MedicaidAdministrativeMedium impact
5160-46-04 - Ohio home care waiver: definitions of the covered services and provider requirements and specifications. (Rescind/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Geriatrics·Medical Policy
Effective date
Sep 22, 2025
We identified it
Jun 20, 2026
Summary
Ohio is rescinding Rule 5160-46-04 which defines covered services and provider requirements for the Ohio home care waiver program, effective September 22, 2025. A new separate rule for personal care aide services is being implemented simultaneously.
Action Required
By September 22, 2025: Providers billing for Ohio Medicaid home care waiver services must review the new rule structure. The existing comprehensive rule is being rescinded and replaced with a separate personal care aide service rule. Verify billing procedures remain compliant with the updated Ohio Department of Medicaid requirements.