# Ohio Admin. Code 5160:1-3-02.3: Rule 5160:1-3-02.3. Medicaid: coverage for individuals receiving supplemental security income (SSI) benefits

> Ohio · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02_3

## Section

- **Citation:** Ohio Admin. Code 5160:1-3-02.3
- **Heading:** Rule 5160:1-3-02.3. Medicaid: coverage for individuals receiving supplemental security income (SSI) benefits
- **Jurisdiction:** Ohio
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Ohio Administrative Code / Agency 5160:1 / Chapter 5160:1-3 / Rule 5160:1-3-02.3

## Text

111.15 (A) This rule describes eligibility for medical assistance for aged, blind, or disabled individuals who receive SSI benefits authorized by the social security administration under Title XVI of the Social Security Act (as in effect October 1, 2023). (B) Eligibility criteria. To be eligible for coverage under this group an individual must be receiving SSI benefits based on the social security administration's determination of eligibility for SSI payments. In addition, certain requirements specific to medical assistance must be met in order for an individual to be eligible under this group. Failure to comply with the following requirements will prevent an individual from being determined eligible under this provision: (1) Consistent with rule 5160:1-2-10 of the Administrative Code: (a) An individual must assign to the state of Ohio any rights to medical support and payments for medical care from any third party; and (b) An individual must cooperate with the child support enforcement agency (CSEA) in establishing the paternity of any child eligible for medical assistance and in obtaining medical support and payments for medical care from any third party, in accordance with 42 C.F.R. 433.147 (as in effect October 1, 2023); and (c) An individual must cooperate with the administrative agency in identifying and providing information to assist the state with pursuing any third party who may be liable to pay for care and services. (2) An individual who is the beneficiary of a trust must provide documentation of the trust as required by rule 5160:1-3-05.2 of the Administrative Code. (C) Retroactive coverage is available for this program in accordance with rule 5160:1-2-01 of the Administrative Code. Last updated June 25, 2025 at 5:53 PM Supplemental Information Authorized By: 5160.02 , 5163.02 Amplifies: 5160.02 , 5163.02 1/1/2029 8/1/2016

## Nearby sections

- [Ohio Admin. Code 5160:1-3-01 Rule 5160:1-3-01. Medicaid: coverage for the aged, blind, or disabled](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_01.md)
- [Ohio Admin. Code 5160:1-3-02 Rule 5160:1-3-02. Medicaid: criteria for age, blindness, or disability](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02.md)
- [Ohio Admin. Code 5160:1-3-02.1 Rule 5160:1-3-02.1. Medicare premium assistance programs (MPAP)](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02_1.md)
- [Ohio Admin. Code 5160:1-3-02.2 Rule 5160:1-3-02.2. Medicare buy-in](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02_2.md)
- [Ohio Admin. Code 5160:1-3-02.3 Rule 5160:1-3-02.3. Medicaid: coverage for individuals receiving supplemental security income (SSI) benefits](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02_3.md)
- [Ohio Admin. Code 5160:1-3-02.4 Rule 5160:1-3-02.4. Medicaid: coverage for the categorically needy](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02_4.md)
- [Ohio Admin. Code 5160:1-3-02.5 Rule 5160:1-3-02.5. Medicaid: supplemental security income (SSI) recipients qualifying under section 1619 of the Social Security Act for continued medical assistance coverage](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02_5.md)
- [Ohio Admin. Code 5160:1-3-02.6 Rule 5160:1-3-02.6. Medicaid: grandfathering provisions and deemed eligibility](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02_6.md)
- [Ohio Admin. Code 5160:1-3-02.9 Rule 5160:1-3-02.9. Medicaid: disability determination process](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02_9.md)
- [Ohio Admin. Code 5160:1-3-03.1 Rule 5160:1-3-03.1. Medicaid: income](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_03_1.md)
- [Ohio Admin. Code 5160:1-3-03.2 Rule 5160:1-3-03.2. Medicaid: income exclusions](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_03_2.md)
- [Ohio Admin. Code 5160:1-3-03.3 Rule 5160:1-3-03.3. Medicaid: deeming of income](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_03_3.md)
- [Ohio Admin. Code 5160:1-3-03.5 Rule 5160:1-3-03.5. Medicaid: application of income standards](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_03_5.md)
- [Ohio Admin. Code 5160:1-3-03.6 Rule 5160:1-3-03.6. Medicaid: treatment of rental income](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_03_6.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_1_3_02_3. Check the current official text before relying on it. Not legal advice.