MedicaidCoverageMedium impact
5160-45-03.5 - ODM-administered waiver program: self-directed goods and services. (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 regulations for self-directed goods and services under ODM-administered waiver programs. This establishes formal rules for Medicaid waiver participants to self-direct certain services and purchase approved goods.
Action Required
By October 1, 2024: Billing teams serving Ohio Medicaid waiver patients must review updated self-directed goods and services regulations under rule 5160-45-03.5. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing requirements and covered service definitions. Update billing procedures to comply with new self-directed service parameters.