MedicaidAdministrativeMedium impact
5160-40-01 - Medicaid home and community-based services program - individual options 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 has updated Rule 5160-40-01 regarding the home and community-based services program individual options waiver, with a new final rule effective July 1, 2024. This represents a complete rescission and replacement of the previous rule governing Medicaid waiver services for home and community-based care.
Action Required
By July 1, 2024: Billing teams serving Ohio Medicaid patients requiring home and community-based waiver services must review the updated Rule 5160-40-01 requirements. Contact Ohio Department of Medicaid at 614-752-3877 for specific billing guidance and ensure compliance with new waiver program requirements for individual options.