MedicaidAdministrativeMedium impact
5160-45-03.2 - ODM-administered waiver services: self-direction, and self-directed caregivers. (New/Final File)
Ohio Medicaid·OH·Specialty Services
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid has finalized new rules for self-directed waiver services and self-directed caregivers under rule 5160-45-03.2. This establishes guidelines for Medicaid waiver participants who want to direct their own care or choose their own caregivers.
Action Required
By October 1, 2024: Billing teams serving Ohio Medicaid waiver participants must review and update processes for self-directed care services. Verify that billing procedures align with new ODM rule 5160-45-03.2 for self-direction services. Contact Ohio Department of Medicaid at 614-752-3877 for clarification on specific billing requirements under the new rule.