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MedicaidAdministrativeMedium impact

5160:1-6-03 - Medicaid: special income rules that may apply when an individual is requesting medicaid payment for long-term care services. (Amend/Final File)

Ohio Medicaid·OH · Geriatrics, Family Medicine, Internal Medicine·Reimbursement
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio amended Medicaid special income rules for long-term care services eligibility determination. This affects how income is calculated when patients request Medicaid coverage for long-term care services in Ohio.

Action Required

Action needed
Before October 1, 2025: Billing team should review patient eligibility verification procedures for Ohio Medicaid long-term care services. Contact Ohio Department of Medicaid at 614-752-3877 for specific income rule changes that may affect patient eligibility determinations. Update eligibility verification workflows to account for revised income calculation methods.