MedicaidAdministrativeMedium impact
5160-12-03.1 - Non-agency nurses and otherwise-accredited agencies: qualifications and requirements. (Rescind/Original File)
Ohio Medicaid·OH·Medical Policy
Effective date
Oct 14, 2025
We identified it
Jun 20, 2026
Summary
Ohio Medicaid is rescinding rule 5160-12-03.1 regarding non-agency nurses and otherwise-accredited agencies, replacing it with new Private Duty Nursing service provider regulations. This affects providers billing Ohio Medicaid for private duty nursing services.
Action Required
Before October 14, 2025: Providers billing Ohio Medicaid for private duty nursing services must review the new Private Duty Nursing service provider regulations replacing rule 5160-12-03.1. Update credentialing and qualification documentation to comply with new requirements. Contact Ohio Department of Medicaid at 614-752-3877 for specific compliance guidance.