MedicaidAdministrativeMedium impact
5160:1-6-07 - Medicaid: post-eligibility treatment of income for individuals in medical institutions. (Amend/Final File)
Ohio Medicaid·OH·Enrollment
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Ohio Medicaid updated Rule 5160:1-6-07 regarding post-eligibility income treatment for individuals in medical institutions, with changes taking effect January 1, 2026. This amendment affects how Medicaid processes income calculations for patients in long-term care facilities and nursing homes.
Action Required
Before January 1, 2026: Billing team should review income verification procedures for Ohio Medicaid patients in medical institutions. Contact Ohio Department of Medicaid at 614-752-3877 for specific implementation guidance. Update patient eligibility verification processes to comply with new post-eligibility income treatment rules.