MedicaidCoverageMedium impact
5160-46-11 - Ohio home care waiver: supplemental assistive and adaptive device 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 has finalized a new Medicaid waiver rule (5160-46-11) for supplemental assistive and adaptive device services under the Ohio home care waiver program. This creates a new coverage category for assistive devices for eligible Medicaid waiver participants.
Action Required
By September 22, 2025: Billing teams serving Ohio Medicaid waiver patients should contact Ohio Department of Medicaid (Tommi Potter at 614-752-3877) to obtain specific billing procedures, covered device lists, and prior authorization requirements for supplemental assistive and adaptive devices. Update billing system to accommodate new waiver service category once details are released.