MedicaidCoverageMedium impact
5160:1-3-05.16 - Medicaid: home replacement exclusion. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Oct 6, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has amended rule 5160:1-3-05.16 regarding Medicaid home replacement exclusions, with the final filing dated September 24, 2025 and effective October 6, 2025. This appears to be an update to eligibility criteria or coverage limitations related to home replacement services under Ohio Medicaid.
Action Required
By October 6, 2025: Billing teams in Ohio must review updated Medicaid eligibility requirements for home replacement services. Contact Ohio Department of Medicaid at 614-752-3877 for specific policy details not provided in the filing summary. Verify patient Medicaid eligibility before billing home replacement related services to avoid potential denials.