{"data":{"id":"us-oh/ohio-rev.-code-5165.49","jurisdiction":"us-oh","citation":"Ohio Rev. Code § 5165.49","heading":"Post-payment reviews of nursing facility Medicaid claims.","body":"The department of medicaid may conduct a post-payment review of a claim submitted by a nursing facility provider and paid by the medicaid program to determine whether the provider was overpaid. The department shall provide the provider a written summary of the review's results. The review's results are not subject to an adjudication under Chapter 119. of the Revised Code; however, the provider may request that the medicaid director reconsider the review's results. The director shall reconsider the review's results on receipt of a request made in good faith. The department shall not deduct any amounts the department claims to be due from the provider as a result of the review from the provider's medicaid payments pursuant to section 5165.44 of the Revised Code until the conclusion of the director's reconsideration, if any, of the review.","path":["Title 51 Public Welfare","Chapter 5165 Medicaid Coverage of Nursing Facility Services"],"source_url":"https://codes.ohio.gov/ohio-revised-code/section-5165.49","current_through":"2013-09-29 (House Bill 59 - 130th General Assembly)","vintage":"","retrieved_at":"2026-09-14T19:24:40Z","sha256":"578640861d5c50e35039ccafd522e79f9209f6b65e0099d91e9f43fc203dd958","source_id":"us-oh","stale":false,"prev":"us-oh/ohio-rev.-code-5165.48","next":"us-oh/ohio-rev.-code-5165.50"},"notice":"GroundRules: Original legal text. Not legal advice."}