility requirements for ICF/MR, HCBW/MR and individuals age 65 or older in mental health hospitals  Revised 6-25-09
317:35-9-67.Determining financial eligibility of categorically needy individuals  Revised 12-18-07
317:35-9-68.Determining financial eligibility for care in an ICF/MR (public and private), for HCBW/MR services, and for persons age 65 or older in mental health hospitals  Revised 8-1-07
PART 9. CERTIFICATION, REDETERMINATION AND NOTIFICATION
317:35-9-75.Certification for long-term medical care through ICF/MR, HCBW/MR services and to persons age 65 and older in a mental health hospital  Revised 1-1-06
317:35-9-76.Redetermination of financial eligibility for long-term medical care  Revised 6-25-04
317:35-9-77.Case transfer between categories  Revised 6-26-00
317:35-9-78.Case changes  Revised 6-26-00
PART 11. PAYMENT, BILLING, AND OTHER ADMINISTRATIVE PROCEDURES
317:35-9-95.Payment to ICF/MR (public and private)  Revised 6-26-00
317:35-9-97.Payment for Home and Community Based Waiver services for the Mentally Retarded (HCBWS/MR)  Revised 5-2-97
317:35-9-98.Payment to mental health hospitals  Issued 7-27-95
317:35-9-99.Billing procedures for ICF/MR, HCBW/MR services and services for individuals 65 older in a mental health hospital  Revised 6-26-00
317:35-9-100.Management of client's funds while receiving care in NF, ICF/MR (public and private) or for persons age 65 or older in mental health hospitals  Issued 7-27-95
317:35-9-101.Disclosure of information on health care providers and contractors  Revised 6-26-00
317:35-9-102.Referral for social services  Revised 6-26-00
317:35-9-103.Special procedures for release of adults in mental health hospitals to long-term care facilities  Revised 6-26-00