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MedicaidAdministrativeMedium impact

5160-31-03 - PASSPORT HCBS waiver program: eligibility and enrollment. (New/Final File)

Ohio Medicaid·OH · Family Medicine, Internal Medicine, General Practice +3 more·Enrollment
Effective date
Sep 22, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio's PASSPORT HCBS waiver program eligibility and enrollment rule has been completely rewritten and finalized. This affects billing for home and community-based services under Ohio Medicaid's PASSPORT waiver program, with the new rule effective September 22, 2025.

Action Required

Action needed
Before September 22, 2025: Billing teams serving Ohio Medicaid PASSPORT waiver patients must review the new eligibility and enrollment requirements. Update patient eligibility verification processes and ensure documentation aligns with the revised PASSPORT HCBS waiver criteria. Contact Ohio Department of Medicaid at 614-752-3877 for specific rule changes that may affect current patient eligibility status.