{"data":{"id":"us-oh/ohio-rev.-code-5165.48","jurisdiction":"us-oh","citation":"Ohio Rev. Code § 5165.48","heading":"Nursing facility not required to submit Medicaid claim for Medicare cost-sharing expenses under certain circumstances.","body":"The provider of a nursing facility is not required to submit a claim to the department of medicaid regarding the medicare cost-sharing expenses of a resident of the nursing facility who, under federal law, is eligible to have the medicaid program pay for a part of the cost-sharing expenses if the provider determines that, under rules adopted under section 5165.02 of the Revised Code, the nursing facility would not receive a medicaid payment for any part of the medicare cost-sharing expenses. In such a situation, a claim for the medicare cost-sharing expenses shall be considered to have been adjudicated at no payment.","path":["Title 51 Public Welfare","Chapter 5165 Medicaid Coverage of Nursing Facility Services"],"source_url":"https://codes.ohio.gov/ohio-revised-code/section-5165.48","current_through":"2013-09-29 (House Bill 59 - 130th General Assembly)","vintage":"","retrieved_at":"2026-09-14T19:24:40Z","sha256":"34c2d08ec105954aa29662fafbbd9adee91ff8362b022e3ad93eba5034501064","source_id":"us-oh","stale":false,"prev":"us-oh/ohio-rev.-code-5165.47","next":"us-oh/ohio-rev.-code-5165.49"},"notice":"GroundRules: Original legal text. Not legal advice."}