MedicaidAdministrativeMedium impact
5160-21-05 - Nurse home visiting services. (Amend/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Pediatrics +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-21-05 regarding nurse home visiting services, with the final amendment taking effect January 1, 2026. This policy change affects billing and coverage requirements for home-based nursing services provided to Medicaid beneficiaries in Ohio.
Action Required
Before January 1, 2026: Billing teams serving Ohio Medicaid patients must review the updated Rule 5160-21-05 for nurse home visiting services to understand any changes to coverage criteria, billing requirements, or documentation standards. Contact Ohio Department of Medicaid at 614-752-3877 for specific guidance on implementation changes.