MedicaidCoverageMedium impact
5160:1-4-05 - MAGI-based medicaid: coverage for a parent or caretaker relative residing with a child. (Amend/Final File)
Ohio Medicaid·OH·Medical Policy
Effective date
Oct 6, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid updated Rule 5160:1-4-05 regarding MAGI-based Medicaid coverage eligibility for parents or caretaker relatives residing with children. This amendment affects Medicaid eligibility determination and coverage verification for billing purposes.
Action Required
By October 6, 2025: Billing team must review and update Medicaid eligibility verification procedures for parents and caretaker relatives residing with children. Ensure staff understand revised MAGI-based eligibility criteria when verifying Ohio Medicaid coverage. Contact Ohio Medicaid at 614-752-3877 for specific guidance on coverage determination changes.