Ohio Administrative Code
Title 5160:1 - Eligibility
Chapter 5160:1-4 - Medicaid for the MAGI Covered Groups
Section 5160:1-4-03 - MAGI-based medicaid: coverage for Ribicoff and former foster care children
Universal Citation: OH Admin Code 5160:1-4-03
Current through all regulations passed and filed through September 16, 2024
(A) This rule describes the eligibility criteria for applications for medical assistance for individuals:
(1) Who are nineteen or twenty years of age;
or
(2) Who aged out of foster care,
are younger than twenty-six years of age, and are not otherwise eligible for a
mandatory category of coverage under the medicaid state plan. An individual who
is eligible for coverage both as a former foster care child and under the
coverage described in section 1902(a)(10)(A)(i)(VIII) of the Social Security
Act (as in effect October 1,
2022) shall be placed in the former foster care
eligibility category.
(B) Eligibility criteria for coverage because an individual is nineteen or twenty years of age in accordance with 42 C.F.R. 435.222 (as in effect October 1, 2022).
(1) The individual must be nineteen or twenty
years of age.
(2) The individual's
family size and household income must be calculated as described in rule
5160:1-4-01 of the
Administrative Code.
(3) The
individual's household income must not exceed fourty-four per cent of the
federal poverty level for the family size.
(C) Eligibility criteria for coverage because an individual aged out of foster care in accordance with 42 C.F.R. 435.150 (as in effect October 1, 2022).
(1) The individual must:
(a) Be at least eighteen years of age and
younger than twenty-six years of age;
(b) Have been in foster care
:
(i)
Under the
responsiblity of the state of Ohio on the individual's eighteenth birthday, or
at the time of aging out of the state's foster care program, regardless of the
date the individual aged out of foster care; or
(ii)
Under the
responsibility of any state on the individual's eighteenth birthday, or at the
time of aging out of that state's foster care program, when the individual aged
out of foster care on or after January 1, 2023;
(c) Have been eligible for and enrolled in
medicaid while in such foster care; and
(d) Cooperate in establishing eligibility,
which includes signing and dating the application in
accordance with rule
5160:1-2-08 of the
Administrative Code.
(2) Under this paragraph, there is no income
test for coverage because an individual aged out of foster care.
Disclaimer: These regulations may not be the most recent version. Ohio may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
