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Ohio · Through 2019-10-17 (House Bill 166 - 133rd General Assembly)

Ohio Rev. Code § 5167.201: Payment of nonsystem provider for emergency services.

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Where this section sits in the code
  1. Title 51 Public Welfare
  2. Chapter 5167 Medicaid Managed Care

When a medicaid managed care organization's enrollee receives emergency services on or after January 1, 2007, from a provider that is not under contract with the organization, the provider shall accept from the organization, as payment in full, not more than the amounts (less any payments for indirect costs of medical education and direct costs of graduate medical education) that the provider could collect if the enrollee received medicaid other than through enrollment in a medicaid MCO plan.

An agreement entered into by an enrollee, an enrollee's parent, or an enrollee's legal guardian that requires payment for emergency services in violation of this section is void and unenforceable.

Collected 2026-09-14T19:24:40Z. Source file · JSON

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