MedicaidAdministrativeLow impact
5160-59-05.2 - OhioRISE home and community-based services waiver: transitional services and supports. (Amend/Final File)
Ohio Medicaid·OH · Psychiatry, Pediatrics·Managed Care
Effective date
Oct 13, 2025
We identified it
Jun 20, 2026
Summary
Ohio has finalized amendments to Rule 5160-59-05.2 governing OhioRISE home and community-based services waiver for transitional services and supports. This policy specifically affects Ohio Medicaid managed care billing for behavioral health and wraparound services for children and youth.
Action Required
By October 13, 2025: Ohio providers serving OhioRISE participants should review the updated rule text for any changes to transitional services billing requirements. Contact Ohio Department of Medicaid at 614-752-3877 for specific guidance on billing changes. This primarily affects providers enrolled in Ohio's specialized managed care program for children with complex behavioral health needs.