MedicaidCoverageMedium impact
5160-1-06.5 - Home and community based services (HCBS) waivers: assisted living. (Amend/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Geriatrics·Medical Policy
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Department of Medicaid updated Rule 5160-1-06.5 regarding Home and Community Based Services (HCBS) waivers for assisted living services. This amendment affects billing and coverage requirements for Medicaid patients receiving assisted living waiver services in Ohio.
Action Required
By July 1, 2024: Billing teams serving Ohio Medicaid patients in assisted living settings must review and update their HCBS waiver billing procedures according to the amended Rule 5160-1-06.5. Contact Ohio Department of Medicaid at 614-752-3877 for specific rule body details and ensure compliance with updated assisted living waiver requirements.