MedicaidCoverageMedium impact
5160-59-05 - OhioRISE home and community-based services waiver: covered services and providers. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry, Pediatrics, Family Medicine·Managed Care
Effective date
Oct 13, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized amendments to Rule 5160-59-05 governing OhioRISE home and community-based services waiver, which covers behavioral health and specialized services for children and youth. This policy update affects covered services and provider requirements under Ohio's Medicaid waiver program.
Action Required
By October 13, 2025: Billing teams serving Ohio Medicaid patients should review updated OhioRISE waiver guidelines at the Ohio Department of Medicaid website to understand any changes to covered services and provider requirements. Contact Tommi Potter at 614-752-3877 for specific questions about service coverage or provider enrollment changes.