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MedicaidReimbursementMedium impact

5160-31-07 - PASSPORT HCBS waiver program rate setting. (New/Final File)

Ohio Medicaid·OH·Reimbursement
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Ohio Department of Medicaid has updated the PASSPORT HCBS waiver program rate setting rule 5160-31-07, which affects reimbursement rates for home and community-based services. This is a rescission and replacement of the previous rule, indicating new rate structures for providers serving Medicaid waiver participants.

Action Required

Action needed
By October 1, 2024: Ohio providers serving PASSPORT HCBS waiver participants must review updated rate schedules and adjust billing accordingly. Contact Ohio Department of Medicaid at 614-752-3877 for specific rate information. Verify that billing systems reflect current rates to ensure proper reimbursement.