Section 5164.01. Definitions

Section 5164.02. [Renumbered from 5111.02] Rules to implement chapter

Section 5164.03. Mandatory and optional services

Section 5164.05. [Renumbered from 5111.04] Coverage of services provided by outpatient health facilities

Section 5164.06. [Renumbered from 5111.029] Medicaid coverage of occupational therapy services

Section 5164.07. [Renumbered from 5111.018] Coverage of inpatient care and follow-up care for a mother and her newborn

Section 5164.08. [Renumbered from 5111.024] Screening mammography and cytologic screening for cervical cancer

Section 5164.09. Equivalant coverage for orally and intravenously administered cancer medications

Section 5164.15. [Renumbered from 5111.023] Mental health services

Section 5164.20. [Renumbered from 5111.027] Medicaid not to cover drugs for erectile dysfunction

Section 5164.25. [Renumbered from 5111.042] Recipient with developmental disability who is eligible for medicaid case management services

Section 5164.26. [Renumbered from 5111.016] Healthcheck component

Section 5164.30. Provider agreement with department required

Section 5164.301. [Renumbered from 5111.053] Medicaid provider agreements for physician assistants

Section 5164.31. [Renumbered from 5111.063] Funding for implementing the provider screening requirements

Section 5164.32. [Renumbered from 5111.028] Expiration of medicaid provider agreements

Section 5164.33. Denying, terminating, and suspending provider agreements

Section 5164.34. Criminal records check of provider personnel, owners and officers

Section 5164.341. [Renumbered from 5111.034] Criminal records check by independent provider

Section 5164.342. [Renumbered from 5111.033] Criminal records checks by waiver agencies

Section 5164.35. [Renumbered from 5111.03] Provider offenses

Section 5164.36. [Renumbered from 5111.035] Credible allegation of fraud; supsension of provider agreement

Section 5164.37. [Renumbered from 5111.031] Action against noninstitutional medicaid provider

Section 5164.38. [Renumbered from 5111.06] Adjudication orders of department

Section 5164.39. [Renumbered from 5111.062] Hearing not required unless timely requested

Section 5164.44. [Effective 3/23/2016] Employee status of independent provider

Section 5164.45. [Renumbered from 5111.05] Contracts for examination, processing, and determination of medicaid claims

Section 5164.46. [Renumbered from 5111.052] Electronic claims submission process; electronic fund transfers

Section 5164.47. [Renumbered from 5111.054] Contracting for review and analysis, quality assurance and quality review

Section 5164.48. [Renumbered from 5111.051] Medicaid payments made to organization on behalf of providers

Section 5164.55. Final fiscal audits

Section 5164.56. [Renumbered from 5111.022] Lien for amount owed by provider

Section 5164.57. [Renumbered from 5111.061] Recovery of medicaid overpayments

Section 5164.58. [Renumbered from 5111.914] Agency action to recover overpayment to provider

Section 5164.59. Deduction of incorrect payments

Section 5164.60. Interest on Medicaid provider excess payments

Section 5164.61. Scope of available remedies for recovery of excess payments

Section 5164.70. [Renumbered from 5111.021] Limitations on medicaid payments for services

Section 5164.71. Payments for freestanding medical laboratory charges

Section 5164.72. Limitations on payments for inpatient hospital care

Section 5164.73. Division of payments between physician or podiatrist and nurse

Section 5164.74. [Renumbered from 5111.19] Reimbursement of graduate medical education costs

Section 5164.741. [Renumbered from 5111.191] Payment for graduate medical education costs to noncontracting hospitals

Section 5164.75. [Renumbered from 5111.086] Medicaid payment for a drug subject to a federal upper reimbursement limit

Section 5164.751. [Renumbered from 5111.082] State maximum allowable cost program

Section 5164.752. Determining maximum dispensing fee

Section 5164.753. [Renumbered from 5111.071] Dispensing fee

Section 5164.754. [Renumbered from 5111.0114] Agreement for multiple-state drug purchasing program

Section 5164.755. [Renumbered from 5111.081] Supplemental drug rebate program

Section 5164.756. [Renumbered from 5101.31] Drug rebate agreement or supplemental drug rebate agreement for medicaid program not subject to public records law

Section 5164.757. E-prescribing applications

Section 5164.758. [Renumbered from 5111.085] Adoption of rules for implementation of coordinated services program for medicaid users who abuse prescription drugs

Section 5164.759. [Renumbered from 5111.08] Outpatient drug use review program

Section 5164.7510. [Renumbered from 5111.084] Pharmacy and therapeutics committee

Section 5164.76. [Renumbered from 5111.025] Manner of payment for community mental health service providers or facilities and alcohol and drug addiction services

Section 5164.77. [Renumbered from 5111.0213] Adjustment of medicaid payments; payment for aide or nursing services

Section 5164.80. [Renumbered from 5111.0212] Public notice for changes to payment rates for medicaid assistance

Section 5164.82. [Renumbered from 5111.0214] Payment for provider-preventable condition

Section 5164.85. [Renumbered from 5111.13] Enrolling in group health plan

Section 5164.86. [Renumbered from 5111.18] Qualified state long-term care insurance partnership program

Section 5164.88. [Renumbered from 5111.14] Coordinated care through health homes

Section 5164.881. Health home services

Section 5164.89. [Renumbered from 5111.141] Case management of nonemergency transportation services

Section 5164.90. [Renumbered from 5111.96] Transition of medicaid recipients to community settings

Section 5164.91. [Renumbered from 5111.981] Integrated care delivery system

Section 5164.911. Integrated Care Delivery System evaluation

Section 5164.92. [Renumbered from 5111.0210] Advanced diagnostic imaging services coverage under medicaid program

Section 5164.93. [Renumbered from 5111.0215] Incentive payments for adoption and use of electronic health record technology

Section 5164.94. Delivery of services in culturally and linguistically appropriate manners

Section 5164.95. Standards for payments for telehealth services