MedicaidAdministrativeMedium impact
5160-45-09 - ODM-administered waiver program: program compliance, monitoring and oversight of ODM-administered waiver service providers and ODM-administered waiver program contractors. (Amend/Final File)
Ohio Medicaid·OH·Specialty Services
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid updated Rule 5160-45-09 regarding compliance monitoring and oversight requirements for ODM-administered waiver service providers and contractors. This amendment establishes new program compliance standards and monitoring procedures that will affect providers participating in Ohio Medicaid waiver programs.
Action Required
By January 1, 2026: Providers participating in Ohio Medicaid waiver programs must review updated compliance and monitoring requirements under Rule 5160-45-09. Contact ODM at 614-752-3877 for specific compliance obligations. Ensure all waiver service documentation and reporting procedures align with new oversight standards to avoid program violations.