MedicaidReimbursementMedium impact
5160-46-06 - Ohio home care waiver program: covered services, reimbursement rates, and billing procedures. (Amend/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Geriatrics +2 more·Reimbursement
Effective date
Apr 17, 2026
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has issued a new final filing for Rule 5160-46-06 covering the Ohio home care waiver program, including updates to covered services, reimbursement rates, and billing procedures. This amendment will take effect on April 17, 2026, and expands the scope to include covered services in addition to the previous focus on rates and procedures.
Action Required
Before April 17, 2026: Billing teams serving Ohio Medicaid home care waiver patients should review the updated rule body once available to identify changes to covered services, reimbursement rates, and billing procedures. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific changes. Update billing systems and procedures as needed based on the final rule specifications.