MedicaidCoverageMedium impact
5160-42-01 - Medicaid home and community-based services program - level one waiver. (New/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Geriatrics +2 more·Specialty Services
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid implemented a new rule 5160-42-01 for home and community-based services program level one waiver, effective July 1, 2024. This rule was filed as both a new policy and a rescission of the previous version, indicating a complete replacement of the existing waiver program guidelines.
Action Required
By July 1, 2024: Billing teams serving Ohio Medicaid patients must review the updated rule 5160-42-01 for home and community-based services level one waiver requirements. Contact Ohio Department of Medicaid (Tommi Potter, 614-752-3877) for specific billing guidelines and ensure compliance with new waiver program requirements for HCBS claims.