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Current as of January 01, 2024 | Updated by Findlaw Staff
(A) As used in this section:
(1) “Help me grow program” means the program established by the department of health pursuant to section 3701.61 of the Revised Code.
(2) “Targeted case management” has the same meaning as in 42 C.F.R. 440.169(b).
(B) A medicaid managed care organization shall provide to a medicaid recipient who meets the criteria in division (C) of this section, or arrange for such recipient to receive, both of the following types of services:
(1) Home visits, which shall include depression screenings, for which federal financial participation is available under the targeted case management benefit;
(2) Cognitive behavioral therapy, provided by a community mental health services provider, that is determined to be medically necessary through a depression screening conducted as part of a home visit.
(C) A medicaid recipient qualifies to receive the services specified in division (B) of this section if the medicaid recipient is enrolled in the help me grow program, enrolled in the medicaid managed care organization providing or arranging for the services, and is either pregnant or the birth mother of a child under five years of age.
(D) If requested by a medicaid recipient eligible for the cognitive behavioral therapy covered under division (B)(2) of this section, the therapy shall be provided in the recipient's home. The medicaid managed care organization shall inform the medicaid recipient of the right to make the request and how to make it.
Cite this article: FindLaw.com - Ohio Revised Code Title LI. Public Welfare § 5167.16 - last updated January 01, 2024 | https://codes.findlaw.com/oh/title-li-public-welfare/oh-rev-code-sect-5167-16/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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