Ohio § 3701.021

§ 3701.021.

(A) The director of health shall adopt, in accordance with Chapter 119. of the Revised

Code, such rules as are necessary to carry out sections 3701.021 to 3701.0210 of the Revised Code , including, but not limited to, rules to establish the following: (1) Subject to division (D) of this section, medical and financial eligibility requirements

for the program for children and youth with special health care needs; (2) Subject to division (C) of this section, eligibility requirements for providers who

provide goods and services for the program for children and youth with special health

care needs; (3) Procedures to be followed by the department of health in disqualifying providers

for violating requirements adopted under division (A)(2) of this section; (4) Procedures to be used by the department regarding application for diagnostic services

under division (B) of section 3701.023 of the Revised Code and payment for those services under division (E) of that section; (5) Standards for the provision of service coordination by the department of health and

city and general health districts; (6) Procedures for the department to use to determine the amount to be paid annually

by each county for services for children and youth with special health care needs

and to allow counties to retain funds under divisions (A)(2) and (3) of section 3701.024

of the Revised Code; (7) Financial eligibility requirements for services for Ohio residents twenty-one years

of age or older who have cystic fibrosis; (8) Criteria for payment of approved providers who provide goods and services for children

and youth with special health care needs; (9) Criteria for the department to use in determining whether the payment of health insurance

premiums of participants in the program for children and youth with special health

care needs is cost-effective; (10) Procedures for appeal of denials of applications under divisions (A) and (D) of section 3701.023 of the Revised Code , disqualification of providers, and amounts paid for services; (11) Terms of appointment for members of the children and youth with special health care

needs medical advisory council created in section 3701.025 of the Revised Code ; (12) Eligibility requirements for the hemophilia program, including income and hardship

requirements; (13) If a manufacturer discount program is established under division (J)(1) of section 3701.023 of the Revised Code , procedures for administering the program, including criteria and other requirements

for participation in the program by manufacturers of drugs and nutritional formulas. (B) The department of health shall develop a manual of operational procedures and guidelines

for the program for children and youth with special health care needs to implement sections 3701.021 to 3701.0210 of the Revised Code . (C) A medicaid provider, as defined in section 5164.01 of the Revised Code , is eligible to be a provider of the same goods and services for the program for

children and youth with special health care needs that the provider is approved to

provide for the medicaid program and the director shall approve such a provider for

participation in the program for children and youth with special health care needs. (D) In establishing medical and financial eligibility requirements for the program for

children and youth with special health care needs, the director of health shall not

specify an age restriction that excludes from eligibility an individual who is less

than twenty-six years of age.