MedicaidAdministrativeMedium impact
5160:1-6-07.1 - Medicaid: post-eligibility treatment of income for individuals receiving services through a home and community-based services (HCBS) waiver or the program of all-inclusive care for the elderly (PACE). (Amend/Final File)
Ohio Medicaid·OH · Geriatrics, Family Medicine, Internal Medicine·Enrollment
Effective date
Jun 1, 2025
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid updated Rule 5160:1-6-07.1 regarding post-eligibility treatment of income for individuals receiving HCBS waiver or PACE services. This amendment affects Medicaid eligibility calculations for patients in home and community-based services or all-inclusive care programs for the elderly.
Action Required
By June 1, 2025: Billing team should review updated Ohio Medicaid eligibility rules for patients receiving HCBS waiver or PACE services. Verify patient eligibility status more frequently for these specific populations as income treatment calculations may have changed. Contact Ohio Medicaid at 614-752-3877 for clarification on specific cases if eligibility questions arise.