MedicaidAdministrativeMedium impact
5160-12-03.1 - Private Duty Nursing service providers. (New/Original File)
Ohio Medicaid·OH·Medical Policy
Effective date
Oct 14, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid is replacing its existing rule on non-agency nurses and accredited agencies with a new rule specifically for private duty nursing service providers, effective October 14, 2025. This represents a restructuring of provider qualification and requirement rules under Ohio Medicaid.
Action Required
Before October 14, 2025: Billing teams working with Ohio Medicaid private duty nursing services should review the new provider qualification requirements and ensure all private duty nursing providers meet the updated standards. Monitor for detailed rule body publication to understand specific billing and documentation changes.