# Ohio Admin. Code 5160-59-01.1: Rule 5160-59-01.1. OhioRISE: application of general managed care rules

> Ohio · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_01_1

## Section

- **Citation:** Ohio Admin. Code 5160-59-01.1
- **Heading:** Rule 5160-59-01.1. OhioRISE: application of general managed care rules
- **Jurisdiction:** Ohio
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Ohio Administrative Code / Agency 5160 / Chapter 5160-59 / Rule 5160-59-01.1

## Text

119.03 (A) The Ohio resilience through integrated systems and excellence (OhioRISE) plan has to adhere to all of the requirements applicable to managed care organizations (MCOs) or managed care entities (MCEs) in the following rules: (1) Rule 5160-26-05 of the Administrative Code with the exception of paragraphs (B)(4), (B)(5), (D)(21), (D)(25), and (D)(26); (2) Rule 5160-26-05.1 of the Administrative Code with the exception of paragraph (B)(1); (3) Rule 5160-26-06 of the Administrative Code; (4) Rule 5160-26-08.3 of the Administrative Code with the exception of paragraphs (A)(19) and (A)(25); (5) Rule 5160-26-08.4 of the Administrative Code; (6) Rule 5160-26-09.1 of the Administrative Code; (7) Rule 5160-26-10 of the Administrative Code with the exceptions of paragraphs (B)(2)(c), (B)(2)(d), and (B)(2)(e); and (8) Rule 5160-26-11 of the Administrative Code. (B) For all rules listed in paragraph (A) of this rule, the following provisions apply to the OhioRISE program described in Chapter 5160-59 of the Administrative Code: (1) All references to rule 5160-26-01 of the Administrative Code are replaced by references to rule 5160-59-01 of the Administrative Code. (2) All references to rules 5160-26-02 and 5160-26-02.1 of the Administrative Code are replaced by references to rule 5160-59-02 of the Administrative Code. (3) All references to rule 5160-26-03 of the Administrative Code are replaced by references to rule 5160-59-03 of the Administrative Code. (4) All references to rule 5160-26-03.1 of the Administrative Code are replaced by references to rule 5160-59-03.1 of the Administrative Code. (C) The following rules in Chapter 5160-26 of the Administrative Code do not apply to OhioRISE: (1) Rule 5160-26-02 of the Administrative Code; (2) Rule 5160-26-02.1 of the Administrative Code; (3) Rule 5160-26-03 of the Administrative Code; (4) Rule 5160-26-03.1 of the Administrative Code. Last updated March 25, 2024 at 9:31 AM Supplemental Information Authorized By: 5167.02 , 5162.02 Amplifies: 5162.03 , 5167.10 7/1/2027

## Nearby sections

- [Ohio Admin. Code 5160-59-01 Rule 5160-59-01. OhioRISE: definitions](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_01.md)
- [Ohio Admin. Code 5160-59-01.1 Rule 5160-59-01.1. OhioRISE: application of general managed care rules](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_01_1.md)
- [Ohio Admin. Code 5160-59-02 Rule 5160-59-02. OhioRISE: eligibility and enrollment](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_02.md)
- [Ohio Admin. Code 5160-59-02.1 Rule 5160-59-02.1. OhioRISE: first day eligibility and enrollment](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_02_1.md)
- [Ohio Admin. Code 5160-59-03 Rule 5160-59-03. OhioRISE: covered services](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_03.md)
- [Ohio Admin. Code 5160-59-03.1 Rule 5160-59-03.1. OhioRISE: utilization management](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_03_1.md)
- [Ohio Admin. Code 5160-59-03.2 Rule 5160-59-03.2. OhioRISE: care coordination](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_03_2.md)
- [Ohio Admin. Code 5160-59-03.3 Rule 5160-59-03.3. OhioRISE: intensive home-based treatment service](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_03_3.md)
- [Ohio Admin. Code 5160-59-03.4 Rule 5160-59-03.4. OhioRISE: behavioral health respite service](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_03_4.md)
- [Ohio Admin. Code 5160-59-03.5 Rule 5160-59-03.5. OhioRISE: primary flex funds](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_03_5.md)
- [Ohio Admin. Code 5160-59-03.6 Rule 5160-59-03.6. Psychiatric residential treatment facility (PRTF) service](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_03_6.md)
- [Ohio Admin. Code 5160-59-04 Rule 5160-59-04. OhioRISE home and community-based services waiver: eligibility and enrollment](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_04.md)
- [Ohio Admin. Code 5160-59-05 Rule 5160-59-05. OhioRISE home and community-based services waiver: covered services and providers](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_05.md)
- [Ohio Admin. Code 5160-59-05.1 Rule 5160-59-05.1. OhioRISE home and community-based services waiver: out-of-home respite](https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_05_1.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_OH_ADC_5160_59_01_1. Check the current official text before relying on it. Not legal advice.