ACT | Ohio Medicaid Eligibility Criteria
This free PDF resource is designed to help service providers determine whether a Medicaid recipient (person who receives Medicaid) in the State of Ohio is eligible to receive ACT services that are billable to Medicaid. This version of the "Ohio Medicaid ACT Eligibility Criteria" is based upon "OAC 5160-27-04: Mental Health Assertive Community Treatment Service" (ver. 8/29/2017). The document includes notes in text boxes with examples or possible sources of information and documentation that may help determine whether a person meets a specific criterion or not.
Examples of criteria addressed in this tool include the following:
- Diagnosis(es)
- Benefits such as SSI & SSDI
- Adult Needs and Strengths Assessment (ANSA)
- Institutional utilization and other functional criteria
- Persistent or recurrent severe psychiatric symptoms
- Coexisting substance use disorder
- Housing: residing in an inpatient or supervised residence
- At risk of psychiatric hospitalization, institutional, or supervised residential placement
- Has been unsuccessful in using traditional office-based outpatient services
PRODUCT SPECS
+ Use this resource with the following:
ACKNOWLEDGEMENTS
This resource was produced by our Center's Ohio Assertive Community
Treatment Coordinating Center of Excellence (ACT CCOE) initiative with
support from the Ohio Department of Medicaid (ODM).
MORE INFORMATION
To learn more about Assertive
Community Treatment (ACT), the evidence-based practice, and our
consulting and training services for ACT implementation, visit the
"practices" section of our website (click here).
CITATION
Title: ACT | Ohio Medicaid Eligibility Criteria
Author(s): Center for Evidence-Based Practices
Publication Year: 2018
Publisher City: Cleveland, Ohio
Publisher Name: Ohio Department of Medicaid (ODM)
RELATED RESOURCES
RELATED STORIES
