MedicaidCoverageLow impact
5160-46-12 - Ohio home care waiver: adult day health center service. (New/Final File)
Ohio Medicaid·OH · Geriatrics, General Practice·Specialty Services
Effective date
Sep 22, 2025
We identified it
Jun 20, 2026
Summary
Ohio has established new regulations for adult day health center services under the Ohio home care waiver program through Medicaid. This creates a new service category with specific billing and operational requirements for providers offering adult day health services to Ohio Medicaid waiver participants.
Action Required
By September 22, 2025: Ohio providers offering adult day health center services should review the new Rule 5160-46-12 requirements and ensure compliance with Ohio Medicaid waiver program guidelines. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing and enrollment requirements if your practice provides these services.