MedicaidCoverageLow impact
5160-46-09 - Ohio home care waiver: vehicle modification service. (New/Final File)
Ohio Medicaid·OH · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy·Specialty Services
Effective date
Sep 22, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has established a new rule 5160-46-09 for vehicle modification services under the Ohio home care waiver program. This creates a new covered service category for medically necessary vehicle modifications for Medicaid waiver participants.
Action Required
By September 22, 2025: Billing team should review if practice serves Ohio Medicaid waiver patients who may need vehicle modifications. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing procedures and coverage criteria. This primarily affects home care and durable medical equipment providers rather than typical medical practices.