MedicaidAdministrativeMedium impact
5160-42-01 - Medicaid home and community-based services program - level one waiver. (Rescind/Final File)
Ohio Medicaid·OH · Family Medicine, Internal Medicine, Pediatrics +3 more·Specialty Services
Effective date
Jul 1, 2024
We identified it
Jun 20, 2026
Summary
Ohio Medicaid has rescinded and replaced Rule 5160-42-01 governing the home and community-based services program level one waiver, effective July 1, 2024. This involves a complete rule replacement rather than amendments, indicating significant changes to Medicaid waiver services administration and billing requirements.
Action Required
By July 1, 2024: Billing teams serving Ohio Medicaid patients must review the new Rule 5160-42-01 for home and community-based services program level one waiver requirements. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidance under the new rule. Verify current waiver authorization processes and update billing procedures for affected Medicaid waiver patients to ensure compliance with the rescinded and replaced regulations.