MedicaidAdministrativeMedium impact
5160-46-04 - Ohio home care waiver: personal care aide service. (New/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Geriatrics·Specialty Services
Effective date
Sep 22, 2025
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has created a new standalone rule for personal care aide services under the home care waiver program, replacing and rescinding the previous general definitions rule. This change separates personal care aide services into their own specific policy document effective September 22, 2025.
Action Required
Before September 22, 2025: Billing teams serving Ohio Medicaid home care waiver patients should review the new personal care aide service rule 5160-46-04 for any updated requirements, billing procedures, or documentation standards. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidance under the new rule structure.