MedicaidAdministrativeMedium impact
5160-40-01 - Medicaid home and community-based services program - individual options waiver. (Rescind/Final File)
Ohio Medicaid·OH · Physical Therapy, Occupational Therapy·Specialty Services
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded and simultaneously filed a new version of Rule 5160-40-01 governing the Individual Options Waiver program for home and community-based services. This represents a complete replacement of the existing waiver rules with updated requirements and procedures.
Action Required
By July 1, 2024: Billing teams serving Ohio Medicaid patients should review the new Individual Options Waiver requirements and update any internal procedures for home and community-based services billing. Verify current waiver authorization processes remain valid under the new rule structure.