MedicaidAdministrativeMedium impact
5160-44-33 - Nursing facility-based level of care home and community-based services programs: structured family caregiving. (Amend/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Geriatrics +1 more·Specialty Services
Effective date
Aug 12, 2025
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has updated Rule 5160-44-33 regarding structured family caregiving programs for nursing facility-based home and community-based services. This amendment affects billing and documentation requirements for family caregivers providing services to Medicaid beneficiaries who qualify for nursing facility level of care but receive services at home.
Action Required
By August 12, 2025: Billing teams serving Ohio Medicaid patients must review updated structured family caregiving requirements under Rule 5160-44-33. Verify billing procedures align with new amendment provisions for home and community-based services programs. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidance if your practice provides services to patients with structured family caregivers.