MedicaidAdministrativeMedium impact
5160:1-6-02 - Medicaid: special resource rules when an individual is requesting or receiving medicaid payment for long-term care (LTC) services. (Amend/Final File)
Ohio Medicaid·OH · Geriatrics, Internal Medicine, Family Medicine·Reimbursement
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio updated Medicaid resource eligibility rules for long-term care services, effective October 1, 2025. This amendment modifies how income and resources are evaluated when individuals request or receive Medicaid payment for LTC services in Ohio.
Action Required
Before October 1, 2025: Billing team should review updated Ohio Medicaid eligibility verification procedures for long-term care patients. Ensure patient eligibility is re-verified using new resource calculation rules for any LTC claims submitted after the effective date.